IUCD Insertion and Fixation versus Insertion Only During Cesarean Section

Background; Women who have a caesarean section (CS) are in a unique position to receive the IUD (IUD). Aim and objectives; to assess the efficacy, safety, convenience and complications of copper IUCD inserted immediately after expulsion of the placenta during lower segment caesarian section and comparison of the results according if the IUCD is fixed or not. This is carried out by clinical assessment and follow- up by ultrasound. Subjects and methods; This is Randomized Controlled Clinical Trial, was carried out at the Department of Obstetrics and Gynecology, Sohag General Hospital (Sohag, Egypt), on 200 pregnant women, during twelve months (December 1st, 2019 – November 30 th , 2020). Result; there was statistically significant increase expulsion in insertion of IUD without stitch. Conclusion; IUCD insertion and fixation with absorbable suture (fixation group) was the best healthy results at all study points and the less expulsion rate than IUCD insertion only without fixation (no-fixation group).