Comparison of Intracesarean Versus Delayed Vaginal Insertion of Copper T380A in Females after Delivery at Term

  • Sadia Irum Senior Registrar, Shifa International Hospital, Islamabad
  • Nasira Tasnim Professor of Obs and Gynae, Head of Department MCH unit 2, PIMS
  • Sobia Irum Medical officer,civil hospital Sanghar
Keywords: Intrauterine Devices, Intra-Cesarean

Abstract

Objective: To compare the frequency of expulsion rate with intra-cesarean versus post-partum vaginal insertion of Copper T380A in females after delivery at term.
Methodology: The study was conducted at Unit- II, MCH centre, Department of Obstetrics & Gynecology, PIMS, Islamabad from 13th January 2016 to 12th July 2016. It was a randomized controlled trial. A total of 200 females of age 20-40 years of any parity, presenting for delivery at term undergoing cesarean section were included. In group A, Copper-T-380A (Cu-T-380A) IUCD was placed during cesarean section and in group B, IUCD was placed after 6 weeks of delivery through vaginal route. After 3 months females were undergone ultrasonography for confirmation of the presence or absence of IUCD inside the uterus.
Results: The mean age of women in group A was 29.71±4.72 year and in group, B was 29.64±4.87 year. Expulsion rate in group-A (intra-cesarean insertion) was seen in 2(2.0%) and post-partum vaginal insertion of Copper T380A was seen in 9(9.0%) females with p-value of 0.030.
Conclusion: Expulsion rate is less after intra-cesarean insertion compared to postpartum vaginal insertion of Copper T380A in females after delivery at term.

Published
2021-03-23
Section
Original Articles