Résumé
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 and 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