Association of the Position of the Copper T 380A as Determined by the Ultrasonography Following its Insertion in the Immediate Postpartum Period with the Subsequent Complications: An Observational Study

被引：11
作者：
Gupta S. [1 ]
Malik S. [1 ]
Sinha R. [1 ]
Shyamsunder S. [1 ]
Mittal M.K. [2 ]
机构：
[1] Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi
[2] Department of Radiodiagnosis, Vardhman Mahavir Medical College and Associated Safdarjung Hospital, New Delhi
来源：
The Journal of Obstetrics and Gynecology of India | 2014年 / 64卷 / 5期
关键词：
Contraception; Expulsion; IUCD; Malposition; Menstrual irregularity;
D O I：
10.1007/s13224-014-0532-5
中图分类号：
学科分类号：
摘要：
Purpose: Incorrectly placed copper T 380A leads to increased contraception failure. This study aimed to find an association between the ultrasonographic position of the copper T 380A in the immediate postpartum period and the adverse effects observed during the period of 6 months after its insertion.; Methods: This descriptive study was carried out in the Department of Obstetrics & Gynaecology of a tertiary-care-center of India from September 2011 to February 2013. The women eligible for immediate postpartum copper T 380A insertion with previous regular menstrual cycles for at least 6 months before the current pregnancy, and those who were willing for follow-up visits and had easy accessibility to the hospital, were recruited. A clinical evaluation and ultrasonographic assessment of Intra-Uterine-Contraceptive-Device (IUCD) after insertion was carried out after enrolment. The complications (expulsions, vaginal discharge, menstrual irregularity, and lower abdominal pain) were subsequently assessed during a 6-month follow-up period. The primary objective was the ultrasonographic assessment of the placement of IUCD immediately after insertion. The incidence of complications and their association with the presence of malposition was also studied.; Results: Hundred patients were evaluated during the study period. Forty-four (44 %) women were found to have malpositioned IUCDs on ultrasonographic evaluation done following insertion. The complications among the IUCD users included menstrual irregularity (27.17 %), pain in lower abdomen (20.65 %), vaginal discharge (7.6 %), and expulsions (9.7 %). The IUCD expulsions, menstrual irregularities, and pain were significantly more in patients with malpositions (p < 0.05).; Conclusions: Malpositioning of IUCD is common immediately following insertion and is significantly associated with more complications during the follow-up. © 2014, Federation of Obstetric & Gynecological Societies of India.
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页码：349 / 353
页数：4
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