The Easiness and Side Effect Using New Inserter (R_inserter) for Insertion of CuT-380A IUD During Postpartum Periods

Kurniawan, Kadek Agus (2016) The Easiness and Side Effect Using New Inserter (R_inserter) for Insertion of CuT-380A IUD During Postpartum Periods. Warmadewa Medical Journal, 1 (2). pp. 51-57. ISSN 2527-4627

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Abstract

Background of this study is the fact that the rate of IUD use in Indonesia is relatively low at 7.2% among all contraceptive users. The standard insertion of IUD should be a no touch and withdrawal technique. With the conventional inserter this IUD is not able to use during postpartum period. The new inserter should be devised. Objective of the study was to find out whether the new R_inserter could be used to insert IUD during postpartum period in no touch and withdrawal technique easily and to find out side effects and complication that might occur. Design for this study was phase II clinical trial, post test observation. During 9 months period of study has recruited as many as 142 clients who meet the eligibility criteria. Mean duration of insertions was 3,89 ±2,08 minutes, with the minimum 2 minutes and the maximum 10 minutes. No difficulties were perceived by insertors. Cumulative expulsion rates were 9.9% and 10.6% for 3 and 6 months respectively. Continuation rates were 89.4% and 86.6% for 3 and 6 months respectively. No perforations, no pregnancy was found during this study. The conclusion is the new R_inserter could be used easily for CuT insersions. The highest incidence rates are expulsion occured in the first month after insersions.

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