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Intrauterine Device

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81. Association of Anticipated Insertional Pain With Intrauterine Device Initiation. (PubMed)

Association of Anticipated Insertional Pain With Intrauterine Device Initiation. Many providers cite pain as a barrier to intrauterine device (IUD) initiation. Our objective was to determine if young women who initiate other contraceptive methods anticipate more pain with IUD insertion than those who initiate IUDs.In this prospective cohort study, we enrolled women ages 14-24 initiating contraception at a family planning clinic. Participants rated expected pain with IUD insertion on a 0-10

2018 The Journal of Adolescent Health

82. Postpartum intrauterine devices: Clinical and programmatic review. (PubMed)

Postpartum intrauterine devices: Clinical and programmatic review. The immediate postpartum period is a critical moment for contraceptive access and an opportunity to initiate long-acting reversible contraception, which includes the insertion of an intrauterine device. The use of the intrauterine device in the postpartum period is a safe practice with few contraindications and many benefits. Although an intrauterine device placed during the postpartum period is more likely to expel compared (...) with one placed at the postpartum visit, women who initiate intrauterine devices at the time of delivery are also more likely to continue to use an intrauterine device compared with women who plan to follow up for an interval intrauterine device insertion. This review will focus on the most recent clinical and programmatic updates on postpartum intrauterine device practice. We discuss postpartum intrauterine device expulsion and continuation, eligibility criteria and contraindications, safety

2018 American Journal of Obstetrics and Gynecology

83. The Management of a Patient with a fragmented intrauterine device embedded within the Cervical Canal. (PubMed)

The Management of a Patient with a fragmented intrauterine device embedded within the Cervical Canal. A 28-year-old woman presented with a malpositioned intrauterine device (IUD) that was fragmented and significantly entrenched within the cervical canal and myometrium. IUD malposition with concomitant device fragmentation and embedded segments, albeit rare, should be a consideration given the device's prevalence.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Contraception

84. The levonorgestrel intrauterine device in Australia: analysis of prescribing data 2008–2012 (PubMed)

The levonorgestrel intrauterine device in Australia: analysis of prescribing data 2008–2012 Unplanned pregnancy is a significant problem in Australia. Local data pertaining to use of the levonorgestrel-releasing intra-uterine device (LNG-IUD), and associated factors are limited. The aim of this analysis was to calculate prescribing rates of the LNG-IUD in Australia, including trends in prescribing and associations with socio-demographic factors, in order to increase understanding regarding

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2018 BMC women's health

85. Why did the Japanese Government take so long to approve the intrauterine contraceptive device? (PubMed)

Why did the Japanese Government take so long to approve the intrauterine contraceptive device? While the majority of East Asian countries embraced the modern intrauterine device (IUD) during the 1960s, the sale and distribution of the IUD in Japan was not authorized until 1974. In this paper, I address why the Japanese Government took so long to permit the use of the IUD. Firstly, I examine scientific debates in Japan during the early 1950s on the efficacy of the IUD and associated health risks

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2018 Reproductive Biomedicine & Society Online

86. The levonorgestrel intrauterine device in Australia: analysis of prescribing data 2008-2012. (PubMed)

The levonorgestrel intrauterine device in Australia: analysis of prescribing data 2008-2012. Unplanned pregnancy is a significant problem in Australia. Local data pertaining to use of the levonorgestrel-releasing intra-uterine device (LNG-IUD), and associated factors are limited. The aim of this analysis was to calculate prescribing rates of the LNG-IUD in Australia, including trends in prescribing and associations with socio-demographic factors, in order to increase understanding regarding

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2018 BMC Women's Health

87. Intracranial hypertension after Chiari decompression resolving after removal of a levonorgestrel-releasing intrauterine device: case report. (PubMed)

Intracranial hypertension after Chiari decompression resolving after removal of a levonorgestrel-releasing intrauterine device: case report. Levonorgestrel-releasing intrauterine devices (LIUDs) are thought to release this progestin locally in the uterus to limit side effects. Authors here present a case of treatment-refractory hydrocephalus and pseudomeningocele (PMC), both of which fully resolved after LIUD removal.A 35-year-old woman with an implanted LIUD developed symptomatic PMC

2018 Journal of Neurosurgery

88. Experience with Intrauterine Device Insertion in Never Sexually Active Adolescents: A Retrospective Cohort Study. (PubMed)

Experience with Intrauterine Device Insertion in Never Sexually Active Adolescents: A Retrospective Cohort Study. Intrauterine devices can offer both contraceptive and noncontraceptive benefits to never sexually active adolescents. There are increasing data on intrauterine device use in adolescents; however, most data on intrauterine devices in adolescents are related to contraceptive use. There is very limited literature on intrauterine device placement in adolescents who have never been (...) sexually active.The objective of the study was to compare intrauterine device insertion success between never sexually active and sexually active cohorts.We performed a retrospective chart review of patients aged 10-20 years with attempted intrauterine device insertion at a children's hospital between October 2015 and September 2017.A total of 210 patients were included, of whom 82 were never sexually active. Never sexually active adolescents were younger at insertion (15.6 vs 16.7 years, P < .001

