Insertion of the copper IUD (TCu 380A) in the immediate postpartum
A study in young women in the Brazilian Amazon
DOI:
https://doi.org/10.31686/ijier.vol10.iss7.3808Keywords:
IMMEDIATE POSTPARTUM, COPPER IUD (TCu 380A), BRAZILIAN AMAZONAbstract
Objective: To evaluate the insertion of the Copper IUD (TCu 380A) in young women, side effects and users' degree of satisfaction with the method. The research site is the municipal public maternity hospital of Porto Velho, located in the state of Rondônia, in the Brazilian Amazon. Methodology: Standardized questionnaire with the following variables: Identification and address; Weight; PA; Consultation: Puerperal (3) months, (6) months, (9) months, (others); Pathological antecedents; Obstetric History: Gesta, Pará, Abt; Date of IUD insertion; Delivery type; Side Effects: (Pelvic pain), (Dysmenorrhea), (Dyspaurenia), (Hypermenorrhea), (Metrorrhea), (Anamia), (Other); Ultrasonography: Conduct. Results: In the year 2021, 1,463 parturients aged 15 to 25 years were seen at the maternity hospital, of these 982 (67.12%) had vaginal deliveries and 481 (32.88%) had cesarean deliveries). Of the 982 women who had vaginal deliveries, 312 (31.77%) underwent IUD insertion in the immediate postpartum (postplacental) period. Of the 982 women in the age group who had cesarean deliveries, 161 (33.47%) opted for IUD insertion after placental delivery. From the ultrasound examinations, it was observed that the IUDs were poorly positioned in 114 (11.60%) of those inserted in the vaginal puerperium and in 19 (4.57%) of those inserted by cesarean section after placental delivery. The main side effect in the first days of use, still in the puerperium, was pelvic pain in 20.36% of all IUDs inserted postpartum (vaginal and cesarean), in the third month the most common complaint was dysmenorrhea in 24 .47%. In the sixth month of use, dysmenorrhea (22%) was predominant, followed by hypermenorrhea (19.75%), and after the sixth month of use, dysmenorrhea (12.30%) was followed by hypermenorrhea (10.66%) as the most reported complaints. Conclusion: In regions such as the Brazilian Amazon, with high rates of unintended pregnancy in young women and consequently with complications of short interpregnancy intervals, long-term contraceptive methods (LARCs) offered in the puerperium are an option to be considered to reduce maternal mortality due to pregnancy.
References
Sodje JDK et al. Feasibility, acceptability, and uptake of postpartum intrauterine contraceptive devices in southern Nigeria. International Journal Of Gynaecology And Obstetrics: The Official Organ Of The International Federation Of Gynaecology And Obstetrics, nov. 2016. v. 135, n. 2, p. 149–153. DOI: https://doi.org/10.1016/j.ijgo.2016.05.005
Levi E et al. Immediate postplacental IUD insertion at cesarean delivery: a prospective cohort study. Contraception, ago. 2012. v. 86, n. 2, p. 102–105 DOI: https://doi.org/10.1016/j.contraception.2011.11.019
Weston MRS et al. Factors influencing uptake of intrauterine devices among postpartum adolescents: a qualitative study. American Journal Of Obstetrics And Gynecology, jan. 2012. v. 206, n. 1, p. 40.e1-7. DOI: https://doi.org/10.1016/j.ajog.2011.06.094
Lester F et al. Intracesarean insertion of the Copper T380A versus 6 weeks postcesarean: a randomized clinical trial. Contraception, mar. 2015. v. 91, n. 3, p. 198–203. DOI: https://doi.org/10.1016/j.contraception.2014.12.002
Zerden ML et al. Two-week postpartum intrauterine contraception insertion: a study of feasibility, patient acceptability and short-term outcomes. Contraception, jan. 2017. v. 95, n. 1, p. 65–70. DOI: https://doi.org/10.1016/j.contraception.2016.08.005
Çelen Ş et al. Immediate postplacental insertion of an intrauterine contraceptive device during cesarean section. Contraception, set. 2011. v. 84, n. 3, p. 240–243. DOI: https://doi.org/10.1016/j.contraception.2011.01.006
Arévalo M, Jennings V, Sinai I. Application of simple fertility awareness-based methods of family planning to breastfeeding women. Fertil Steril. 2003; 80(5):1241-8. DOI: https://doi.org/10.1016/S0015-0282(03)02184-8
Campbell OM, Gray RH. Characteristics and determinants of postpartum ovarian function in women in the United States. Am J Obstet Gynecol. 1993; 169(1):55-60 DOI: https://doi.org/10.1016/0002-9378(93)90131-2
Hatcher RA, Trussell J, Stewart F, Nelson A, Cates W, Guest F et al., editors. Contraceptive technology. 18th ed. New York: Ardent Media; 2004.
