الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 173 |  |  |
| | | from | 173 | | |
Abstract
Intrauterine device (IUD) is one of the most widely used contraceptive methods in the world. Immediate post placental IUD insertion is relatively more comfortable, safe, and does not interfere with Breastfeeding. Objective: The present study compares the efficacyand the rates of IUCD expulsion and complications in immediate post-placental insertion and delayed IUCD insertion (6-weeks after cesarean delivery) on women’s health. Patient and Methods: This study was a randomized controlled trail study conducted in Ain Shams University Maternity Hospital on 200 women underwent cesarean delivery. 100of them were found inserting IUD immediately post-placental during caesarean delivery, While 100 of them were found inserting 6-weeks post cesarean delivery from August, 2017 till February, 2018. Both groups’ participants were followed at first week, first and third month after IUD insertion. Physical and ultrasound also were performed during each follow up visit. Results: There was no significant difference between immediate post placental and post puerperal IUD insertion groups regarding their base line characteristics (p>0.05) at different time of follow up. There was no significant difference between both regarding expulsion, perforation, bleeding and pelvic infection. Conclusion: Immediate post placental IUCD insertion during caesarean delivery is equal safe and effective method of contraception as IUCD insertion in purperuim, however it may be better as regard patient conveinance because easy insertion, no expulsion no complications in using contraceptive method.