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• W2987665718 abstract "Objective To compare the safety,side effects and failure rates of contraception copper intrauterine device(IUDs) in the immediate postpartum period after a vaginal delivery and during acesarean section. Patients and methods This was a descriptive andanalytical study, conducted in Gynecology and Obstetrics departments hospital Pikineand Abass Ndao hospitals. It compared two groups of women with IUDs in theimmediate postpartum period after a vaginal delivery and during cesareansection. Our sample consisted of 215 patients. We had divided them into twogroups: group 1 consisted of 115 patients who delivered by cesarean section;Group 2 consisted of 100 patients who delivered vaginally and whom theinsertion was made in post placental or within 48 hours after birth. The variables studied were thesociodemographic characteristics, characteristics of pregnancy and childbirth,insertion procedures, follow up with the assessment of side effects andcomplications. Results and comments The socio-demographiccharacteristics were superimposed in both groups. Nine patients were lost tofollow up, 4 in group 1 and 5 in group 2. The complaints such as pain (3.7% forGroup 1 against 2.6% for group 2), vaginal bleeding (2.1% for group 2, and 1.8% for group 1) were rarely reported and stackablein both groups. After 6 months of follow up, the menses was observed in 42.8% of group 2 against 43.1% of group 1. The abnormal menstrual flow, evaluated by the Highamscore, was noted in 29.6% of group 2 and 25% of group 1, and was dominated by excessivebleeding. They motivated IUD removal in two patients. A significant differencewas found in the perception of IUD strings, it was effective in 95.4% of patients in group 2 against 50.5% for group 1. The evictions were 9at 3-month follow-up 7 related group 2and 2 for Group 1. It was partial (isthmic IUD) and total expulsion. At 6months follow-up, 3 cases of partial expulsion were noted and concerned onlygroup 2. This made a total expulsion rateof 5.3%, with 9.5% for group 2, and 1.8% for group 1. no cases of pregnancy oruterine perforation had been reported during this study. A vaginal sampling wasperformed in all our patients and the results were generally comparable in bothgroups and normal in most cases. However, we noted 17.6% of infection in group 2, and 16.2% in group 1. Conclusion Fromthe results of our study, we can say that IUD insertion in the period ofimmediate postpartum remains safe and effective regardless of the way of delivery. The risk of expulsion is minimal so acceptable." @default.
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• W2987665718 date "2019-01-01" @default.
• W2987665718 modified "2023-10-01" @default.
• W2987665718 title "Intrauterine Device in the Immediate Postpartum: Study Comparing Insertion after Cesarean Section and Vaginal Delivery" @default.
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• W2987665718 doi "https://doi.org/10.4236/ojog.2019.911146" @default.
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