Salem RM. New attention to the IUD: expanding women’s contraceptive options to meet their needs. Popul Rep B. 2006;(7):1-26.
Díaz S, Croxatto HB. Contraception in lactating women. Curr Opin Obstet Gynecol. 1993;5(6):815-22. DOI: https://doi.org/10.1097/00001703-199312000-00017
Federação Brasileira de Ginecologia e obstetrícia (FEBRASGO). Manual de Orientação: Anticoncepção. 2015.
World Health Organization (WHO). Medical eligibility criteria for contraceptive. use. 3rd ed. Geneva: World Health Organization; 2004.
Grimes D, Schulz K, van Vliet H, Stanwood N. Immediate post-partum insertion of intrauterine devices: a Cochrane review. Hum Reprod. 2002;17(3):549-54. DOI: https://doi.org/10.1093/humrep/17.3.549
O’Hanley K, Huber DH. Postpartum IUDS: keys for success. Contraception. 1992; 45(4):351-61. DOI: https://doi.org/10.1016/0010-7824(92)90057-Z
World Health Organization (WHO). Programming strategies for postpartum family planning, 2013.
Pradhan E, Canning D, Shah IH, Puri M, Pearson E, Thapa K, Chaudhary P. (2019). Integrating postpartum contraceptive counseling and IUD insertion services into maternity care in Nepal: results from stepped-wedge randomized controlled trial. Reproductive health, 16(1), 1-15. DOI: https://doi.org/10.1186/s12978-019-0738-1
da Silva EC, da Silva F, Mouzinho LF, Ferreira VHP & Figueiredo EFG. Impactos da utilização de dispositivos contraceptivos reversíveis de longa duração na saúde feminina. 2021. Research, Society and Development, 10(15), e466101523281-e466101523281. DOI: https://doi.org/10.33448/rsd-v10i15.23281
Postpartum intruterine contraceptive device (PPIUD) services: a reference manual for providers. Usaid/Access: Family planning iniciative. Baltjoire (USA): Jhpiego, 2009. 96p.
Holanda AARD, Pessoa ADM, Holanda JDCP, Melo MHVD, Maranhão TMDO. (2013). Adequação do dispositivo intrauterino pela avaliação ultrassonográfca: inserção pós-parto e pós-abortamento versus inserção durante o ciclo menstrual. Revista Brasileira de Ginecologia e Obstetrícia, 35, 373-378 DOI: https://doi.org/10.1590/S0100-72032013000800007
Lohr PA, Lyus R, Prager S. Use of intrauterine devices in nulliparous women. Contraception, 2017.95(6), 529-537. DOI: https://doi.org/10.1016/j.contraception.2016.08.011
dos Reis AC, Galdino CV, Balbino CM, Silvino ZR, dos Santos LM, Joaquim FL. Planejamento Familiar: o conhecimento da mulher atendida no Sistema Único de Saúde sobre a saúde reprodutiva. Research, Society and Development, 2020. 9(8), e393985459-e393985459. DOI: https://doi.org/10.33448/rsd-v9i8.5459
Garbers S, Haines-Stephan J, Lipton Y, Meserve A, Spieler L, Chiasson MA. Continuation of copper-containing intrauterine devices at 6months. Contraception, 2013. 87(1), 101-106. DOI: https://doi.org/10.1016/j.contraception.2012.09.013
Barreto DS, Maia DS, Gonçalves RD, Soares RS. Dispositivo Intrauterino na Atenção Primária a Saúde: uma revisão integrativa. Revista Brasileira De Medicina De Família E Comunidade, 202116(43), 2821. DOI: https://doi.org/10.5712/rbmfc16(43)2821
Jones AE, Kaul S, Harding J, Weldon DL, Akers AY. Follow-up care and 6-month continuation rates for long-acting reversible contraceptives in adolescents and young adults: a retrospective chart review. Journal of Pediatric and Adolescent Gynecology, 2020. 33(1), 39-44. DOI: https://doi.org/10.1016/j.jpag.2019.09.003
Nilsson CG et al. Two years’ experience with two levonorgestrel-releasing intrauterine devices and one copper-releasing intrauterine device: a randomized comparative performance study. Fertility And Sterility, feb.1983, v. 39, n.2 p.187–92. DOI: https://doi.org/10.1016/S0015-0282(16)46817-2
