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Uterine perforation and use of the Multiload IUD

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Advances in Contraception

Abstract

The English language literature on IUDs was reviewed to evaluate the uterine perforation rate associated with use of the Multiload. No reports of cervical perforation were found, and the uterine perforation rate was 0.12/1000 insertions compared to a rate of 0.68/1000 insertions for other copper-bearing IUDs. This lower rate may reflect an under-reporting of uterine perforations in the medical literature, or may represent a truly lower perforation rate due to factors related to the Multiload design and/or its insertion technique.

Resumé

On a passé en revue la littérature de langue anglaise concernant les DIU afin de déterminer le taux de perforation utérine lié à l'utilisation du dispositif Multiload. On n'a retrouvé aucun compte rendu de perforation cervicale et le taux des perforations utérines s'élevait à 0.12 pour 1000 insertions alors qu'il était de 0.68 pour 1000 dans le cas des autres DIU au cuivre. Il est possible que ce pourcentage plus faible soit dû au fait que des ces de perforation utérine n'aient pas été signalés dans la littérature médicale, mais il peut aussi représenter un taux de perforation véritablement moindre attribuable à certaines caractéristiques de conception du Multiload et/ou à la technique d'insertion.

Resumen

Se revisó la bibliografia en idioma inglés sobre DIU a fin de evaluar la tasa de perforación uterina asociada con el uso del dispositivo Multiload. No se encontraron notificaciones de perforación cervical, y la tasa de perforación uterina fue de 0.12 por cada 1000 inserciones, en comparación con una tasa de 0.68 por cada 1000 inserciones correspondiente a otros DIU que contienen cobre. Esta tasa inferior podría reflejar una notificación incompleta de perforaciones uterinas en la bibliografía médica, aunque también podría representar una tasa de perforación verdaderamente inferior debida a factores relacionados con el diseño del Multiload y/o su técnica de inserción.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Elisabeth Gasthuis, PO Box 417, 2000 AK, Haarlem, The Netherlands

    W. A. A. Van Os

  2. Medical Research Consultants, Inc., 68 Spyglass Circle, 06340, Groton, Connecticut, USA

    D. A. Edelman

Authors
  1. W. A. A. Van Os
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  2. D. A. Edelman
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Van Os, W.A.A., Edelman, D.A. Uterine perforation and use of the Multiload IUD. Adv Contracept 5, 121–126 (1989). https://doi.org/10.1007/BF01849480

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  • DOI: https://doi.org/10.1007/BF01849480

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