Continuation and satisfaction with intrauterine copper device inserted during caesarean delivery

Abstract

Purpose

The objective was to assess the continuation and satisfaction of women who had copper IUDs inserted during caesarean delivery, in addition to possible factors associated with device positioning.

Materials and methods

A prospective, observational study was carried out involving 158 women who underwent copper IUD insertion during caesarean delivery in Fortaleza, Brazil. The women were followed up 6 weeks and 6 months after insertion of the IUD, at which time they completed a satisfaction questionnaire. We performed speculum and ultrasound examination.

Results

IUD continuation rates after 6 weeks and 6 months were 92% and 71.5%, respectively. Approximately 85% and 76% of the women were satisfied with the method after 6 weeks and 6 months, respectively. The rate of poor positioning on ultrasound was 5% and the rate of visible thread after 6 weeks was 29.1%, both without association with age, parity, gestational age or active labour. There were 2 cases of infection (1.3%) and no cases of perforation or pregnancy.

Conclusions

There was a good rate of continuation and satisfaction with the immediate post-caesarean IUD. There was no association between IUD malpositioning and age, parity, gestational age or active labour.

剖宫产术中放置含铜宫内节育器的续用率和满意度 摘要

目的：目的是评估在剖宫产术中放置含铜宫内节育器（IUDs）的女性的续用率和满意度, 以及与节育器位置相关的可能因素。

材料与方法：在巴西福塔雷萨进行了一项前瞻性观察性研究, 研究对象为158名剖宫产时放置含铜IUDs的女性。分别在放置IUDs后6周和6个月进行随访, 并填写满意度问卷。我们对患者进行了内窥镜和超声检查。

结果：术后6周和6个月的IUDs续用率分别为92%和71.5%。大约85%和76%的女性在6周和6个月后对该方法满意。超声检查发现位置错位率为5%, 6周后可见线的发生率为29.1%, 均与年龄、产次、孕周及活产无关。感染2例（1.3%）, 无穿孔或妊娠。

结论：剖宫产后立即放置IUDs有较好的续用率和满意率。IUDs错位与年龄、产次、孕龄或活产无关。

Keywords:

• Long-acting reversible contraception
• intrauterine devices
• caesarean section
• contraception

Acknowledgements

The authors wish to acknowledge the contribution of Antonio Brazil Viana Júnior, statistician from the Federal University of Ceará Hospital Complex (CH-EBSERH/UFC), for his assistance in statistical analysis.

Disclosure statement

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.