title: Cesarean section IUD insertion.
abstract: A trial was carried out on 154 selected volunteers who underwent cesarean section and then received an ML Cu 250 IUD during the operation.  56% of the operations were planned while 44% were not.  The IUD was inserted in 65, 80, and 9 cases in the 1st, 2nd, and 3rd cesarean section, respectively.  The patients were followed-up after 1, 3, 6, 12, and 24 months.  Hospitalization time and postoperative morbidity did not increase with device insertion.  Maternal lactation was not altered.  8% of the patients had postpartum bleeding which lasted more than 40 days.  At the 1 year examination, 52% of the patients were menstruating normally while at 2 years, the percentage had increased to 62.5%.  The acceptability, continuity, and efficiency of the contraceptive procedure proved successful.  There were only 4 cases (2.6%) in which the device had to be removed for medical reasons (due largely to endometritis) and 8 cases (5.2%) because of patient desire (menstrual abnormalities).  Spontaneous expulsion of the IUD occurred in 4 cases (2.6%).  As of the present time, no pregnancies have been detected.  The cesarean section insertion of an ML Cu 250 IUD produced excellent results and further, more widespread use is suggested.
authors.forename: V
authors.initials: V
authors.lastname: Ruiz-velasco
authors.forename: C
authors.initials: C
authors.lastname: Garcia
authors.forename: H
authors.initials: H
authors.lastname: Castro
mesh_terms: D004716:Endometritis; D007239:Infections; D007434:Intrauterine Devices; D008597:Menstrual Cycle; D008598:Menstruation; D049590:Postpartum Period; D011655:Pulmonary Embolism; D012098:Reproduction
keywords: Contraception Termination; Endometritis; Infections; Iud; Menstrual Cycle; Menstruation; Puerperium; Pulmonary Embolism; Reproduction