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Role of Vaginal Misoprostol Prior to IUCD Insertion in Women Who Delivered Only by Elective Caesarean Section.

Phase 2
Conditions
IUD Insertion Complication
Interventions
Drug: Placebo
Registration Number
NCT03939663
Lead Sponsor
Ain Shams University
Brief Summary

Role of vaginal misoprostol prior to IUCD insertion in women who delivered only by elective caesarean section.

Detailed Description

Misoprostol ( 400mcg ) vaginally administrated 3 hours prior to IUCD insertion increases the ease and success of insertion and decrease associated pain among women who had delivered only by elective caesarean section.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
210
Inclusion Criteria
  • All women will be 20 to 40 years of age.
  • Desires IUCD placement and able to participate.
  • Negative pregnancy test.
  • Willing to follow- up in 6-8 weeks for a standard IUCD follow-up visit.
  • Delivered only by cesarean section.
Exclusion Criteria
  • Active cervical infection.
  • Current pregnancy.
  • Uterine anomaly.
  • Fibroid uterus.
  • Copper allergy/Wilson's disease.
  • Undiagnosed abnormal uterine bleeding.
  • Cervical or uterine cancer.
  • Allergy to misoprostol.
  • Previous vaginal delivery.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
placebo groupPlacebo2 tablets vaginally
misoprostol groupmisoprostol400 mcg vaginally
Primary Outcome Measures
NameTimeMethod
the proportion of failed IUCD insertions regardless of the reason .during insertion

pain reported by particiepant during insertion graded from 1 to 10 on visual analogue scale

the degree of difficulty of the IUCD insertion .during insertion

Judged as the resistance of the internal cervical os experienced by the investigator and measured by a 5-point scale.

Secondary Outcome Measures
NameTimeMethod
heavy bleeding7 days

heavy bleeding and blood clots

partial or total expulsion4 to 6 weeks

not insitu by U/S

Trial Locations

Locations (1)

Enas Mahmoud

🇪🇬

Cairo, Egypt

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