Effect of Suturing Intrauterine Device for Continuity in Post-Partum Contraception Family Planning Trancaesarean Method

Ariadi Ariadi(1*), Hafni Bachtiar(2)

(1) Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(2) Public Health Department, Faculty of Medicine, Andalas University Padang
(*) Corresponding Author

DOI: https://doi.org/10.25077/aoj.2.2.109-114.2018

Abstract


The insertion of an intrauterine device (IUD) is installed immediately after delivery has been recommended by the WHO, as one method of contraception is safe and effective for interim and prevent missed opportunity (unmet need). IUD insertion after childbirth can avoid the discomfort that usually occurs during the interval insertion, and lochia can obscure any bleeding from the insertion. However, post-partum IUD insertion has disadvantages as well. The risk of the possibility of spontaneous expulsion is very high. This study is an experimental study with the method of post-test control group design to determine differences in IUD expulsion rate tied and not tied when installed during caesarean section at RSUP. Dr.M.Djamil in Padang, and Military Hospital Reksodiwiryo Padang and Painan District Hospital. There were no significant differences between trancaesarean IUD insertion methods that are not tied or tied (P> 0.05). The percentage of expulsion is not tied 11.4% higher compared to 0% tied expulsion. Statistically, were not significant differences as obtained P value> 0.05.

Keywords: IUD, tied, trancaesarean

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References


Nathalie KK. Intrauterine device insertion during the postpartum period: a systematic review. Contraception. 2009; 327–336.

Juklak BKKBN. Petunjuk Pelaksanaan Promosi dan Konseling Kesehatan Reproduksi. Direktorat Kesehatan Reproduksi BKKBN. Jakarta. 2011.

Indonesia, S. Indonesia Demographic and Health Survey 2012. Statistics Indonesia (Badan Pusat Statistik—BPS) in collaboration with the National Population and Family Planning Board (BKKBN) and the Ministry of Health (MOH). Jakarta. 2013.

Kittur S. Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety efficacy, and expulsion. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2012.

Grimes DA. Immediate post-partum insertion of intrauterine devices (Review). The Cochrane Collaboration. 2010.

Espey EM. Long Acting Reversible Contraception : Implan and Intrauterine Device. American College of Obstetricians and Gynecologysts Practice Bulletin. 2011.

Solter C. ParticiPant ’s Guide Intrauterine Devices (IUDs). Watertown MA: Pathfinder International. 2008.

Thiery M. Immediate postplacental IUD insertion: a randomized trial of sutured (Lippes Loop and TCu22OC) and non- sutured (TCu22OC) models. Contraception. 1983; 28(4), 299-313.

I-Cheng Chi,M MD. Post-Cesarean Section Insertion of Intrauterine Devices. American Journal of Public Health. 1984; 74(11), 1281 - 1282.

Müller AL. Transvaginal ultrasonographic assessment of the expulsion rate of intrauterine devices inserted in the immediate postpartum period: a pilot study. Contraception. 2005; 192–195.

L Ryujin. Immediate Postplacental vs. Interval Postpartum Insertion of Intrauterine Contraception. Kaiser Permanente Northern California, Division of Research. 2011.

Çelen SA. Immediate postplacental insertion of an intrauterine contraceptive device during cesarean section. Contraception. 2011.240– 243.

Goldstuck ND. Intrauterine contraception after cesarean section and during lactation: a systematic review. International Journal of Women’s Health. 2013. 811-818.

Treiman KM. IUDs-A New Look. Population Information Program The Johns Hopkins University. 1998. XVI(1). 1-26.

I Cheng CHI GF. Review Article Postpartum IUD contraception - a review of an international experience. Advances in Contraception, 5. 1989. 127 - 146.

Hernandez. Use of modified intrauterine device (IUD) TCu 380 with chromium filaments in the immediate postpartum. Ginecologia y Obstetricia de Mexico. 2008. 68, 70-76.


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