Evaluation and a comparative study between postpartum and postabortion insertion of sutured Cu T-220C and sutured lippes loop

ABSTRACT

To evaluate the efficiency of immediate postpartum and post-abortive insertion of intrauterine contraceptive devices, 100 women were studied and divided into the following groups 1] Twenty-five women were fitted for postpartum insertion of sutured lippes loop, 2] twenty-five women were fitted for post-abortion insertion of sutured lippes loop, 3] twenty-five were fitted for postpartum insertion of sutured Cu T220C, 4] twenty-five women were fitted for post-abortion insertion of sutured Cu T220C. Women were followed for six months. Bleeding and expulsion rates were significantly higher in postpartum insertion than with post-abortive insertion and with the use of lippes loop than with the use of Cu T220C. Total discontinuation rate in postpartum cases was 21% and in post-abortion cases was 13%. It is concluded that postpartum and post-abortion insertion is safe and efficient and that the sutured lippes loop has more side effects than the sutured Cu T220C