IUD Insertion During Cesarean Section
Not Applicable
Completed
- Conditions
- Contraception
- Interventions
- Device: IUD during CSDevice: IUD after puerperium
- Registration Number
- NCT03492034
- Lead Sponsor
- Ain Shams University
- Brief Summary
Insertion of Intrauterine Contraceptive Device during Cesarean Section: Randomized Clinical Trial
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 200
Inclusion Criteria
- Pregnant woman aged between 18 to 40 years old.
- Scheduled for elective cesarean section at gestational age between 37 to 42 weeks.
- Body mass index between 19-30 kg/m2
- Seeking contraception after delivery.
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Exclusion Criteria
- History of menorrhagia or severe dysmenorrhea.
- History of pelvic inflammatory disease or current pelvic infection (ex: puerperal sepsis, purulent cervicitis).
- Patients who have bleeding disorders.
- Anemia (Hb < 9 g %).
- Chronic depilating diseases reducing immunity such as Diabetes.
- Structural uterine anomaly or large uterine fibroids distorting anatomy.
- History of previous IUD expulsion or removal for complications.
- Unexplained uterine bleeding.
- Copper allergy or Wilson disease.
- Gestational trophoblastic disease with persistently elevated Beta HCG.
- Predisposing factor to postoperative infection (e.g. rupture of membranes prior to admission or delivery of a stillborn baby at cesarean section).
- Complications during cesarean section e.g. postpartum hemorrhage.
- Cesarean section during placenta previa.
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Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description IUD during CS IUD during CS - IUD after puerperium IUD after puerperium -
- Primary Outcome Measures
Name Time Method IUD expulsion rate 6 weeks
- Secondary Outcome Measures
Name Time Method Bleeding 6 weeks number of pads changed per day
Degree of Pain 6 weeks Visual Analogue Scale from 1 to10 (0 being no pain and 10 maximum pain tolerated)
dyspareunia 6 weeks Visual Analogue Scale from 0 to10 (0 being no pain and 10 maximum pain tolerated)
patient satisfaction 6 weeks Visual Analogue Scale from 0 to10 (0 being maximum dis-satisfaction and 10 maximum satisfaction)
Trial Locations
- Locations (1)
Ain Shams University Maternity Hospital
🇪🇬Cairo, Egypt