Comparison between Cupper T380 IUD and Multiload 375 IUD in early post partum insertion

Abstract

Objectives: Comparison between Cupper T380 IUD (intrauterine device) and Multiload 375 IUD insertion in early postpartum period in regard to safety, efficacy, side effects, and complications. Methods: A prospective randomized control trial enrolled 300 recently normally delivered females (within 48 h) in El-Shatby Maternity Hospital. The women were counseled for post partum use of an IUD as a pre-discharge family planning method. Participants were randomly assigned to Cupper T380 (Cu T380) or Multiload 375 IUD insertion. Kelly’s forceps was used for insertion of a Cu T380 IUD in 150 women and a Multiload 375 IUD in another 150 females. All women were administered a questionnaire, received a clinical examination, and underwent ultrasonographic scanning at 6 weeks and 6 months following IUD insertion. Results: The expulsion rates were relatively high for both IUDs, amounting to 15% in Cu T380 compared to 14.9% in Multiload 375 insertions. There was a direct relation between the incidence of IUD expulsion in early postpartum insertion and the IUD-endometrial distance of the uterine fundus measured by ultrasound with 10 mm as a cutoff point. Early postpartum IUD insertion did not increase the discontinuation rate or the incidence of PID (upper genital tract infection). There was no significant difference between the IUDs regarding the safety, efficacy, side effects (such as expulsion and bleeding), and complications (such as perforation). Conclusion: Both the Cu T380 IUD and Multiload 375 IUD are safe and effective as a pre-discharge family planning method when inserted during the early postpartum period. To decrease postpartum expulsion of IUDs, there is a need to use ultrasound scanning to measure the IUD endometrial distance in Egyptian contraceptive programs.

Keywords

• Intrauterine devices
• Cupper IUD