CESAREAN-SECTION IUD INSERTION

  • 1 January 1982
    • journal article
    • research article
    • Vol. 3  (1) , 21-24
Abstract
The trial was carried out on 154 selected volunteers who underwent cesarean section and then received an ML Cu 250 IUD [intrauterine device] during the operation. Fifty-six percent of the operations were planned while 44% were not. The IUD was inserted in 65, 80, and 9 cases of 1st, 2nd and 3rd cesarean section, respectively. The patients were follow-up after 1,3, 6, 12 and 24 mo. Hospitalization time and post-operative morbidity did not increase with the insertion of the device. Maternal lactation was not altered. Eight percent of patients had postpartum bleeding which lasted more than 40 days. At the 1 yr examination 52% of the patients were menstruating normally, while at 2 yr, the percentage had increased to 62.5%. The acceptability, continuity and efficiency of the contraceptive procedure proved successful. There were only 4 cases (2.6%) in which the device had to be removed for medical reasons (largely due to endometritis) and 8 cases (5.2%) because of the patients'' wish (menstrual abnormalities). Spontaneous expulsion of the IUD occurred in 4 cases (2.6%). As yet, no pregnancies have been detected. The cesarean section insertion of an ML Cu 250 IUD produced excellent results and further, more widespread use is suggested.

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