Reasons for Continuation or Discontinuation of IUD in Postplacental/Early Postpartum Periods and Postpuerperal/Interval Periods: One-Year Follow-Up

Akkuzu G., Vural G., Eroglu K., Dilbaz B., TAŞKIN L., AKIN A., ...More

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, vol.29, no.2, pp.353-360, 2009 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 2
  • Publication Date: 2009
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.353-360
  • Hacettepe University Affiliated: Yes


Objective: To compare postplacental and early postpartum intrauterine device (IUD) insertions with postpuerperal and interval IUD insertions regarding the reason for continuation and discontinuation. Material and Methods: A study of 130 women (84 postplacental and 46 postpartum) and a control group of 138 women (62 postpuerperal and 76 interval) who had T Cu 380A IUDs inserted were followed-up at 8 weeks and 6 and 12 months, and the data was analyzed. Results: Continuation occurred in 38.6% of the study group and in 72.3% of the control group (p<0.001). The highest continuation rate was in interval, postpuerperal and postplacental groups respectively (p<0.05). The reason for discontinuation was frequently partial expulsion in the study group (52.6%) and displacement in the control group (27.8%). The insertion time of IUD most frequently discontinued was postplacental in the study group (55.2%) and interval in the control group (31.3%). Conclusion: The results of this study suggest that the postplacental and early postpartum IUD insertion techniques should be re-evaluated in units that offer this service to decrease the rate of discontinuation due to complications.