Lester F et al. Intracesarean insertion of the Copper T380A versus 6 weeks postcesarean: a randomized clinical trial. Contraception, mar. 2015. v. 91, n. 3, p. 198–203. DOI: https://doi.org/10.1016/j.contraception.2014.12.002
Vieira CS et al. Postpartum contraception. Revista Brasileira De Ginecologia E Obstetricia: Revista Da Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia, set. 2008. v. 30, n. 9, p. 470–479. DOI: https://doi.org/10.1590/S0100-72032008000900008
Curtis KM, Jatlaoui TC, Tepper NK, Zapata LB, Horton LG, Jamieson, DJ, Whiteman MK. US selected practice recommendations for contraceptive use, 2016. Morbidity and Mortality Weekly Report: Recommendations and Reports, 65(4), 1-66. DOI: https://doi.org/10.15585/mmwr.rr6504a1
Colwill AC, Schreiber CA, Sammel MD, Sonalkar S. Six-week retention after postplacental copper intrauterine device placement. Contraception, 2018. 97(3), 215-218. DOI: https://doi.org/10.1016/j.contraception.2017.10.012
Blumenthal PD et al. Programmatic experience of post-partum IUD use in Zambia: an observational study on continuation and satisfaction. The European Journal Of Contraception & Reproductive Health Care: The Official Journal Of The European Society Of Contraception, out. 2016. v. 21, n. 5, p. 356–360. DOI: https://doi.org/10.1080/13625187.2016.1201655
Woo I et al. Six-month and 1-year continuation rates following postpartum insertion of implants and intrauterine devices. Contraception, dez. 2015. v. 92, n. 6, p. 532–535. DOI: https://doi.org/10.1016/j.contraception.2015.09.007
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Maria da Conceição Ribeiro Simões, Carlos Alberto Paraguassú-Chaves, Carla Dolezel Trindade, Simão Aznar Filho, Ruy Drummont Smith, Simão Dolezel Aznar, Fabrício Moraes de Almeida
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author for more visit Copyright & License.
How to Cite
Accepted 2022-06-24
Published 2022-07-01
Most read articles by the same author(s)
- Carlos Alberto Paraguassu-Chaves, Osvaldo dos Anjos, Allan Kardec Duailibe Barros Filho, Fulvia Vera de Martinez, Fabrício Moraes de Almeida, João Viana Fonseca Neto, Charlles da Silva Barata, Lenita Rodrigues Moreira Dantas, Fabio Robson Casara Cavalcante, Family farming and sustainable rural development , International Journal for Innovation Education and Research: Vol. 8 No. 9 (2020): International Journal for Innovation Education and Research
- Carlos Alberto Paraguassu-Chaves, Allan Kardec Duailibe Barros Filho, Carlos Tomaz, Maria Clotilde H Tavares, Lenita Rodrigues Moreira Dantas, Carla Dolezel Trindade, Simão Aznar Filho, Christian Diniz Carvalho, Fabrício Moraes de Almeida, João Viana Fonseca Neto, Middle Childhood Adverse Psychomotor Outcomes from Malaria in Pregnancy: A Study using the Denver Developmental Screening Test-II , International Journal for Innovation Education and Research: Vol. 8 No. 3 (2020): International Journal for Innovation Education and Research
- Carlos Alberto Paraguassú-Chaves, Fábio Robson Casara Cavalcante, Carla Dolezel Trindade, Simão Aznar Filho, Ana Maria Morais da Fonsêca Cavalcante, Sílvia Bezerra de Góes, Vitor Akira Uesugui Costa, Fabrício Moraes de Almeida, Lenita Rodrigues Moreira Dantas, Perception index of environmental education in fundamental education schools in a city on the Brazil / Bolivia frontier , International Journal for Innovation Education and Research: Vol. 9 No. 5 (2021): International Journal for Innovation Education and Research
