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Incarcerated and Transmigrated Intrauterine Contraceptive Devices Managed at a Tertiary Care Teaching Hospital of East Delhi: A 5-Year Retrospective Analysis.
J Obstet Gynaecol India 2019; 69(3):272-278JO

Abstract

Purpose of the Study

Intrauterine contraceptive devices (IUCDs) are highly effective form of long-acting reversible contraception having least number of complications. We aimed to find the incidence, risk factors and the management done for incarcerated and transmigrated intrauterine contraceptive devices at a Tertiary Care Teaching Hospital during past 5 years.

Methods

A cross-sectional retrospective analysis of 5 years (January 2013-December 2017) was done, and the case records from Medical Record Department and Family Planning Unit of our institution were analysed.

Results

Total number of IUCD insertions done in last 5 years (from January 2013 to December 2017) in our institution was 4557. Misplaced IUCDs requiring surgical interventions were 71 (1.6%) out of which 63 (88.7%) were incomplete perforations or embedded and 8 (11.3%) were complete perforations or transmigrated IUCDs. Transmigration sites were omentum, uterovesical fold, mesentery and bladder. Laparotomy was needed in 4 (5.6%), and 2 (2.8%) needed each laparoscopy and cystoscopy. Main risk factors identified were postpartum previous on or two caesarean sections, low parity, grade of operator and IUCD and uterocervical length discrepancy.

Conclusion

The risk of perforation should not be a reason to defer IUCD insertion and every effort should be made to bring down its failure and complication rates.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Guru Teg Bahadur Hospital, University College of Medical Sciences, Delhi, 110095 India.Department of Obstetrics and Gynecology, Guru Teg Bahadur Hospital, University College of Medical Sciences, Delhi, 110095 India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31178644

Citation

Sharma, Richa, and Amita Suneja. "Incarcerated and Transmigrated Intrauterine Contraceptive Devices Managed at a Tertiary Care Teaching Hospital of East Delhi: a 5-Year Retrospective Analysis." Journal of Obstetrics and Gynaecology of India, vol. 69, no. 3, 2019, pp. 272-278.
Sharma R, Suneja A. Incarcerated and Transmigrated Intrauterine Contraceptive Devices Managed at a Tertiary Care Teaching Hospital of East Delhi: A 5-Year Retrospective Analysis. J Obstet Gynaecol India. 2019;69(3):272-278.
Sharma, R., & Suneja, A. (2019). Incarcerated and Transmigrated Intrauterine Contraceptive Devices Managed at a Tertiary Care Teaching Hospital of East Delhi: A 5-Year Retrospective Analysis. Journal of Obstetrics and Gynaecology of India, 69(3), pp. 272-278. doi:10.1007/s13224-018-1159-8.
Sharma R, Suneja A. Incarcerated and Transmigrated Intrauterine Contraceptive Devices Managed at a Tertiary Care Teaching Hospital of East Delhi: a 5-Year Retrospective Analysis. J Obstet Gynaecol India. 2019;69(3):272-278. PubMed PMID: 31178644.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incarcerated and Transmigrated Intrauterine Contraceptive Devices Managed at a Tertiary Care Teaching Hospital of East Delhi: A 5-Year Retrospective Analysis. AU - Sharma,Richa, AU - Suneja,Amita, Y1 - 2018/07/27/ PY - 2018/06/08/received PY - 2018/07/14/accepted PY - 2020/06/01/pmc-release PY - 2019/6/11/entrez PY - 2019/6/11/pubmed PY - 2019/6/11/medline KW - Copper T KW - Incarcerated KW - Intrauterine contraceptive devices KW - Transmigrated SP - 272 EP - 278 JF - Journal of obstetrics and gynaecology of India JO - J Obstet Gynaecol India VL - 69 IS - 3 N2 - Purpose of the Study: Intrauterine contraceptive devices (IUCDs) are highly effective form of long-acting reversible contraception having least number of complications. We aimed to find the incidence, risk factors and the management done for incarcerated and transmigrated intrauterine contraceptive devices at a Tertiary Care Teaching Hospital during past 5 years. Methods: A cross-sectional retrospective analysis of 5 years (January 2013-December 2017) was done, and the case records from Medical Record Department and Family Planning Unit of our institution were analysed. Results: Total number of IUCD insertions done in last 5 years (from January 2013 to December 2017) in our institution was 4557. Misplaced IUCDs requiring surgical interventions were 71 (1.6%) out of which 63 (88.7%) were incomplete perforations or embedded and 8 (11.3%) were complete perforations or transmigrated IUCDs. Transmigration sites were omentum, uterovesical fold, mesentery and bladder. Laparotomy was needed in 4 (5.6%), and 2 (2.8%) needed each laparoscopy and cystoscopy. Main risk factors identified were postpartum previous on or two caesarean sections, low parity, grade of operator and IUCD and uterocervical length discrepancy. Conclusion: The risk of perforation should not be a reason to defer IUCD insertion and every effort should be made to bring down its failure and complication rates. SN - 0971-9202 UR - https://www.unboundmedicine.com/medline/citation/31178644/Incarcerated_and_Transmigrated_Intrauterine_Contraceptive_Devices_Managed_at_a_Tertiary_Care_Teaching_Hospital_of_East_Delhi:_A_5-Year_Retrospective_Analysis DB - PRIME DP - Unbound Medicine ER -
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