2018 American Journal of Obstetrics and Gynecology

89. Clioquinol is a promising preventive morphological switching compound in the treatment of Candida infections linked to the use of intrauterine devices. (PubMed)

Clioquinol is a promising preventive morphological switching compound in the treatment of Candida infections linked to the use of intrauterine devices. Candida biofilm infections are frequently linked to the use of biomaterials and are of clinical significance because they are commonly resistant to antifungals. Clioquinol is an antiseptic drug and is effective against multidrug-resistant Candida. We investigated the effect of clioquinol and two other 8-hydroxyquinoline derivatives on Candida (...) biofilm.The ability to inhibit biofilm formation, inhibit preformed biofilm and remove established biofilms was evaluated using in vitro assays on microtitre plates. The action of clioquinol on biofilm in intrauterine devices (IUDs) was also investigated, describing the first protocol to quantify the inhibitory action of compounds on biofilms formed on IUDs.Clioquinol was found to be the most effective 8-hydroxyquinoline derivative among those tested. It prevented more than 90 % of biofilm formation

2018 Journal of Medical Microbiology

90. Comparing Expulsion Rates for Different Intrauterine Device Insertion Techniques

Comparing Expulsion Rates for Different Intrauterine Device Insertion Techniques Comparing Expulsion Rates for Different Intrauterine Device Insertion Techniques - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. Comparing Expulsion Rates for Different Intrauterine Device Insertion Techniques The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03724708 Recruitment Status : Recruiting First Posted : October 30, 2018 Last Update

2018 Clinical Trials

91. A Decision Analysis Model of 1-Year Effectiveness of Intended Postplacental Compared With Intended Delayed Postpartum Intrauterine Device Insertion. (PubMed)

A Decision Analysis Model of 1-Year Effectiveness of Intended Postplacental Compared With Intended Delayed Postpartum Intrauterine Device Insertion. To compare, using decision analysis methodology, the 1-year probability of pregnancy after intended postplacental intrauterine device (IUD) insertion with intended delayed insertion at an outpatient postpartum visit (delayed postpartum placement).We developed an evidence-based decision model with the primary outcome of 1-year probability

2018 Obstetrics and Gynecology

92. Steroid reservoir loss during removal of perforated Levonorgestrel 52mg intrauterine device. (PubMed)

Steroid reservoir loss during removal of perforated Levonorgestrel 52mg intrauterine device. A 22-year-old G1P1 Caucasian female had hysteroscopic removal of a perforated intrauterine device during which the steroid reservoir of the intrauterine device was lost. Isolated steroid reservoirs are radiolucent on plain film radiography. We located the reservoir in the peritoneal cavity with magnetic resonance imaging and removed it via laparoscopy.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Contraception

93. ACOG Committee Opinion No. 735 Summary: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. (PubMed)

ACOG Committee Opinion No. 735 Summary: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. The phenomenon of adolescent childbearing is complex and far reaching, affecting not only the adolescents but also their children and their community. The prevalence and public health effect of adolescent pregnancy reflect complex structural social problems and an unmet need for acceptable and effective contraceptive methods in this population. In 2006-2010, 82 (...) % of adolescents at risk of unintended pregnancy were currently using contraception, but only 59% used a highly effective method, including any hormonal method or intrauterine device. Long-acting reversible contraceptives (LARC) have higher efficacy, higher continuation rates, and higher satisfaction rates compared with short-acting contraceptives among adolescents who choose to use them. Complications of intrauterine devices and contraceptive implants are rare and differ little between adolescents and women

2018 Obstetrics and Gynecology

94. ACOG Committee Opinion No. 735: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. (PubMed)

ACOG Committee Opinion No. 735: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. The phenomenon of adolescent childbearing is complex and far reaching, affecting not only the adolescents but also their children and their community. The prevalence and public health effect of adolescent pregnancy reflect complex structural social problems and an unmet need for acceptable and effective contraceptive methods in this population. In 2006-2010, 82 (...) % of adolescents at risk of unintended pregnancy were currently using contraception, but only 59% used a highly effective method, including any hormonal method or intrauterine device. Long-acting reversible contraceptives (LARC) have higher efficacy, higher continuation rates, and higher satisfaction rates compared with short-acting contraceptives among adolescents who choose to use them. Complications of intrauterine devices and contraceptive implants are rare and differ little between adolescents and women

2018 Obstetrics and Gynecology

95. Case Report: Cervicovaginal Co-Colonization with <i>Entamoeba gingivalis</i> and <i>Entamoeba polecki</i> in Association with an Intrauterine Device. (PubMed)

