الفهرس 
The safety and efficacy of Immediate post-placental Silver Intrauterine device insertion during cesarean section in El-Minia Governorate
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Abstract
Women who undergo a cesarean section (CS) are in a unique
position to receive the intrauterine contraceptive device (IUD). They may also
want to use the IUD as a long-acting reversible contraceptive method provided
the IUD is safe and effective in the presence of a CS scar, Aim of the work; to
assess the efficacy and safety of immediate post-placental insertion of Silver IUD
during CS in El-Minia Governorate, Patients and Methods: This study was
clinical trial which, was conducted in El-Minia Governorate during the period from
June to December 2021 on Seventy-Seven pregnant women planned for delivery
by CS and accepted the concept of immediate post-placental insertion of IUD. All
patients were subjected to; History taking, Clinical Examination, Obstetric
ultrasound evaluation, and Cardiotocography (CTG), Result; Number of Satisfied
patients in the study population was 74 (96%) in terms of low complication rate,
Conclusion; Intrauterine device is widely popular and accepted long acting
contraceptive method. Post-placental IUD insertion is found to be safe, easily
applied during cesarean section with slight prolongation of cesarean section
duration. Post-placental IUD insertion is also effective, with few complications
compared to interval IUD insertion. This modality of insertion was accepted by the
great majority of patients being painless and at the same time of surgery with no
added cost or maneuver and utilizing the enthusiasm of patients for immediate
contraception. The continuation rates are good in the study follow up duration,