Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording

The International Federation of Gynaecology and Obstetrics recommend digital insertion of the copper intrauterine device (IUD) during caesarean delivery and note the risk of thread inclusion in the uterotomy closure and nonvisibility of threads at follow-up. We describe a novel method of inserting t...

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Main Authors: G. Justus Hofmeyr, Kyungu M. Kime
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2023/4410984
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author G. Justus Hofmeyr
Kyungu M. Kime
author_facet G. Justus Hofmeyr
Kyungu M. Kime
author_sort G. Justus Hofmeyr
collection DOAJ
description The International Federation of Gynaecology and Obstetrics recommend digital insertion of the copper intrauterine device (IUD) during caesarean delivery and note the risk of thread inclusion in the uterotomy closure and nonvisibility of threads at follow-up. We describe a novel method of inserting the IUD with the insertion straw and directing the lower end of the straw through the cervix for retrieval after the operation, to protect and ensure alignment of the threads. We also describe a simple method of lengthening one thread with part of the other thread, to avoid risks associated with braided suture extensions.
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series Obstetrics and Gynecology International
spelling doaj-art-4e1ba59a98dc46189ddf70a342171c092025-02-03T06:45:10ZengWileyObstetrics and Gynecology International1687-95972023-01-01202310.1155/2023/4410984Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video RecordingG. Justus Hofmeyr0Kyungu M. Kime1Department of Obstetrics and GynaecologyDepartment of Obstetrics and GynaecologyThe International Federation of Gynaecology and Obstetrics recommend digital insertion of the copper intrauterine device (IUD) during caesarean delivery and note the risk of thread inclusion in the uterotomy closure and nonvisibility of threads at follow-up. We describe a novel method of inserting the IUD with the insertion straw and directing the lower end of the straw through the cervix for retrieval after the operation, to protect and ensure alignment of the threads. We also describe a simple method of lengthening one thread with part of the other thread, to avoid risks associated with braided suture extensions.http://dx.doi.org/10.1155/2023/4410984
spellingShingle G. Justus Hofmeyr
Kyungu M. Kime
Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording
Obstetrics and Gynecology International
title Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording
title_full Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording
title_fullStr Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording
title_full_unstemmed Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording
title_short Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording
title_sort novel concepts for intrauterine device placement at caesarean delivery description of technique and video recording
url http://dx.doi.org/10.1155/2023/4410984
work_keys_str_mv AT gjustushofmeyr novelconceptsforintrauterinedeviceplacementatcaesareandeliverydescriptionoftechniqueandvideorecording
AT kyungumkime novelconceptsforintrauterinedeviceplacementatcaesareandeliverydescriptionoftechniqueandvideorecording