New Method of IUD Insertion During Cesarean Section

Abstract

Background: There is currently no accepted method for inserting an IUD during a Cesarean section. According to previous research, the  traditional method of inserting an IUD during Cesarean section involves manually inserting the device into the fundus of the uterus and  guiding the IUD strings through the cervix.

Objectives: This study aimed to compare between the standard method and a new method  for IUD placement during CS.

Patients and methods: This prospective randomized controlled trial included 624 female patients coming  for either elective or emergency cesarean delivery. They were subjected to intra-caesarian CU T380 IUD insertion. Group A (standard  method): consisted of 312 pregnant patients who underwent manual insertion of the CU T380 IUD using the standard technique of  intracesarian IUD insertion; Group B (new method): consisted of 312 pregnant women who underwent IUD insertion utilizing the novel  approach for placing the IUD (CU T380).

Results: Our results showed significant statistical differences between the two groups regarding  visibility of the threads, IUD displacement, discontinuation rate & overall patient satisfaction (p-values < 0.001, 0.008, 0.004 & 0.002  respectively).

Conclusion: Intra-partum IUD insertion during Cesarean section using the new technique is more effective than using the  standard approach in terms of visibility of threads and better accuracy post-Cesarian and at 6 weeks follow up, hence higher patient  satisfaction.