الفهرس | Only 14 pages are availabe for public view |
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 |