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Göran Rybo - One of the best experts on this subject based on the ideXlab platform.
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A comparison of flurbiprofen, tranexamic acid, and a levonorgestrel-releasing Intrauterine Contraceptive Device in the treatment of idiopathic menorrhagia.
American journal of obstetrics and gynecology, 1991Co-Authors: Ian Milsom, Kerstin Andersson, Björn Andersch, Göran RyboAbstract:Treatment with flurbiprofen (100 mg twice a day for 5 days), tranexamic acid (1.5 gm three times a day for 3 days and 1 gm twice a day for another 2 days), and an Intrauterine Contraceptive Device releasing 20 μg levonorgestrel per day was compared in women with idiopathic menorrhagia. The menstrual blood loss during two control periods in 15 women subsequently treated with flurbiprofen and tranexamic acid was 295 ± 52 ml and 203 ± 25.2 ml in the 16 women later fitted with a levonorgestrel-releasing Intrauterine Contraceptive Device. Menstrual blood loss was reduced by all three forms of treatment. The reduction in menstrual blood loss expressed as a percentage of the mean of two control cycles for each form of treatment was as follows: flurbiprofen, 20.7% ± 9.9%; tranexamic acid, 44.4% ± 8.3%; levonorgestrel-releasing Intrauterine Contraceptive Device after 3 months, 81.6% ± 4.5%; levonorgestrel-releasing Intrauterine Contraceptive Device after 6 months, 88.0% ± 3.1%; levonorgestrel-releasing Intrauterine Contraceptive Device after 12 months, 95.8% ± 1.2%. The reduction in menstrual blood loss achieved by the levonorgestrel-releasing Intrauterine Contraceptive Device was greater than that recorded with flurbiprofen ( p p p
A Horchani - One of the best experts on this subject based on the ideXlab platform.
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intravesical migration of an Intrauterine Contraceptive Device complicated by bladder stone a report of six cases
International Urogynecology Journal, 2007Co-Authors: Yassine Nouira, Salah Rakrouki, M Gargouri, Zouhaier Fitouri, A HorchaniAbstract:Intrauterine Contraceptive Device is the most popular method of reversible contraception in developing countries due to its efficiency and low cost. However, this Device is often inserted by paramedics of variable skills, and follow-up evaluations are irregular or absent which can be the source of major complications. The authors report six cases of intravesical migration of Intrauterine Contraceptive Devices complicated by bladder stones. All the six cases were managed endoscopically with excellent outcome. The authors demonstrate that this major complication can be managed endoscopically with decreased morbidity for the patient.
Siddhartha Datta - One of the best experts on this subject based on the ideXlab platform.
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a prospective study to evaluate vaginal insertion and intra cesarean insertion of post partum Intrauterine Contraceptive Device
The Journal of Obstetrics and Gynecology of India, 2016Co-Authors: Abhijit Halder, M S Sowmya, Abhimannyu Gayen, Popli Bhattacharya, Sanjay Mukherjee, Siddhartha DattaAbstract:Objectives Evaluation and comparison of safety and efficacy of vaginal and intra-cesarean insertion of Post-Partum Intrauterine Contraceptive Device (PPIUCD).
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a prospective study to evaluate vaginal insertion and intra cesarean insertion of post partum Intrauterine Contraceptive Device
The Journal of Obstetrics and Gynecology of India, 2016Co-Authors: Abhijit Halder, M S Sowmya, Abhimannyu Gayen, Popli Bhattacharya, Sanjay Mukherjee, Siddhartha DattaAbstract:Evaluation and comparison of safety and efficacy of vaginal and intra-cesarean insertion of Post-Partum Intrauterine Contraceptive Device (PPIUCD). An interventional prospective study conducted in the Department of Obstetrics and Gynaecology at NRS Medical College, Kolkata. PPIUCD were inserted in 263 mothers in 1-year study period. Among them, first 100 mothers who delivered vaginally and the first 100 who underwent cesarean section were regarded as study groups and were followed up for 1 year. Both modes of PPIUCD insertion were found to have very low rates of expulsion, vaginal bleeding, infection, missing strings, and also effective as Contraceptive. Expulsion rate was 4 % in the vaginal group and 2 % in intra-cesarean group. Strings of PPIUCD were less visible after cesarean insertion than vaginal insertion (p = 0.028). PPIUCD is an appealing approach and may become the best choice as post-partum contraception after vaginal as well as cesarean delivery.
