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  1. Article ; Online: Non-visualisation of strings after postplacental insertion of Copper-T 380A intrauterine device.

    Dewan, Rupali / Dewan, Abhinav / Singal, Sunita / Bharti, Rekha / Kaim, Mansi

    The journal of family planning and reproductive health care

    2017  Volume 43, Issue 3, Page(s) 186–194

    Abstract: Aim: To assess the incidence of visible strings of intrauterine contraceptive devices (IUDs) after postplacental insertion following vaginal or caesarean delivery and to establish a management protocol of follow-up visits when strings are not visualised. ...

    Abstract Aim: To assess the incidence of visible strings of intrauterine contraceptive devices (IUDs) after postplacental insertion following vaginal or caesarean delivery and to establish a management protocol of follow-up visits when strings are not visualised.
    Methods: This was a prospective study of a cohort of 348 women who underwent postplacental insertion of Copper-T 380A IUDs following vaginal or caesarean delivery, conducted at a hospital in New Delhi, India. Women were followed up at 6 weeks, 3, 6 and 12 months after IUD insertion and were questioned about IUD expulsion or removal at each visit. The cervix was inspected to visualise the IUD strings. All women whose IUD strings could not be visualised at the cervical os at any given follow-up were identified. We analysed the cumulative incidence of visible strings and of procedures performed to locate the IUD when strings were not visible.
    Results: At 1 year follow-up, the IUD was
    Conclusions: Visualisation of strings after postplacental vaginal insertion is more common than after intra-caesarean insertion. Pelvic ultrasonography can be used to verify the presence of the device in cases of missing strings.
    Language English
    Publishing date 2017-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2113221-5
    ISSN 2045-2098 ; 1471-1893
    ISSN (online) 2045-2098
    ISSN 1471-1893
    DOI 10.1136/jfprhc-2015-101200
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Potential for Improving Intrauterine Device (IUD) Service Delivery Quality: Results from a Secondary Data Analysis.

    Gehani, Manish / Pal, Manoj / Arya, Anupama / Singh, Shobhana / S, Kaushik / O'Connell, Kathryn A / Cagatay, Levent / Sengupta, Sumon / Singal, Sunita

    Gates open research

    2020  Volume 3, Page(s) 1473

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2020-03-04
    Publishing country United States
    Document type Journal Article
    ISSN 2572-4754
    ISSN (online) 2572-4754
    DOI 10.12688/gatesopenres.12997.3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Understanding factors associated with continuation of intrauterine device use in Gujarat and Rajasthan, India: a cross-sectional household study.

    Singal, Sunita / Sikdar, S K / Kaushik, S / Singh, Pragati / Bhatt, Nidhi / Samandari, Ghazaleh / Pal, Manoj / Cagatay, Levent / Arya, Anupama / O'Connell, Kathryn A

    Sexual and reproductive health matters

    2021  Volume 29, Issue 2, Page(s) 1–16

    Abstract: The Government of India has promoted the expansion of access to and uptake of intrauterine devices (IUDs), during both the interval (IIUD) and postpartum (PPIUD) periods, as part of its Family Planning 2020 initiative. This study, conducted by ... ...

    Abstract The Government of India has promoted the expansion of access to and uptake of intrauterine devices (IUDs), during both the interval (IIUD) and postpartum (PPIUD) periods, as part of its Family Planning 2020 initiative. This study, conducted by EngenderHealth as part of the Expanding Access to IUD Services in India project, examines IIUD and PPIUD continuation rates over time and investigates factors associated with IUD continuation. We recruited respondents (
    MeSH term(s) Cross-Sectional Studies ; Family Planning Services ; Female ; Humans ; India/epidemiology ; Intrauterine Devices ; Postpartum Period
    Language English
    Publishing date 2021-06-21
    Publishing country England
    Document type Journal Article
    ISSN 2641-0397
    ISSN (online) 2641-0397
    DOI 10.1080/26410397.2021.1933815
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Clinical Outcome of Postplacental Copper T 380A Insertion in Women Delivering by Caesarean Section.

    Singal, Sunita / Bharti, Rekha / Dewan, Rupali / Divya / Dabral, Anjali / Batra, Achla / Sharma, Manjula / Mittal, Pratima

    Journal of clinical and diagnostic research : JCDR

    2014  Volume 8, Issue 9, Page(s) OC01–4

    Abstract: Introduction: Short interconception period after caesarean section and its associated risk of increased morbidity, mortality and surgical interventions could be avoided by postplacental IUCD insertion during the procedure. Despite the safety reports on ... ...

    Abstract Introduction: Short interconception period after caesarean section and its associated risk of increased morbidity, mortality and surgical interventions could be avoided by postplacental IUCD insertion during the procedure. Despite the safety reports on intracaesarean IUCD insertion, obstetricians are still hesitant to extend the benefit of this long acting reversible contraception to women undergoing operative delivery.
    Objective: To study the clinical outcome (safety, efficacy, expulsion and continuation rates) of postplacental Copper T 380A insertion in primiparous women undergoing caesarean section.
    Materials and methods: This study was a prospective observational study, carried out in the Department of Obstetrics and Gynaecology, Safdarjung hospital, which is a tertiary care hospital of Northern India. Primiparous women who delivered by caesarean section over a period of six months (July 2012 to December 2012), willing for postplacental intracaesarean IUCD insertion, and willing to comply with the study protocol, were recruited for the study. All these subjects fulfilled the WHO Standard Medical Criteria for PPIUCD insertion; follow up visits were scheduled at 1, 3, 6 and 12 months.
    Results: A total of 300 primiparous women underwent postpartum intracaesarean insertion of Copper T 380A. The mean age of women included in the study was 23.12 ± 2.42 years. Most common postinsertion complication observed in the immediate postoperative period was febrile morbidity (2%). Majority of women (94.33%) had hospital stay of less than 4 days. The common adverse events observed during follow-up of 12 months were menstrual complaints, excessive vaginal discharge and persistent pelvic pain. At the end of one year, there were 16 expulsions, 21 removals, and 2 pregnancies with gross cumulative expulsion, removal, failure and continuation rates of 5.33%, 7%, 0.67% and 91%, respectively.
    Conclusion: Postplacental intracaesarean Copper T 380A insertion in primiparous women is a safe and effective method of reversible contraception, with low expulsion and high continuation rates.
    Language English
    Publishing date 2014-09-20
    Publishing country India
    Document type Journal Article
    ZDB-ID 2775283-5
    ISSN 0973-709X ; 2249-782X
    ISSN (online) 0973-709X
    ISSN 2249-782X
    DOI 10.7860/JCDR/2014/10274.4786
    Database MEDical Literature Analysis and Retrieval System OnLINE

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