Efficacy and Safety of Ultrasound Guided versus Blind Technique for Office Insertion of Intrauterine Contraceptive Device: A Randomised Clinical Trial

Document Type : Original Article

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Department of Obstetrics and Gynecology, Faculty of Medicine, Ain-Shams University, Egypt

Abstract

Background: Intrauterine devices are highly, if not the most effective method of contraception with typical use related failure rates of between 0.2-0.8%. Difficulties with IUD insertion, failure and complications can lead to decreasing utilization of such an effective method.
Objective: To compare between ultrasound guided and blind IUD insertion technique as regards proper fundal location of IUD, incidence of complications, time consumption and patient satisfaction.
Patients and Methods: A randomized clinical trial was conducted on 100 women at Ain-Shams University Maternity Hospital in Birth Control Clinic during the period from 1st of August 2016 till 30th of April 2017.
Results: Proper Fundal distances after insertion were significantly more frequent among group U than among group B (p=0.009) and the over all complications were significantly less frequent in group U than in group B (p=0.016). Also pain perceiption (VAS-100), procedure duration and unsatisfaction were significantly lower among group U than among group B. These results point out that in women undergoing IUD insertion, ultrasound guided insertion is more effective, safe, less painful, less time consuming and result in better patient satisfaction.
Conclusion: This study suggests that ultrasound guided IUD insertion is more effective than blind technique with proper fundal position of IUD and lesser incidence of complications. It is also less painful with better patient satisfaction.

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