Expulsion rate of intrauterine device: Mediate vs.immediate puerperium period

• Published in: Journal of the Turkish German Gynecological Association 2020, Vol.21 (3), p.143-149
• Main Authors: Hochmuller,Juliano Terra, Lopes,Karina Souza, Guazzelli,Cristina Aparecida Falbo, Gomes,Mariana Kefalas Oliveira, Júnior,Edward Araujo, Peixoto,Alberto Borges
• Format: Article
• Language: English
• Subjects: Tıp
• ISSN: 1309-0399; 1309-0380
• DOI: 10.4274/jtgga.galenos.2020.2020.0037

Objective: To evaluate the rate of expulsion of intrauterine device (IUD) inserted during the immediate and mediate puerperium. To evaluate whether the type of delivery is a predictor of expulsion of the IUD when inserted in the puerperium period. Material and Methods: This was a prospective observational study. Patients whose IUD (TCU-380 copper) was placed during the puerperal period were divided in two groups according to the time of placement: immediate and mediate puerperium. The decision regarding the time of IUD insertion was made in a non-randomized manner. Analysis was performed using chi-square, Mann-Whitney U, and Spearman’s correlation tests and logistic regression analysis. Results: The total rate of IUD expulsions was 28.8% (49/170). There was no significant association between the occurrence of expulsion and the timing of IUD insertion (immediate vs mediate puerperium; 26.6% vs 34.78%, p=0.296). Among patients experiencing expulsion, 79.6% (39/49) underwent insertion after vaginal delivery and 20.4% (10/49) during cesarean section (CS). The type of delivery was a significant predictor for IUD expulsion (p