Manual versus forceps postplacental IUD insertion after vaginal delivery: A randomized clinical trial.

ABSTRACT:

Objectives

This study compares the expulsion rate of the postplacental copper intrauterine device (IUD) based on the insertion technique: manual versus ring forceps. Pain, perforation, infection, and increased bleeding were assessed as secondary outcomes.

Method

The study consisted of a randomized clinical trial involving 210 women (with 105 in each group) admitted for vaginal delivery at a teaching hospital who wanted to use an IUD and had no contraindications to use an IUD. Patient recruitment occurred between December 2021 and June 2024. Pain was evaluated using the visual analog scale immediately after insertion. Descriptive statistics and bivariate analysis were performed. The Cochran-Armitage test was used to assess the temporal trend of expulsion. Participants were fo

SUBMITTER: Bento Herculano T 

PROVIDER: S-EPMC12724020 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature