Huma Arshad, Faiqa Saleem, Muhammad Shahid, Muhammad Tayyab.
Comparison Of Expulsion Rate In Immediate Versus Delaye Insertion Of Intrauterine Device In Females Presenting After Delivery.
Esculapio J Services Inst Med Sci Jan ;12(4):199-202.

Objective: To compare the frequency of expulsion in immediate versus delayed insertion of intrauterine device in females presenting after delivery. Methods: This present randomized control trial was conducted at Department of Obstetrics and Gynecology, Jinnah Hospital / AIMC, Lahore. Non-probability purposive sampling technique was used in this study. Informed consent was taken from all 200 patients. Demographic information (name, age, BMI and contact) were recorded. Females were divided in two groups on the basis of time of device insertion i.e. immediate or delayed (as per operational definition). Females were followed for 6 months and x-ray was performed to confirm expulsion was labeled. Both groups were compared for IUD expulsion by using chi-square test taking p-value<0.05 as significant. Data was stratified for parity & obesity. Chi-square test was applied post-stratification. Results: The mean age of the patients was 28.99±6.31 years. The mean BMI of the patients was 27.06±3.83 kg/m2. In our study the IUD expulsion was observed in 15% patients. Statistically there is insignificant difference was found between the study group and IUD expulsion of the patients. i.e p-value=0.23. Only significant difference was found between the study groups with obese patients and IUD expulsion of the patients i.e. p-value=0.02. Conclusion: The evidence found in our study suggests that both the immediate post-partum insertion of IUDs and delayed insertion of IUDs are safe and effective.

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