ArticleInternational journal of reproductive medicine2016
Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes.
Article in International journal of reproductive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02941198 (Comparative of Two Devices), which is not on this map. Cited by 14 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparative of Two Devices (Conventional Intrauterine Devices (Cu T380 A)/Frameless Intrauterine Devices (GyneFix)) for Postpartum Immediate Contraception in Cesarean Deliveries
Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Utilisation, effectiveness, and safety of immediate postpartum intrauterine device insertion: a systematic literature review.BMJ sexual & reproductive health · 2023Pooled it
- Postpartum intrauterine contraceptive device use and its associated factors in Ethiopia: systematic review and meta-analysis.Reproductive health · 2021Pooled it
- Expulsion of intrauterine devices after postpartum placement by timing of placement, delivery type, and intrauterine device type: a systematic review and meta-analysis.American journal of obstetrics and gynecology · 2020Pooled it
- Intrauterine Device Expulsion After Postpartum Placement: A Systematic Review and Meta-analysis.Obstetrics and gynecology · 2018Pooled it
- Incidence and risk factors for postplacental intrauterine device expulsion in a Brazilian hospital.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Correlates of post-partum intra-uterine copper-T devices (PPIUCD) acceptance and retention: an observational study from North India.Contraception and reproductive medicine · 2023Article
- Article
- Economic Evaluation of Provision of Postpartum Intrauterine Device Services in Bangladesh and Tanzania.Global health, science and practice · 2021Article
- Impact of immediate postpartum insertion of TCu380A on the quantity and duration of lochia discharges in Tanzania.Contraception and reproductive medicine · 2021Article
- Factors associated with the uptake of immediate postpartum intrauterine contraceptive devices (PPIUCD) in Rwanda: a mixed methods study.BMC pregnancy and childbirth · 2020Observational
- A one-year cohort study of complications, continuation, and failure rates of postpartum TCu380A in Tanzania.Reproductive health · 2020Article
- Single center experience on implementation of the postpartum intrauterine device (PPIUD) in Sri Lanka: a retrospective study.BMC research notes · 2020Observational
- Changing Scenario in Indian Contraceptive Methods: A Glimpse Through a Tertiary Hospital Statistics.Journal of obstetrics and gynaecology of India · 2019Article
- Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report.Medicine · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background. Immediate postpartum intrauterine contraceptive device (IPPIUCD) is a lucrative postpartum family planning method which provides effective reversible contraception to women in the delivery setting. Our aim was to study the clinical outcomes of IPPIUCD insertions and compare them as a factor of route of insertion (vaginal versus caesarean). Methods. This is a retrospective analytical study done in a tertiary care teaching institute. A Cohort of 593 vaginal and caesarean deliveries with IPPIUCD insertions, over a two-year period, was studied and compared for follow-up results. Outcome measures were safety (perforation, irregular bleeding, unusual vaginal discharge, and infection), efficacy (pregnancy, expulsions, and discontinuations), and incidence of undescended IUCD strings. Descriptives were calculated for various outcomes and chi square tests were used for comparison in between categorical variables. Results. Overall complication rates were low. No case of perforation or pregnancy was reported. Spontaneous expulsions were present in 5.3% cases and were significantly higher in vaginal insertions (p = 0.042). The incidence of undescended strings was high (38%), with highly significant difference between both groups (p = 0.000). Conclusion. IPPIUCD is a strong weapon in the family planning armoury and should be encouraged in both vaginal and caesarean deliveries. Early follow-up should be encouraged to detect expulsions and tackle common problems.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.