- Joane Marieli Pereira Caetano, Sonia Maria da Fonseca Souza, Carlos Henrique Medeiros de Souza, Eliana Crispim França Luquetti, Dr. Fabrício Moraes de Almeida, Carlos Alberto Paraguassú-Chaves, Levi Pereira Granja de Souza, Carlos Alberto Dolezel Trindade, Carlos Eugênio Pereira, Ricardo Guanabara, Quantitative research, Linguistic Discrimination and the graduation in Letters , International Journal for Innovation Education and Research: Vol. 9 No. 12 (2021): International Journal for Innovation Education and Research
- Carlos Alberto Paraguassu Chaves, Allan Kardec Duailibe Barros Filho, Carlos de Andrade Macieira, Fabrício Moraes de Almeida, Lenita Rodrigues Moreira Dantas, João Viana Fonseca Neto, Alcione Miranda dos Santos, Epidemiological and sociodemographic characterization of women and men with cancer in a State in the Brazilian Amazon , International Journal for Innovation Education and Research: Vol. 8 No. 6 (2020): International Journal for Innovation Education and Research
- Fabio Robson Casara Cavalcante, Carlos Alberto Paraguassú-Chaves, Raimunda Lirineide de Brito, Carla Dolezel Trindade, Simão Aznar Filho, Ana Maria Moraes da Fonseca Cavancante, Dr. Fabrício Moraes de Almeida, Simão Dolezel Aznar, Levi Pereira Granja de Souza, Ricardo Guanabara, Carlos Eugenio Pereira, Rural credit and the livestock process in the microregion of Vilhena, Rondônia, Western Amazon , International Journal for Innovation Education and Research: Vol. 9 No. 10 (2021): International Journal for Innovation Education and Research
- Carlos Alberto Paraguassu-Chaves, Fabio Robson Casara Cavalcante, Allan Kardec Duailibe Barros Filho, Ana Maria Morais da Fonseca Cavalcante, Janilene Carneiro Duarte, Fabrício Moraes de Almeida, Lenita Rodrigues Moreira Dantas, Christian Diniz Carvalho, João Viana Fonseca Neto, Quantitative methods and study of the parth dependence effect of Douglass North from the cocoa production index (CPI) in Rondônia, Brazil , International Journal for Innovation Education and Research: Vol. 8 No. 4 (2020): International Journal for Innovation Education and Research
- Cláudia Brazil MARQUES, João Armando DESSIMON, Kelly Lissandra BRUCH, Carlos HONORATO Schuch Santos, Fabrício Moraes de Almeida, TRADEOFF IN THE MANAGEMENT OF THE CULTIVATION SYSTEM IN THE AGRICULTURAL PRODUCTION UNIT OF CHARDONNAY VINIFERA. , International Journal for Innovation Education and Research: Vol. 8 No. 4 (2020): International Journal for Innovation Education and Research
- Carlos Alberto Paraguassu-Chaves, Allan Kardec Duailibe Barros Filho, Fabrício Moraes de Almeida, Lenita Rodrigues Moreira Dantas, Fabio Robson Casara Cavalcante, Carlos de Andrade Macieira, Charlles da Silva Barata, João Viana Fonseca Neto, Quantitative methods and analysis of health performance and environmental conditions in the city of Porto Velho , International Journal for Innovation Education and Research: Vol. 8 No. 6 (2020): International Journal for Innovation Education and Research
- Cláudia Brazil Marques, Dr. Fabrício Moraes de Almeida, Carlos Alberto Paraguassú-Chaves, Carla Dolezel Trindade, Simão Aznar Filho, Simão Dolezel Aznar, Carlos Alberto Dolezel Trindade, Levi Pereira Granja de Souza, Ricardo Guanabara, Anselmo Ruiz Rodriguez, Production and design system in the territory of viticulture , International Journal for Innovation Education and Research: Vol. 9 No. 8 (2021): International Journal for Innovation Education and Research