Effect of fixation suture of the intrauterine contraceptive device at cesarean section on the continuity of trans-cesarean post-partum contraception

Abstract

Background and Objective: The intrauterine device (IUD) is one of the safe and effective methods for long-term temporary contraceptive. Unfortunately, IUD also has a risk of expulsion. This study aims to observe the expulsion rate of intrauterine contraceptive device (IUD) which was inserted with sutured and non-sutured models on trans-cesarean section procedure and their effects on the continuity of trans-cesarean post-partum contraception. Methodology: This is an experimental study with the method of post-test control group design to determine the differences of expulsion rate between sutured and non-sutured models of trans-cesarean IUD insertion conducted at Dr. M. Djamil General Hospital in Padang, Dr. Reksodiwiryo Military Hospital in Padang and Painan District Hospital. The results of this study were analyzed using the Fisher’s exact test in the SPSS program version 15 (IBM Inc.) and the p-value <0.05 considered as statistically significant. Results: In this study, authors obtained 88 samples,44 patients used the sutured IUD and 44 patients used the non-sutured IUD model through trans-cesarean methods. The percentage of expulsion in the non-sutured group was 11.4%. There were no significantdifferences betweensutured and non-sutured models of trans-cesarean IUD insertion. Conclusion: The rate of IUD expulsion was higher when it is not sutured compared to the sutured model. Statistically, there were no significant differences.