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Gastrointestinal perforation caused by displaced contraceptive device: a case report.
Pan Afr Med J
December 2024
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir University, Monastir, Tunisia.
The intrauterine device (IUD) is a widely utilized contraceptive method. In cases of uterine rupture, an IUD can migrate to the intra-abdominal or pelvic cavity, leading to various complications such as gastrointestinal perforation. The aim of this study was to report a case of a 29-year-old woman presented with acute left lumber pain.
View Article and Find Full Text PDFIntrauterine device (IUD) migration completely into the abdominal cavity and half into the bladder to form a stone: a case report and mini-review.
BMC Urol
December 2024
Department of Urology II, First Hospital of Jilin University, Changchun, Jilin, China.
The intrauterine device (IUD) is an important and highly effective means of contraception. Migration of the IUD, post implantation, out of the uterus is an infrequent complication, and its subsequent migration into the urinary bladder with formation of secondary bladder calculi, is even more infrequently reported. The authors report a 51 year old woman who had had her last child delivered via cesarean section 16 years ago.
View Article and Find Full Text PDFEffect of an Intensive Nurse Home Visiting Program on Postpartum Contraceptive Use and Birth Spacing: A Randomized Controlled Trial.
Obstet Gynecol
January 2025
Population Studies and Training Center, Brown University, Providence, Rhode Island; the Department of Global Health and Population, Harvard T.H. Chan School of Public Health, the RAND Corporation, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, and the Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, and the Abdul Latif Jameel Poverty Action Lab (J-PAL), Massachusetts Institute of Technology, and the National Bureau of Economic Research (NBER), Cambridge, Massachusetts; the Cradle-to-Career Data System, State of California, Sacramento, California; and the University of Chicago, Chicago, Illinois.
Objective: To evaluate the effect of an intensive nurse home visiting program on postpartum contraceptive use and birth spacing among individuals with a first pregnancy who were eligible for Medicaid insurance in South Carolina.
Methods: We conducted a nonblinded, randomized controlled trial of the Nurse-Family Partnership (NFP), an established intensive home visiting program that provides prenatal and postpartum home visits through 2 years after childbirth. The trial included patients who were eligible for Medicaid insurance with a first pregnancy at less than 28 weeks of gestation between April 1, 2016, and March 17, 2020, who were followed up through 2 years after childbirth.
Health Care Utilization After Immediate Compared With Delayed Postpartum Intrauterine Device Placement.
Obstet Gynecol
December 2024
Department of Obstetrics and Gynecology, Kaiser Permanente, San Leandro Medical Center, San Leandro, the Division of Research, Kaiser Permanente Northern California, Oakland, and the Department of Obstetrics and Gynecology, Kaiser Permanente, Modesto Medical Center, Modesto, California.
Article Synopsis
- - The study analyzed health care utilization differences between immediate (within 10 minutes after delivery) and delayed (after 24 hours) intrauterine device (IUD) placements using data from Kaiser Permanente Northern California.
- - Results showed slightly more office visits for delayed placements, increased imaging studies for immediate placements, and fewer laparoscopic surgeries for immediate placements. Rare hospitalizations were also more common in the immediate group.
- - Overall, immediate IUD placement didn't lead to more office visits or pregnancies but was linked to higher imaging rates while reducing the need for surgical interventions for complications.
Fragmentation of an In-Date Copper Intrauterine Device: An Unusual Complication.
Cureus
November 2024
Obstetrics and Gynaecology, East Suffolk and North Essex NHS Foundation Trust, Colchester, GBR.
We present a rare case involving a 25-year-old woman who had fragmentation of a copper intrauterine contraceptive device (IUD) while still within its recommended lifespan. The patient's symptoms included lower abdominal pain, offensive vaginal discharge, and the passage of copper IUD fragments. The pelvic examination confirmed the presence of the copper IUD strings, and with her consent, the device was removed.
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