title: The effect on intrauterine device position and performance of a modified TCu380A insertion technique.
abstract: OBJECTIVE
  To assess the validity of modifying the technique of intrauterine device (IUD) placement to decrease the incidence of incorrect positioning within the uterine cavity.
  
  
  METHODS
  We used the current applicator in 78 women and an applicator shortened by 1.5 cm in 91 women, and examined the uterus by vaginal ultrasonography before and after application in both groups.
  
  
  RESULTS
  Six of the 78 unmodified insertions were found to be incorrectly placed, while none of the IUDs inserted with the new technique was placed incorrectly.
  
  
  CONCLUSIONS
  We suggest shortening the applicator or lengthening the push rod to increase the likelihood of proper IUD insertion and thereby enhance performance.
authors.affiliation: Department of Obstetrics and Gynecology, Ain Shams University School of Medicine, Cairo, Egypt.
authors.forename: K
authors.initials: K
authors.lastname: Homouda
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007433:Intrauterine Device Expulsion / Q000009:adverse effects; D007435:Intrauterine Devices, Copper / Q000009:adverse effects / Q000592:standards; D010298:Parity; D011446:Prospective Studies; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging