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multiload contraceptive device

Ahmed Ragab, Hossam O Hamed, Mohamed A Alsammani, Hend Shalaby, Hanan Nabeil, Rafik Barakat, Ahmed N Fetih
OBJECTIVE: To compare the expulsion rate of Nova-T380, Multiload 375, and Copper-T380A intrauterine contraceptive devices (IUCDs) inserted during cesarean delivery. METHODS: A comparative randomized study was conducted between January 1, 2013, and June 30, 2014, in three maternity centers in Egypt and Saudi Arabia. All women scheduled for an elective cesarean and accepting intraoperative insertion of an IUCD were randomly allocated to receive the Nova-T380 (group 1), Multiload 375 (group 2), or Cu-T380A (group 3) using a computer-generated table...
August 2015: International Journal of Gynaecology and Obstetrics
Justine P Wu, Sarah Pickle
There are multiple advantages to "extended use" of the intrauterine device (IUD) use beyond the manufacturer-approved time period, including prolongation of contraceptive and non-contraceptive benefits. We performed a literature review of studies that have reported pregnancy outcomes associated with extended use of IUDs, including copper IUDs and the levonorgestrel intrauterine system (LNG-IUS). Among parous women who are at least 25 years old at the time of IUD insertion, there is good evidence to support extended use of the following devices: the TCu380A and the TCu220 for 12 years, the Multiload Cu-375 for 10 years, the frameless GyneFix® (330 mm²) for 9 years, the levonorgestrel intrauterine system 52 mg (Mirena®) for 7 years and the Multiload Cu-250 for 4 years...
June 2014: Contraception
Shereen Zulfiqar Bhutta, Iffat Javed Butt, Khadeja Bano
OBJECTIVE: To determine the safety (infection, conception rate and perforation) of intrauterine contraceptive device (IUCD, Multiload Cu 375) insertion at caesarean section and compare their postoperative period (in term of pain, amount of bleeding and expulsion rate) of women who had caesarean section without IUCD insertion and to women who had IUCD inserted as an interval procedure. STUDY DESIGN: A case control study. PLACE AND DURATION OF STUDY: Jinnah Postgraduate Medical Centre, Karachi, from November 2006 to October 2007...
September 2011: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Sally B Rose, Beverley A Lawton, Selina A Brown
BACKGROUND: This study aimed to increase use of long-acting reversible contraceptive (LARC) methods by women post-abortion. STUDY DESIGN: Ten-week intervention at a public abortion clinic involving free access to three LARC methods (DMPA, LNG-IUS, Multiload Cu375); posters promoting LARC; updated information for clinic staff. OUTCOME MEASURES: change in the proportion of women choosing LARC prior to and during the intervention; rate of follow-up and method retention at 6 weeks and at 6 months post-abortion...
October 2010: Contraception
Irving Sivin, István Batár
Since the 1959 revival of the IUD, non-hormonal devices have become the most widely used of all reversible contraceptives. Pregnancy rates of copper-releasing IUDs in current use range from approximately 0.5 to 1.5 per hundred continuing users in the first year, with somewhat lower annual pregnancy rates thereafter. Evidence-based research has been systematically conducted and translated into guidelines for eligibility criteria and problem management. Recent device research, beyond the T, Multiload and frameless devices has centred on improved designs such as U ,Y and Slimline shapes, or enhanced copper release, the latter through electrochemical effects or nanotechnology applications...
April 2010: European Journal of Contraception & Reproductive Health Care
Gabriele S Merki-Feld, Danielle Schwarz, B Imthurn, P J Keller
OBJECTIVE: The contraceptive efficacy of intrauterine devices (IUD) is thought to relate to the position of the IUD in the uterine cavity. Several trials examined the number of copper IUD expulsions, but none evaluated the partial and complete expulsion rate of the levonorgestrel-releasing device (LNG-IUD). STUDY DESIGN: This retrospective cohort study compares the dislocation rate of the Multiload 375 IUD (ML 375) and the LNG-IUD in 214 women (107 subjects with each IUD)...
