Misplaced IUCD: Challenges and Management
Journal Title: People's Journal of Scientific Research. - Year 2016, Vol 9, Issue 2
Abstract
PPIUCD programme was started in March 2011 in Kumaon region as a highly effective, non-hormonal method of contraception that can be safely used by all women regardless of breastfeeding status during this interval.There were 4481 postpartum cu-T inserted in entire Kumaon region since the programme started. This in turn has come with an increase in the number of related problems like misplaced Cu-T. The case series of 36 cases with lost strings of IUCD reported during October 2013 to January 2016 is presented herein, wherein the routine procedure of IUCD retrieval failed and were referred to our hospital for further management. 30 patients had cu-T in uterine cavity, which were successfully removed by hysteroscopy in 22 cases. It was found in pelvic cavity in 2 cases, subsequently removed by laparoscopy. Out of 36 patients, IUCD was inserted following vaginal delivery in 11 patients. 20 were previous 1LSCS, 3 were previous 2LSCS and 2 patients with Cu-T in pelvic cavity had interval Cu-T insertion. Hysteroscopy is the preferred method in management of misplaced IUCD
Authors and Affiliations
Megha Gupta, , Geeta Jain,
Keywords
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