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Objective: To compare the frequency of expulsion rate with intra-cesarean versus post-partum vaginal insertion of Copper T380A in females after delivery at term.
Methodology: The study was conducted at Unit- II, MCH centre, Department of Obstetrics & Gynecology, PIMS, Islamabad from 13th January 2016 to 12th July 2016. It was a randomized controlled trial. A total of 200 females of age 20-40 years of any parity, presenting for delivery at term undergoing cesarean section were included. In group A, Copper-T-380A (Cu-T-380A) IUCD was placed during cesarean section and in group B, IUCD was placed after 6 weeks of delivery through vaginal route. After 3 months females were undergone ultrasonography for confirmation of the presence or absence of IUCD inside the uterus.
Results: The mean age of women in group A was 29.71±4.72 year and in group, B was 29.64±4.87 year. Expulsion rate in group-A (intra-cesarean insertion) was seen in 2(2.0%) and post-partum vaginal insertion of Copper T380A was seen in 9(9.0%) females with p-value of 0.030.
Conclusion: Expulsion rate is less after intra-cesarean insertion compared to postpartum vaginal insertion of Copper T380A in females after delivery at term.
Sadia Irum, Nasira Tasnim, Sobia Irum. (2020) Comparison of Intracesarean Versus Delayed Vaginal Insertion of Copper T380A in Females after Delivery at Term, Journal of the Society of Obstetrics and Gynaecologists of Pakistan , Volume-10, Issue-4.
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