Evidence map›Paper›PMID 28458581›Full record

ReviewInternational journal of women's health2017

Insertion of intrauterine devices after cesarean section: a systematic review update.

Norman D Goldstuck, Petrus S Steyn

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in International journal of women's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05756998 (New Method of IUD Insertion During Cesarian Section), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05756998 naunknown statusnot on this mapstarted 2022, after this paper: background citation

New Method of IUD Insertion During Cesarian Section

TypeinterventionalSponsorCairo UniversityRan2022 to 2023Enrolled156ConditionsPostpartum ContraceptionArmsCopper T380 IUD ( Paragard 380 A ,CooperSurgical, Inc. © 2022) (classic technique), Copper T380 IUD ( Paragard 380 A ,CooperSurgical, Inc. © 2022) ( New technique), cesarian section
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Association of novel intra-cesarean post-placental intrauterine device insertion techniques, and early ultrasound, with expulsion rates and strings visibility: A prospective exploratory study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Norman D GoldstuckDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg Hospital, Western Cape.
Petrus S SteynDepartment of Obstetrics and Gynaecology, University of Cape Town, Cape Town, South Africa.
Stellenbosch University · ZAUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method provided the IUD is safe and effective in the presence of a CS scar. SEARCH STRATEGY: We researched and reviewed the MEDLINE, POPLINE, Google Scholar, and ClinicalTrials.gov databases from January 1968 to June 2015. SELECTION CRITERIA: Eligible studies reported event rates or practical problems relating to IUD usage in post-placental or interval insertion (>90 days) after CS. Studies with ≥20 subjects were included. DATA COLLECTION AND ANALYSIS: Analysis of eligible data collected from the search followed the PRISMA guidelines. MAIN

resultsTwelve eligible studies of post-placental IUD insertion after CS included four randomized controlled trials of post-placental versus delayed insertion. Women randomized to delayed insertion were less likely to receive a device. Six studies examined the problem of missing IUD threads at follow-up with only 30%-60% presence of strings observed.

conclusionThe IUD is a long-acting reversible contraceptive method that is suitable for use in all women undergoing CS. The problems of device expulsion, missing threads at follow-up, and the tendency of increased puerperal bleeding need to be solved. Solutions are proposed.

Indexed as

cesarean sectionIUD expulsionlong-acting reversible contraceptionmissing IUD threadspost-placental IUD

Identifiers

PMID28458581
PMCPMC5402906
OpenAlexW2605854931

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.