Post-placental Intrauterine Device Insertion During Cesarean Section

Study Overview
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Brief Summary
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Effective, reversible postpartum contraception decreases the chance of rapid repeat pregnancy and poor perinatal outcome in a subsequent pregnancy especially in women delivered by cesarean section.The traditional 6-week postpartum visits not evidenced based and may not meet patient needs, particularly with respect to provision of contraception.Intrauterine device placement after delivery of the placenta is an appealing strategy for increasing access to postpartum Intrauterine device because it does not require a separate postpartum visit. Advantage of post-placental Intrauterine device insertion, Intrauterine devices are recommended as first-line contraceptives by the American Academy of Pediatricians. The Centers for Disease Control and Prevention united state . Medical Eligibility Criteria for Contraceptive Use places no restrictions on use, and states advantages generally outweigh the risks for immediate postpartum use of Intrauterine devices.

Official Title
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Hang-up Versus Non-fixation Technique for Immediate Post-placental Intrauterine Device Insertion During Cesarean Section

Conditions
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Intrauterine Device Migration

Intervention / Treatment
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* Procedure: Intrauterine device insertion
* Procedure: Cesarean section
* Procedure: Suture


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age group : 18-40 years Women who will be willing to undergo elective cesarean section women desire using Copper IUD as long acting contraceptive method. Exclusion Criteria: Intrauterine infection. Fundal Myoma. Hemorrhagic disorder Genital tract malignancy Uterine atony Sexually transmitted infection.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: intrauterine device insertion with a suture fixation<br>Intruterine device through hysterotomy incision during cesarean section with a suture fixation | Procedure: Intrauterine device insertion<br>* Post-placental insertion of intrauterine device during Cesarean section<br>Procedure: Cesarean section<br>* to delivery of the fetus<br>Procedure: Suture<br>* to fix the intrauterine device<br>|
| Active Comparator: intrauterine device insertion without a suture fixation<br>IUD through hysterotomy incision during cesarean section without a suture fixation | Procedure: Intrauterine device insertion<br>* Post-placental insertion of intrauterine device during Cesarean section<br>Procedure: Cesarean section<br>* to delivery of the fetus<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of displaced intrauterine device after insertion in both groups |  | 2 weeks |