الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 95 |  |  |
| | | from | 95 | | |
Abstract
This prospective observational study was conducted at Menoufia
University Hospital, Shebin El-kom Teaching Hospital, after approval of
the study by institute ethical committee on 100 pregnant females, of them
63 underwent normal vaginal delivary, and 37 underwent CS. We
included women who were delivered in the hospital and looking for
contraception without contraindications for IUD insertion. Exclusion
criteria were; anemia (hemoglobin<10 g/dL), postpartum hemorrhage,
and prolonged pre-labor rupture of membranes and obstructed labor.
Women with normal vaginal delivery were remain in the dorsal
position after vaginal delivery and underwent immediate insertion of the
IUD after delivery of the placenta. The IUD was introduced into the
uterine cavity with guidance from the index and middle fingers. In order
to facilitate smooth insertion, suprapubic pressure can be applied to move
the uterus into a more axial plane and minimize retroversion. The IUD is
then placed in the highest possible position in the uterine cavity. In
women with caesarian section, the IUD is placed at the fundus of the
uterus, through the incision made during Cesarean section, as soon as the
placenta and membranes are delivered. Routine closure of the uterine