Evidence map›Paper›PMID 35484530›Full record

ArticleBMC pregnancy and childbirth2022

Intrapartum versus postpartum insertion of intrauterine device in women delivering by cesarean section.

Ahmed Abdel-Ghany, Eissa Khalifa, Mohamed Zeen El-Din, Emad Ibrahim, Ameer Abdallah, Mahmoud Abdel-Aziz, Mazen Abdel-Rasheed, Alaa Abdel-Azim

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
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  5. 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

8 authors at 2 institutions in 1 country.

Ahmed Abdel-GhanyObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Eissa KhalifaObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Mohamed Zeen El-DinObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Emad IbrahimObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Ameer AbdallahObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Mahmoud Abdel-AzizObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Mazen Abdel-RasheedReproductive Health Research Department, National Research Centre, 33 El-Buhouth St, Dokki, Cairo, 12622, Egypt. doctor_mazen@hotmail.com.ORCID http://orcid.org/0000-0001-5575-1782
Alaa Abdel-AzimObstetrics and Gynecology Department, Faculty of Medicine, MINIA University, Minya, Egypt.
Minia University · EGNational Research Centre · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe intrauterine device (IUD), being a reversible and effective contraception method, is the most widely used worldwide. This study aims to demonstrate the efficacy of IUD insertion during elective lower segment cesarean section (LSCS) versus its insertion six weeks postpartum.

methodsA cohort study was conducted on 200 women planned for elective cesarean delivery and desired IUD as a contraceptive method. They were allocated into two groups; group I, in which IUD was inserted during LSCS, and group II, in which IUD was inserted six weeks or more after LSCS. Both groups were compared regarding failed insertion, post-insertion pain, and uterine perforation. They were followed for one year for the incidence of menorrhagia, vaginal infection, IUD displacement/expulsion, missed threads, or unintended pregnancy.

resultsWomen in the second group showed a significantly higher incidence of failed insertion and uterine perforation than women in the first group. On the contrary, women in the first group showed a significantly higher incidence of missed threads than women in the second group. Regarding other consequences, there were no significant differences between both groups concerning menorrhagia, vaginal infection, IUD displacement/expulsion, or unintended pregnancy.

conclusionIUD insertion during elective LSCS showed a significantly lower incidence of failed insertion and uterine perforation than its insertion six weeks postoperative.

Indexed as

Intrauterine DevicesMenorrhagiaUterine PerforationCesarean SectionCohort StudiesFemaleHumansPostpartum PeriodPregnancyCesarean SectionContraceptionFailed IUD InsertionIntrauterine DeviceUterine Perforation

Identifiers

PMID35484530
PMCPMC9047375
OpenAlexW4225130884

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.