title: [Trancesarean intra-uterine device. Pilot study performed at Dakar teaching hospital].
abstract: OBJECTIVE
  To demonstrate the feasibility of copper IUD insertion following cesarean deliveries and assess its safety.
  
  
  METHODS
  This is a prospective pilot study at Pikine national hospital from February 15 to November 15, 2012. Were evaluated the efficacy, incidence and spectrum of complications and continuation rates.
  
  
  RESULTS
  Fifty-nine subjects were enrolled and 46 received an IUD. The average age of patients was 28 years. No patient had previously used IUDs. Forty-four patients (97.5%) were returned to the first follow-up visit at the first month, 41 patients (89.1%) at the second visit and 39 patients (86.9%) at the third visit. The rate of lost sight was 8.7%. Pain and bleeding were reported rarely: 2.3% at the first month, 4.9% at the third month and 7.7% at the sixth month for the bleeding and 6.8% at the first month, 2.4% at the third month and 2% at the sixth month for pain. The rate of expulsion was 2.2%.
  
  
  CONCLUSIONS
  The insertion of the IUD following cesarean delivery has an acceptable rate of expulsion and no increased rate of adverse effects. This technique should be popularized.
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier national de Pikine, sis ex-Camp de Thiaroye, BP 20630, Dakar, Sénégal; Clinique gynécologique et obstétricale, 1, avenue Pasteur, BP 3001, Dakar, Sénégal. Electronic address: mamourmb@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Gueye
authors.forename: Y F O
authors.initials: YF
authors.lastname: Gaye
authors.forename: A A
authors.initials: AA
authors.lastname: Diouf
authors.forename: M
authors.initials: M
authors.lastname: Mbaye
authors.forename: M M
authors.initials: MM
authors.lastname: Niang
authors.forename: S M K
authors.initials: SM
authors.lastname: Gueye
authors.forename: J C
authors.initials: JC
authors.lastname: Moreau
authors.forename: A
authors.initials: A
authors.lastname: Diouf
mesh_terms: D000293:Adolescent; D000328:Adult; D002585:Cesarean Section; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007433:Intrauterine Device Expulsion; D007435:Intrauterine Devices, Copper / Q000009:adverse effects; D008796:Metrorrhagia / Q000453:epidemiology; D008875:Middle Aged; D010146:Pain; D010865:Pilot Projects; D049590:Postpartum Period; D011247:Pregnancy; D011446:Prospective Studies; D012675:Senegal
keywords: Cesarean; Complications; Césarienne; Dispositif intra-utérin; Expulsion; Intra-uterine device; Post-partum; Postpartum