Postpartum Intra-caesarean Intrauterine Device Insertion Using a Novel Technique
试验速览
- 阶段
- 不适用
- 入组人数
- 75
- 主要终点
- Efficacy of postpartum intra-caesaren IUD insertion
研究概览
简要总结
The assessment of efficacy and patient safety of immediate postpartum IUD insertion using a novel technique.
详细描述
The postpartum period is so critical time for both the mother and newborn that needs special health care because there are high morbidity and mortality rates during it (1).
The World Health Organization (WHO) recommends that a woman should wait at least 24 months after delivery before the next pregnancy to decrease the adverse maternal, perinatal ,and infant outcomes (2, 3).
A woman's fertility may begin to return rapidly and ovulate within 4:6 weeks postpartum particularly if she is not exclusively breastfeeding. In addition , more than 50% of women become sexually active by 6 weeks postpartum (4, 5).
So, it is important to provide highly effective contraception immediately after delivery before leaving the delivery setting especially in communities where women cannot return easily for follow up visits due to financial and social barriers or who have limited access to medical service (6, 7).
The use of effective postpartum contraception particularly longـacting reversible contraception (LARC) methods like the intrauterine device (IUD) has been shown to decrease the risk of unintended pregnancy and its complications and avoid repeated caesarean sections with higher continuation rates of use than other methods 6 months after delivery (8-10).
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women admitted to undergo CS.
- •Singleton pregnancy.
- •Delivery of a liveـborn infant with gestational age < 36 weeks.
- •Informed and written consent to participate in the study.
排除标准
- •History of dysmenorrhea, menorrhagia or coagulopathies.
- •Uterine anomalies or fibroids.
- •Antepartum or intrapartum hemorrhage.
- •Prolonged rupture of membranes <24 hours with or without chorioamnionitis.
- •Intrapartum fever.
- •History of current, recent (within previous 3 months) or recurrent pelvic infilammatory diseases (PID).
- •History of ectopic pregnancy.
- •Multiple pregnancy.
- •Active cervicitis, vaginitis or sexual transmitted diseases (STD) on gyaecological examination.
- •Allergy to any component of the IUD or Wilson's disease.
结局指标
主要结局
Efficacy of postpartum intra-caesaren IUD insertion
时间窗: 6 months
the evaluation of efficacy of this novel technique to decrease the rates of expulsion, missing threads and failure.
次要结局
- Patient safety of postpartum intra-caesarean IUD insertion(6 months)
研究者
Christine Tamer Laisha
Doctor
Assiut University