Semih TUĞRUL, Ayşe GÜRBÜZ, Özay ORAL, Gazi YILDIRIM, Toygun BAŞARAN

Aile planlamasında sezaryen esnasında postplasental rahim içi araç uygulaması ve sonuçları

Amaç: Sezaryen sırasında postplasental RIA uygulanmasının etkinliğini ve güvenilirliğini araştırmak. Materyal ve metod: Çalışma 01 Ocak 2000 - 31 Haziran 2001 tarihleri arasında Zeynep Kamil Hastanesinde yapıldı. Sezaryen esnasında 72 kadına postlasental dönemde ring forseps yardımıyla Copper - T 380A tipi RIA yerleştirildi. Olgular l yıl boyunca takip edildi. Lohusalık dönemi sonunda ve birinci yıl sonunda kontrollerle değerlendirildi. RIA'ların devamlılığı, yerinde olup olmadığı ve olgulardaki mevcut şikayetler değerlendirildi. Bulgular: Çalışmaya 72 vaka alındı. Lohusalık dönemi sonunda yapılan ilk kontrole 72 vaka gelirken l yıl sonra yapılan 2. kontrole 62 vaka (% 80.5 ) geldi. Birinci yılın sonunda 62 olgunun 42 sinde ( % 67 ) RIA ve ipleri normal yerinde bulundu. Dokuz olguda ( % 14 ) RIA normal yerinde iken servikal osta ipler görülmedi. Yedi olguda ( % 11 ) RIA yerinde iken iplerinin servikal kanal içerisinde olduğu izlendi. İki olguda ( % 3.2 ) RIA kavum uteride izlenmedi. Sonuç: Çalışma az sayıda vaka içermesine rağmen sezaryen sırasında postplasental dönemde RIA uygulanması etkili ve güvenilir bir yöntemdir.

Anahtar Kelimeler:

Rahim içi araçlar, Sezaryen, Aile planlaması, Doğum kontrolü

Intra-uterine device insertions during cesarean sections

Objective: This study was planned to perform the effectiveness and reliability of IUD application during cesarean section just the postplasentation. Study design: This study was performed at the Zeynep Kamil Education and Research Hospital in Istanbul from January 1, 2000 to June 31, 2001. Intrauterine device ( IUD ) (Copper- T 380 ) was inserted to 72 women during cesarean section with using a ring forceps. The patients were controlled during 1 year. They were evaluated just after the puerperium and the end of the first year to observe any complication. Results: were selected for the trial. All of the women were come to the first visit after the puerperium while only 62 women ( % 80.5 ) out of 72 cases were come to the second visit the end of the first year. In 42 ( % 67 ) out of 62 cases, IUD and strings were in normal localisation. In 9 ( % 14 ) IUD was in normal position whereas string could not be seen. In 7 cases ( % 11 ) only one string was observed in the cervical canal. In 2 cases ( %3.2 ) expulsion was observed. Conclusion: e trial consist of few cases, it was concluded that insertion of IUD during cesarean section is an effective and reliable contraceptive method.

Keywords:

Intrauterine Devices, Cesarean Section, Family Planning, Contraception,

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