Comparative study of intrauterine contraception using different ways of inserting the Lippes D. loop
Robinovich, J.; Zambra, G.; Cabrera, R.; Concha, R.; Soto, M.L.; Roman, A.
Revista Chilena de Obstetricia y Ginecologia 34(6): 349-356
1969
ISSN/ISBN: 0048-766X PMID: 5394178 Document Number: 265600
The effects of the insertion of Lippes D loops at different times in 3 groups of women were studied: traditional intermenstrual insertion in 1486 cases with 24,630 months of observation, after abortion in 1845 cases with 24,959 months of observation, and postpartum in 1750 cases with 16,474 months of observation. Monthly and cumulative rates are calculated for complications and interruptions of use. A comparative study of the 3 groups covers rates of expulsion, hemorrhage, infection, and duration of use. It is concluded that postabortion and postpartum insertion is without clinical advantages over the traditional procedure of intermenstrual insertion, and the risk of complications and expulsion is greater. However, postabortion insertion is regared as a promising method, because it provides protection to women who present a high risk of future abortions. Postpartum insertion, on the other hand, should only be used as an experimental technique because the risks are higher and the results equal to or less satisfactory than those of intermenstrual insertion.