Shumye Admasu - One of the best experts on this subject based on the ideXlab platform.
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providers knowledge on postpartum Intrauterine Contraceptive Device ppiucd service provision in amhara region public health facility ethiopia
PLOS ONE, 2019Co-Authors: Yeshiwas Abebaw, Solomon Berhe, Solomon Mekonnen Abebe, Mulat Adefris, Abebaw Gebeyehu, Tadesse Gure, Birtukan Asmare, Masresha Dagnu, Wubetu Alebachew, Shumye AdmasuAbstract:Introduction Postpartum Intrauterine Contraceptive Devices (PP-IUCD) are one type of post-partum family planning method, which can be provided to a post-partum woman starting from the placental delivery time (within 10 minutes), or within the first 48 hours of postpartum period. In most developing countries, delivery time is the primary opportunity for women to access post-partum family planning methods, especially for those living in remote areas. Hence, this study assesses providers' knowledge on postpartum Intrauterine Contraceptive Device service provision. Methods A facility-based cross-sectional study was conducted in Amhara region health center and hospitals. Health providers surveyed included obstetricians, gynecologists, general practitioners, emergency surgical officers, health officers, midwives and nurses from September 18, 2015 to December18, 2016. Simple random sampling was used to select 864 subjects. Data were collected by using a structured self-administered questionnaire and observing the facility. Multilevel analysis was done to see factors associated with outcome. Results A total of 197 health facilities and 864 providers are included in the final analysis. Of the total providers 524 (60.6%) were from a health center. The mean age (±SD) of participants was 27.8 years (±5.4). The number of providers with good knowledge accounted for 253 of those surveyed (29.3%). The proportion of good knowledge among trained PP-IUCD providers was 35.7% (those who scored above average), and 27.9% was untrained about PP-IUCD. A considerable heterogeneity was observed between health facilities for each indicator of provider's knowledge. Gender differences were observed as the mean knowledge score deference on PP-IUCD by 0.4 points (β = -0.41; -0.72, -0.10) when the participant was female. Having experience of regular counseling of pregnant women increases PP-IUCD knowledge score by 0.97. (β = 0.97; 95% CI: 0.48, 1.47). Where the health facility requested clients to purchase the IUCD themselves, the mean knowledge score decreased by 0.47 points compared with free of charge at the facility level (β = -0.47; 95%CI: -0.87, -0.07). Conclusion Our findings showed that providers' knowledge about postpartum IUCD was low in the Amhara region public health facility. The lowest knowledge score was noted among nurses, health Officers, midwives, and general practice professionals. Factors associated with providers' knowledge on PP-IUCD are the status of health facility, female sex, training on PP-IUCD, regular counseling of pregnant women, and unavailability of IUCD service.
A. Singer - One of the best experts on this subject based on the ideXlab platform.
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tubal migration a rare complication of an Intrauterine Contraceptive Device leading to formation of a hydrosalpinx
American Journal of Obstetrics and Gynecology, 2003Co-Authors: Michael Sindos, Narendra Pisal, Marcus Setchell, A. SingerAbstract:Abstract This is a case report of a unilateral hydrosalpinx caused by tubal migration of a copper Intrauterine Contraceptive Device. A 33-year-old woman underwent laparoscopic right salpingectomy for a hydrosalpinx. During the procedure, a copper Intrauterine Contraceptive Device was found protruding from the distal end of the hydrosalpinx. (Am J Obstet Gynecol 2003;188:1109-10.)
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Tubal migration: a rare complication of an Intrauterine Contraceptive Device leading to formation of a hydrosalpinx.
American journal of obstetrics and gynecology, 2003Co-Authors: Michael Sindos, Narendra Pisal, Marcus Setchell, A. SingerAbstract:This is a case report of a unilateral hydrosalpinx caused by tubal migration of a copper Intrauterine Contraceptive Device. A 33-year-old woman underwent laparoscopic right salpingectomy for a hydrosalpinx. During the procedure, a copper Intrauterine Contraceptive Device was found protruding from the distal end of the hydrosalpinx.