Feasibility and uptake of intrauterine contraceptive device at the time of uterine evacuation in women presenting with incomplete miscarriage at Kalafong Provincial Tertiary Hospital

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dc.contributor.author Moagi, M.E.
dc.contributor.author Snyman, Leon Cornelius
dc.contributor.author Makin, J.D. (Jennifer Dianne)
dc.date.accessioned 2019-09-03T11:30:59Z
dc.date.available 2019-09-03T11:30:59Z
dc.date.issued 2019
dc.description.abstract BACKGROUND : Insertion of intrauterine contraceptive device at the time of uterine evacuation decreases the incidence of subsequent unintended pregnancies and repeat abortions. It also has advantages as the patient is known not to be pregnant, the uterine cervix is still dilated and the patient still under anaesthesia or sedation resulting in less pain during insertion. However, feasibility and uptake of IUD has not been investigated in South Africa. MATERIALS AND METHODS : This was a prospective, descriptive study over a period of 13 months describing the results of a cohort of 297 women presenting with fi rst and second trimester miscarriages at the emergency gynaecological service at Kalafong Provincial Tertiary Hospital (KPTH) in Atteridgeville, Pretoria. These women were offered IUD insertion following uterine evacuation. They were reviewed after six weeks post insertion to assess the satisfaction and continuation rate. RESULTS : Two hundred and ninety seven women were recruited to the study. Sixteen patients were excluded from the analysis for various reasons. Of the remaining 281 women, 135 (48.0%) accepted the offer of IUD insertion immediately following uterine evacuation, and 146 (52.0%) declined the offer of IUD insertion. Seventy one patients (52.6%) who had IUD insertion followed up after six weeks. Fifty one women (71.8)% women were satisfied and 57 (80.3%) elected to continue with the IUD as a form of contraception. One patient reported expulsion for an expulsion rate of 1.4%. CONCLUSION : The uptake IUD insertion at the time of uterine evacuation in women with incomplete miscarriage is high and it is feasible with a low expulsion rate. Most women are satisfied with the IUD and the continuation rate was high. en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.librarian am2019 en_ZA
dc.description.uri http://www.journals.co.za/content/journal/medog en_ZA
dc.identifier.citation Moagi, M.E., Snyman, L.C. & Makin, J.D. 2019, 'Feasibility and uptake of intrauterine contraceptive device at the time of uterine evacuation in women presenting with incomplete miscarriage at Kalafong Provincial Tertiary Hospital', Obstetrics and Gynaecology, vol. 29, no. 2, pp. 24-26. en_ZA
dc.identifier.issn 1027-9148
dc.identifier.uri http://hdl.handle.net/2263/71266
dc.language.iso en en_ZA
dc.publisher In House Publications en_ZA
dc.rights In House Publications en_ZA
dc.subject Pain en_ZA
dc.subject Patient en_ZA
dc.subject Uterine evacuation en_ZA
dc.subject Unintended pregnancies en_ZA
dc.subject Repeat abortions en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Intrauterine device (IUD) en_ZA
dc.title Feasibility and uptake of intrauterine contraceptive device at the time of uterine evacuation in women presenting with incomplete miscarriage at Kalafong Provincial Tertiary Hospital en_ZA
dc.type Article en_ZA


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