Prospective Study of Intra Caeserean Fixation of Frameless Copper IUD (GyneFix-CS300)

Abstract

Background: Postpartum intrauterine device (PPIUCD) can promote the health of the women and children by preventing financial, psychological, obstetric, and other health-related complications associated with closely spaced pregnancies. Aim of the Work: to demonstrate the feasibility to anchor a contraceptive device (GyneFix CS 300) in the fundus of the uterus during Cesarean section and compare the expulsion rate between GyneFix CS 300 and copper T-380A. Patient and Methods: This study was conducted on 30 healthy women between the age of 20 and 35 years of age scheduled for elective Cesarean section, they were selected from patients attending Ain Shams University Maternity Hospital Cairo Egypt. They were compared with 30 women for whom copperT-380A was inserted at the uterine fundus during cesarean section. Results: The expulsion rate is statistically different between the two groups being less in GyneFix CS 300 [p=0.038]. Conclusion: The frameless anchored intrauterine IUD is effective in minimizing displacement and expulsion. The results of this study suggest that the Gyn-CS IUD is appropriate for wider intracesarean use.