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Visibility of Strings After Postplacental Intracesarean Insertion of CuT380A and Cu375 Intrauterine Contraceptive Device: A Randomized Comparative Study

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Abstract

Objectives

To compare the incidence of visible strings after postplacental intracesarean insertion of Cu375 and CuT380A intrauterine contraceptive devices (IUD).

Methods

This was a prospective, randomized comparative study. A total of 100 women fulfilling the inclusion and exclusion criteria underwent postplacental intracesarean insertion of either Cu375 IUD or CuT380A IUD. Women were followed up at 1, 6 weeks and 3 months after IUD insertion and were questioned about IUD expulsion or removal at each visit. The cervix was inspected to visualize the IUD strings. Data were analyzed by Chi-square test.

Results

At 6-week follow-up, 97.9% women in group A versus 41.7% women in group B had strings visible at the cervical os and at 3 months 100% women in group A versus only 47.9% women in group B (p < 0.001) had visible strings of IUD.

Conclusion

Both Cu375 and CuT380A IUD are safe postpartum method of contraception but Cu375 if used for intracesarean IUD insertion increases the incidence of visible IUD strings. Hence, it avoids radiological investigations and invasive procedures at follow-up visits required to locate the IUD when strings are not visible.

CTRI No. CTRI/2015/09/006221.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Safdarjung Hospital, New Delhi, 110029, India

    Kavita Agarwal, Rupali Dewan & Pratima Mittal

  2. NIMS, Delhi, India

    Abha Aggarwal

Authors
  1. Kavita Agarwal
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  2. Rupali Dewan
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  3. Pratima Mittal
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  4. Abha Aggarwal
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Corresponding author

Correspondence to Kavita Agarwal.

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Conflict of interest

Dr. Kavita Agarwal, Dr. Rupali Dewan, Dr. Pratima Mittal and Dr. Abha Aggarwal declare that they have no conflict of interest.

Ethical Approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5).

Informed Consent

Informed consent was obtained from all patients for being included in the study.

Additional information

Dr. Kavita Agarwal is a Assistant Professor in Department of Obstetrics and Gynaecology, Safdarjung Hospital, New Delhi; Dr. Rupali Dewan is a Professor and Consultant in Department of Obstetrics and Gynaecology, Safdarjung Hospital, New Delhi; Dr. Pratima Mittal is a Professor and Head of Department in Department of Obstetrics and Gynaecology, Safdarjung Hospital, New Delhi; Dr. Abha Aggarwal is a Scientist F in NIMS, India.

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Agarwal, K., Dewan, R., Mittal, P. et al. Visibility of Strings After Postplacental Intracesarean Insertion of CuT380A and Cu375 Intrauterine Contraceptive Device: A Randomized Comparative Study. J Obstet Gynecol India 67, 324–329 (2017). https://doi.org/10.1007/s13224-017-0965-8

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  • DOI: https://doi.org/10.1007/s13224-017-0965-8

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