Insertion of intrauterine devices after cesarean section : a systematic review update
| dc.contributor.author | Goldstuck, Norman D. | en_ZA |
| dc.contributor.author | Steyn, Petrus S. | en_ZA |
| dc.date.accessioned | 2019-02-14T07:07:21Z | |
| dc.date.available | 2019-02-14T07:07:21Z | |
| dc.date.issued | 2017-04-18 | |
| dc.description | CITATION: Goldstuck, N. D. & Steyn, P. S. 2017. Insertion of intrauterine devices after cesarean section : a systematic review update. International Journal of Women’s Health, 9:205-212, doi:10.2147/IJWH.S132391. | |
| dc.description | The original publication is available at https://www.dovepress.com | |
| dc.description.abstract | Background: Women who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method provided the IUD is safe and effective in the presence of a CS scar. Search strategy: We researched and reviewed the MEDLINE, POPLINE, Google Scholar, and ClinicalTrials.gov databases from January 1968 to June 2015. Selection criteria: Eligible studies reported event rates or practical problems relating to IUD usage in post-placental or interval insertion (>90 days) after CS. Studies with ≥20 subjects were included. Data collection and analysis: Analysis of eligible data collected from the search followed the PRISMA guidelines. Main results: Twelve eligible studies of post-placental IUD insertion after CS included four randomized controlled trials of post-placental versus delayed insertion. Women randomized to delayed insertion were less likely to receive a device. Six studies examined the problem of missing IUD threads at follow-up with only 30%–60% presence of strings observed. Conclusion: The IUD is a long-acting reversible contraceptive method that is suitable for use in all women undergoing CS. The problems of device expulsion, missing threads at follow-up, and the tendency of increased puerperal bleeding need to be solved. Solutions are proposed. | en_ZA |
| dc.description.uri | https://www.dovepress.com/insertion-of-intrauterine-devices-after-cesarean-section-a-systematic--peer-reviewed-article-IJWH | |
| dc.description.version | Publisher's version | |
| dc.format.extent | 8 pages | en_ZA |
| dc.identifier.citation | Goldstuck, N. D. & Steyn, P. S. 2017. Insertion of intrauterine devices after cesarean section : a systematic review update. International Journal of Women’s Health, 9:205-212, doi:10.2147/IJWH.S132391 | |
| dc.identifier.issn | 1179-1411 (online) | |
| dc.identifier.other | doi:10.2147/IJWH.S132391 | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/105411 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Dove Medical Press | en_ZA |
| dc.rights.holder | Authors retain copyright | en_ZA |
| dc.subject | Post-placental IUD | en_ZA |
| dc.subject | Intrauterine devices | en_ZA |
| dc.subject | Contraceptives -- Reversible | en_ZA |
| dc.subject | Cesarean section | en_ZA |
| dc.title | Insertion of intrauterine devices after cesarean section : a systematic review update | en_ZA |
| dc.type | Article | en_ZA |