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Postplacental Insertion of Levonorgestrel Intrauterine System Versus Copper Intrauterine Device: A Prospective Study

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Abstract

Purpose

To compare between postplacental insertion of levonorgestrel intrauterine system versus copper intrauterine device regarding expulsion rates, patient satisfaction, complications, and continuation rates.

Methods

This prospective observational study was conducted on 1100 participants divided in to two groups: group (1) CU-IUD group and group (2) LNG-IUS group where women were assigned for postplacental insertion of either CU-IUD or LNG-IUS, respectively. Follow-up at 6 weeks, 3 and 6 months postpartum and data were collected and analyzed to evaluate outcomes.

Results

No statistical difference between both groups regarding patients’ characteristics, the overall expulsion rate was higher in LNS-IUS group than CU-IUD group; 77 patients (14%) and 50 patients (9%), respectively, (P value < 0.05), odds ratio: 1.63 at CI: (1.12–2.37). No significant difference between the two groups regarding pain intensity, perforation, abnormal uterine bleeding, and clinical endometritis (P > 0.05). Overall satisfaction rate at six months was 478(87%) in the CU-IUD group and 472(85.8%) in the LNS-IUS group (P value > 0.05), odds ratio: 1.1 at CI: (0.78–1.55). Continuation rate at s6 months was comparable between the two groups 485 (88.2%) and 480 (87.3%) in CU-IUD group and LNS-IUS group respectively, (P value < 0.05), odds ratio: 1.09 at CI: (0.76–1.56).

Conclusion

The rate of expulsion of LNG-IUS is higher than copper IUD when inserted postplacental, yet the continuation and acceptability rates were comparable between the two groups.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Shibin el Kom, Egypt

    Elsayed Elshamy, Ahmed Nofal & Dalia Ibrrahim

  2. Department of Obstetrics and Gynecology, King Abdul-Aziz Airbase Hospital, 041/9 Prince Sattam street, Al-Khobar, Dhuhran, Saudi Arabia

    Elsayed Elshamy

Authors
  1. Elsayed Elshamy
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  2. Ahmed Nofal
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  3. Dalia Ibrrahim
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Contributions

Elsayed Elshamy contributed to project development, manuscript writing, and editing. Ahmed Nofal contributed to project development, data collection, and data analysis. Dalia Ibrahim contributed to project development, data collection, and data analysis.

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Correspondence to Elsayed Elshamy.

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State that the manuscript has not been published and is not under consideration for publication elsewhere. All the authors have contributed significantly, and are in agreement with the content of the manuscript. Declare that the study does not violate the policies and/or procedures established by the journal.

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Elsayed Elshamy is a MD in the Department of Obstetrics and Gynecology, King Abdul-Aziz Airbase hospital, Dhuhran, Saudi Arabia; Ahmed Nofal is a MD in the Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Egypt; Dalia Ibrrahim is a MD in the Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Egypt.

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Elshamy, E., Nofal, A. & Ibrrahim, D. Postplacental Insertion of Levonorgestrel Intrauterine System Versus Copper Intrauterine Device: A Prospective Study. J Obstet Gynecol India 71, 150–155 (2021). https://doi.org/10.1007/s13224-020-01409-2

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  • DOI: https://doi.org/10.1007/s13224-020-01409-2

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