Ultrasonographic follow-up of post-placental IUD insertion in adolescents
ESC Congress Library. Lira J. May 4, 2016; 126902; A-076
Dr. Josefina Lira
Dr. Josefina Lira
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Rate & Comment (0)


Background. The choice of a post-obstetric event contraceptive remains a challenge, and an IUD is the most often chosen in that moment for those that accept it

Objective. To know how frequently the IUD is correctly placed in a group of adolescent after an obstetric event.

Methods. In this retrospective study 242 adolescents with a mean age of 15.9 years who received a TCu 380A IUD after an obstetric event were selected for analysis. In 92.1% of them that was her first pregnancy and 77.7% did not use any contraceptive previously. The pregnancy was normal in 66.9% and with any complication in 33.1% of cases. Follow up at 6 weeks, 3, 6, 9 and 12 months after placement were performed with transvaginal ultrasound for determining the position of the IUD.

Results. The number of adolescents that came to review at 6 weeks, 3, 6, 9 and 12 months were 140 (57.9%), 90 (37.2%), 60 (24.8%), 33 (13.6%) and 14 (5.8%). The quantity of adolescents with the IUD in a correct placement was 118 out 140 (84.28%) reviewed at 6 weeks. The total number of re placement was 37 (15.2%) including 22 (9%) due to expulsions, 14 (5.7%) for incorrect placing and 1 (0.4%) for extraction

Conclusions. The IUD post obstetric event is an excellent contraceptive option. The amount of IUD in situ and well placed after an obstetric event is high, and ultrasound monitoring allow to correctly identify and monitor the position of the device.

    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Save Settings