Vaginal Dinoprostone Administration Prior to a T380A Intrauterine Device Insertion in Nulliparous Women.

Launched by CAIRO UNIVERSITY · Sep 25, 2018

Keywords

ClinConnect Summary

Women may experience pain and technical difficulties may be encountered when insertion of an intrauterine device (IUD) is attempted through a narrow cervical canal.IUD insertion- related complications and side effects are more common among women who had never delivered vaginally.n American College of Obstetricians and Gynecologists committee opinion encourages providers to use IUDs as a first line of contraception in nulliparous women.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Nulliparous women aged over 18 years of age requesting a copper IUD for contraception, had a negative pregnancy test.
• Exclusion Criteria:
• • • a prior pregnancy greater than 20 weeks of duration
• • currently pregnant or were pregnant within 6 weeks of study entry
• • had a prior attempted or successful IUD insertion
• • had a history of a cervical procedure such as cone biopsy, Loop electrosurgical excision procedure, or cryotherapy
• • any World Health Organization Medical Eligibility Criteria category 3 or 4 precaution to an IUD
• • active vaginitis or cervicitis
• • undiagnosed abnormal uterine bleeding
• • pelvic inflammatory disease within the last 3 months
• • fibroids or other uterine abnormalities distorting the uterine cavity
• • contraindication to dinoprostone.