Case Report: Cervicovaginal Co-Colonization with Entamoeba gingivalis and Entamoeba polecki in Association with an Intrauterine Device. Amoebic trophozoites were identified in the cervicovaginal smear of a U.S. patient without travel history at the time of intrauterine device (IUD) removal. Subsequent morphologic analysis and DNA sequencing identified a mixed cervicovaginal colonization of the female genital tract with both Entamoeba gingivalis and Entamoeba polecki in association

2018 American Journal of Tropical Medicine & Hygiene

96. One year continuation of post-partum intrauterine contraceptive device: findings from a retrospective cohort study in India. (PubMed)

One year continuation of post-partum intrauterine contraceptive device: findings from a retrospective cohort study in India. To evaluate outcomes of a national postpartum (within 48 h of delivery) copper intrauterine device placement (PPCuIUD) program in six "high-focus states" with high unmet family planning need in India.We identified high-volume district hospitals that provided PPCuIUD in six (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh and Chhattisgarh) Indian states (two

2018 Contraception

97. Intrauterine Device Expulsion After Postpartum Placement: A Systematic Review and Meta-analysis. (PubMed)

Intrauterine Device Expulsion After Postpartum Placement: A Systematic Review and Meta-analysis. To estimate expulsion rates among women with postpartum intrauterine device (IUD) placement by timing of insertion, IUD type, and delivery method.We searched PubMed, Cochrane Library, and ClinicalTrials.gov from 1974 to May 2018.We searched databases for any published studies that examined postpartum placement of a copper IUD or levonorgestrel intrauterine system and reported counts of expulsions (...) compared with cesarean delivery (adjusted RR 5.19, 95% CI 3.85-6.99). Analysis of expulsion rates at less than 4 weeks postpartum also indicated that the levonorgestrel intrauterine system was associated with a higher risk of expulsion (adjusted RR 1.91, 95% CI 1.50-2.43) compared with CuT380A.Postpartum IUD expulsion rates vary by timing of placement, delivery method, and IUD type. These results can aid in counseling women to make an informed choice about when to initiate their IUD and to help

2018 Obstetrics and Gynecology

98. The role of the Mirena Intrauterine Device(LNG-IUD) in the management of endometrial polyps - a Pilot Study. (PubMed)

The role of the Mirena Intrauterine Device(LNG-IUD) in the management of endometrial polyps - a Pilot Study. To study the hypothesis that the levonorgestrel intrauterine device (LNG-IUD) can have a role in the treatment of endometrial polyps confirmed at outpatient hysteroscopy in premenopausal women.Canadian Task Force classification level II1 (a controlled trial that is not randomised).Outpatient hysteroscopy.Premenopausal women who had a polyp diagnosed at outpatient

2018 Journal of minimally invasive gynecology Controlled trial quality: uncertain

99. Use of a novel suction cervical retractor for intrauterine device insertion: a pilot feasibility trial. (PubMed)

Use of a novel suction cervical retractor for intrauterine device insertion: a pilot feasibility trial. The Bioceptive suction cervical retractor (SCR) is a novel device that can replace the standard single-tooth tenaculum to place traction on the cervix. A feasibility trial was conducted on the device for intrauterine device (IUD) placement.Our three-stage feasibility process began with Stage 1, where the device was tested on in-vitro and ex-vivo samples. In Stage 2, 10 women received (...) their IUD using the device. In Stage 3, a feasibility trial, we randomly assigned 25 consenting women to receive their IUD using either the Bioceptive SCR or the standard single-tooth tenaculum. In Stages 2 and 3, we collected pain scores using an electronically adapted 100-point visual analogue scale (VAS) at eight timepoints during and after the insertion procedure, as well as satisfaction and acceptability measures. The primary outcome was the pain score after attaching the SCR or tenaculum (VAS 3

2018 BMJ Sexual & Reproductive Health Controlled trial quality: uncertain

100. Placement of Levonorgestrel Intrauterine Device at the Time of Cesarean Delivery and the Effect on Breastfeeding Duration. (PubMed)

Placement of Levonorgestrel Intrauterine Device at the Time of Cesarean Delivery and the Effect on Breastfeeding Duration. Studies have shown that immediate postpartum initiation of long-acting reversible contraception (LARC) methods leads to increased utilization of LARC and prevention of unintended pregnancies. It is unclear if immediate postpartum levonorgestrel-releasing intrauterine device (LNG-IUD) insertion has an effect on breastfeeding success.This study was a secondary analysis (...) of a randomized trial that compared intrauterine device (IUD) use at 6 months postpartum among women who underwent intracesarean IUD placement with women who planned for interval IUD placement at 6 or more weeks postpartum. This parallel, 1:1, nonblinded randomized trial was conducted between March 2012 and June 2014 at the University of North Carolina Women's Hospital. We recruited pregnant women aged 18-45 years who were undergoing a cesarean delivery and desired an IUD for contraception postpartum.We

2018 Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine Controlled trial quality: uncertain

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