[Trancesarean intra-uterine device. Pilot study performed at Dakar teaching hospital]

Abstract

Objectives: To demonstrate the feasibility of copper IUD insertion following cesarean deliveries and assess its safety.

Patients and methods: This is a prospective pilot study at Pikine national hospital from February 15 to November 15, 2012. Were evaluated the efficacy, incidence and spectrum of complications and continuation rates.

Results: Fifty-nine subjects were enrolled and 46 received an IUD. The average age of patients was 28 years. No patient had previously used IUDs. Forty-four patients (97.5%) were returned to the first follow-up visit at the first month, 41 patients (89.1%) at the second visit and 39 patients (86.9%) at the third visit. The rate of lost sight was 8.7%. Pain and bleeding were reported rarely: 2.3% at the first month, 4.9% at the third month and 7.7% at the sixth month for the bleeding and 6.8% at the first month, 2.4% at the third month and 2% at the sixth month for pain. The rate of expulsion was 2.2%.

Conclusion: The insertion of the IUD following cesarean delivery has an acceptable rate of expulsion and no increased rate of adverse effects. This technique should be popularized.

Keywords: Cesarean; Complications; Césarienne; Dispositif intra-utérin; Expulsion; Intra-uterine device; Post-partum; Postpartum.