Post-puerperal Cu-T insertion: a prospective study
Bhalerao, A.R.; Purandare, M.C.
Journal of Postgraduate Medicine 35(2): 70-73
1989
ISSN/ISBN: 0022-3859 PMID: 2621664 Document Number: 379176
Copper T IUDs were inserted in 168 postpartum women in Bombay, India, at 6 weeks to 3 months after delivery, and follow-up studies were made to compare results with those reported in the literature. 45.8% of the women were para 1, 46 were para 2, and 69% had accepted IUDs because they had at least one living male child. 63 of the women had follow-up examinations at 6 weeks, and 65 at 6 months. 11.1% and 16.9% complained of pain at 6 weeks and 6 months, respectively. The IUD was observed to be partially expelled and lying in the cervical os in 23.8% of the women at 6 weeks and in 9.2% at 6 months. Mild pelvic infection was diagnosed in 10% at 6 weeks and in 18% at 6 months, based on leukorrhea, erosion, or tenderness. There was 1 (1.5%) intrauterine pregnancy. These findings were comparable to previously reported results of large studies, with the exception of partial expulsion. Reasons cited in the literature for partial expulsion include parity, timing, and low insertion technique. The high incidence of partial expulsion was considered due to the atrophic or bulky uteri present in some of the women, and to the fact that only one size IUD was available.