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Results for “Intrauterine Device Expulsion”

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PubMed1986

Tailoring of Fincoid-350 insertions--experience with Hasson's Wing Sound 1 Cavimeter.

The total uterine and endometrial cavity lengths of 212 nulliparous and 331 parous women were measured with Hasson's Wing Sound 1 Cavimeter prior to insertion of IUDs. A rather poor correlation between these two measurements was established, indicating that the total uterine sound measurement does not give reliable information about the endometrial cavity length. Furthermore, the cavimetric measurements showed that a majority of both nulliparous and parous uterine cavities were less than 35 mm in length. Consequently, the devices of standard size on the market are too long for most uterine cavities. The results of 543 tailor-made insertions showed that the tailoring of IUD length according to the endometrical cavity length produces better clinical performance. In particular, the continuation rates improved whereas the pregnancy rates remained practically unchanged.

Adult↗
PubMed1987

Rare events occurring at insertion of an intrauterine device--a review of an international experience.

Events occurring at the time of insertion of an intrauterine device (IUD) are rarely studied, especially for parous women for whom, in theory, IUD contraception is most suitable. These events, although rare, cause personal distress, embarrassment and inconvenience and can have a negative impact on IUD acceptance. Sixty million women worldwide are using IUDs. Thus, even a rare event may have important public health implications. To avoid such occurrences, the risk factors of these rare events need to be delineated. The large international IUD data set compiled by Family Health International (FHI) since 1972 provides a unique opportunity to achieve this purpose. Four IUD insertion-related rare events have been studied, namely: insertion failure, uterine perforation, syncope and other vasovagal reactions, and severe insertional pain. This review paper summarizes the important findings from these as well as other relevant studies. This broad experience should form the basis by which health personnel inserting IUDs can improve the quality of care for women requesting a device for contraception.

Adult↗
PubMed1989

Long-term experience with Multiload intrauterine devices.

This paper reports the joint experience of three investigators who used three types of the Multiload (ML) IUD (MLCu250 Short, MLCu250 Standard, and MLCu375) in 1987 consecutive insertions during which an experience of 56,005 woman-months of use was accumulated. The material was analyzed using the life-table method and complemented with a case by case investigation, the main purpose of the study being the specific analysis of IUD-related complications. The authors also evaluated return of fertility whenever a device was removed because of wish of pregnancy. Results indicate that serious IUD-related complications were rare, continuation rate high, and reversibility of fertility unaffected by the device.

Computer Simulation↗
PubMed1988

One-year results with the Fincoid IUD--a Hungarian experience with the short model.

This study presents the one-year experience with a new copper-releasing intrauterine contraceptive device, the Fincoid IUD. Between November 1984 and August 1985, 650 Fincoid devices were inserted in parous women to test the efficacy and clinical performance of the devices. After one year, 16 pregnancies had occurred (2.8 net cumulative rate); 26 devices had been partially or totally expelled (4.4); 27 devices had been removed for bleeding and/or pain (4.7); and 16 devices had been removed for other medical reasons (2.8). The continuation rate at the end of the first year was 84.3, indicating a good clinical performance.

Female↗
PubMed1994

Clinical performance of Fincoid-350 standard and short models: a comparative study.

Comparison of the clinical performance of the standard and short models of the Fincoid-350 showed that the overall performance of the short Fincoid-350 was superior to that of the standard Fincoid-350. There were significantly fewer (p < 0.01) removals for bleeding/pain among Fincoid-350 Short users (2.6%) than among Fincoid-350 standard users (7.6%). The short model gave better contraceptive efficacy (0.6%) than did the standard one (1.1%), although no statistical significance could be established. In other respects the two devices performed equally. From the comparison, a conclusion can be drawn that the short model causes fewer side-effects and is therefore preferable to the standard.

Adult↗
PubMed1992

A multicenter clinical trial in Nigeria with Multiload-Cu250 (MLCu250) and Multiload-Cu375 (MLCu375) intrauterine devices.

A multicenter study was conducted in Nigeria, comparing the Multiload-Cu250 (MLCu250) with the Multiload-Cu375 (MLCu375). The two intrauterine devices were studied on aspects of effectiveness and acceptability. Parameters were observed and analyzed, using the life-table method of Tietze and Lewit. Continuation rates were excellent. Overall results were in line with studies done elsewhere in the world with Multiload devices, showing a slight superiority of the MLCu375 over the MLCu250.

Female↗
PubMed1993

The new intrauterine contraceptive devices: safe and effective.

Reviews of the safety of intrauterine contraception usually are based on studies that do not reflect changes in clinical practice that have occurred over time, and that include many types of IUDs that are no longer used. Studies of insertions of the Multiload 375 and Copper T 380 performed since 1980, which more accurately reflect current clinical practice, show that these IUDs provide a high level of protection against pregnancy and are associated with low rates of complications. Current clinical opinion regarding the safety of IUDs needs to be reassessed in light of the positive safety record of these IUDs.

Female↗
PubMed1985

Management of the missing intrauterine contraceptive device: report of a case.

A case of postpartum intrauterine contraceptive device insertion that resulted in a remote complication is described. At the postinsertion follow-up visit the intrauterine contraceptive device was missing and presumed expelled. Four years later it was recovered from a complex mass involving the bladder and the appendix. Management for the missing intrauterine contraceptive device is recommended.

Adult↗