Document Type
Original Article
Abstract
Background: Suturing to the uterine fundus during a cesarean delivery utilizing the hung up approach for immediate post placental implantation of IUCD Cu T 380 A is a safe and successful procedure; no cases of ejection or perforation have been documented. Aim of work: The purpose of this study is to assess the safety and effectiveness of inserting an intrauterine contraceptive device (IUCD) with fixation during a lower segment cesarean section as a method of contraception, as well as the impact of fixation on the expulsion rate in comparison to the traditional approach. Patient and methods: At Al Galaa Maternity Teaching Hospital, a prospective randomized interventional case control study was carried out between November 2020 and November 2022. Three groups of participants were formed. Results: Regarding the VAS score, number of pads, blood clots, presence of pelvic infections (PID), bleeding pattern, and hemoglobin examinations before and six months after IUCD implantation, there was no statistically significant difference between the analyzed groups. Conclusion: Compared to non-fixed IUCD, copper IUCD (TCu-380A), which was introduced right after the placenta was expelled during lower segment CS, had superior efficacy, safety, and convenience. The least amount of expulsion and the best overall health outcomes across all research points were obtained with IUCD insertion and fixation using absorbable suture (Hang up method).
Keywords
Comparison; Cu T 380 A IUCD; Cesarean Section; Fixation
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Wafa, Yehia Abdel Salam; Alomda, Fahd Abd Elaal; and Nasr, Ahmed Shokry Ahmed
(2024)
"Comparison between Cu T 380 A IUCD Insertion during Cesarean Section with Fixation and 6 Weeks Postpartum,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
3, Article 6.
DOI: https://doi.org/10.58675/2682-339X.2315