March 2008: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Vanaja Kalaichelvan, Aye Aye Maw, Kuldip Singh
OBJECTIVES: Reproductive tract actinomyces have been associated with the use of intrauterine contraceptive device (IUCD). Thus, there is a need to evaluate the prevalence of colonization with Actinomyces israelii in a cohort of Singaporean women using an IUCD. Second, the occurrence of actinomycosis in colonized women and the clinical need to remove the IUCD and/or possibly the need to treat asymptomatic carriers with antibiotics were evaluated. METHODS: The study population consisted of 1,108 IUCD users attending the Fertility Control Clinic, National University Hospital, Singapore...
April 2006: Contraception
Leonardo Grimaldi, Fabio De Giorgio, Pia Andreotta, M Clara D'Alessio, Carlo Piscicelli, Vincenzo L Pascali
Perforation of the uterus is one of the most serious complications associated with insertion of intrauterine contraceptive devices (IUD). According to recent studies, this lesion occurs in 0.87 per 1000 cases, but statistics generally fluctuate between 0.05 and 13 per 1000 insertions. "Primary" perforations occur at the time of IUD insertion, and "secondary," or delayed, perforations are usually assumed to be caused by reactive uterine contractions. We report an unusual case of uterine perforation, which occurred 9 days after the insertion of a Multiload-Cu 375 IUD...
December 2005: American Journal of Forensic Medicine and Pathology
Hao-Ming Chang, Teng-Wei Chen, Chung-Bao Hsieh, Chung-Jueng Chen, Jyh-Cherng Yu, Yao-Chi Liu, Kuo-Liang Shen, De-Chuan Chan
Uterine perforation is one of the serious complications associated with use of the intrauterine contraceptive device (IUD). Uterine perforation by IUD can involve several neighboring organs. A case of acute appendicitis was caused by a Multiload Cu 375 IUD inserted previously. This is a rare complication and only fourteen previous cases were recorded in the literature.
September 14, 2005: World Journal of Gastroenterology: WJG
D Grimes, K Schulz, N Stanwood
BACKGROUND: Insertion of an intrauterine device (IUD) immediately after an abortion has several potential advantages. The woman is known not to be pregnant, a major concern for clinicians. For example, many clinicians refuse to insert an IUD in a woman who is not menstruating. After induced abortion, a woman's motivation to use contraception may be high. However, insertion of an IUD immediately after a pregnancy ends carries potential risks as well. For example, the risk of spontaneous expulsion may be increased due to recent cervical dilation...
2004: Cochrane Database of Systematic Reviews
R French, H Van Vliet, F Cowan, D Mansour, S Morris, D Hughes, A Robinson, T Proctor, C Summerbell, S Logan, F Helmerhorst, J Guillebaud
BACKGROUND: In the 1970s a new approach to the delivery of hormonal contraception was researched and developed. It was suggested that the addition of a progestogen to a non-medicated contraceptive device improved its contraceptive action. An advantage of these hormonally impregnated intrauterine systems (IUS) is that they are relatively maintenance free, with users having to consciously discontinue using them to become pregnant rather than taking a proactive daily decision to avoid conception...
2004: Cochrane Database of Systematic Reviews
Annika A G Vos, Hanna M Veldhuis, Toine L M Lagro-Janssen
The intrauterine device (IUD) use in the Netherlands and the United States is limited to a small group of women, though the risk of infection and pregnancy is small. Therefore, it was of interest to investigate the characteristics of women who choose an IUD as contraceptive method and the influence of general practitioners concerning IUD insertion. The aim of this retrospective cohort study was to assess differences between general practices and to investigate the characteristics of IUD users. Also, we wished to study changes in IUD use with time...
April 2004: Contraception
Mira Harrison-Woolrych, Lifeng Zhou, David Coulter
AIM: To compare the incidence of reported insertion problems with the levonorgestrel-releasing intrauterine device (Mirena) with that of the copper device Multiload Cu 375. METHODS: Prescription Event Monitoring (PEM) methodology, as used in the Intensive Medicines Monitoring Programme, was used to identify cohorts of women and record events associated with insertion. RESULTS: Data were analysed from 16 159 women receiving Multiload Cu 375 between 1991 and 2001, and 3452 women receiving Mirena between 1998 and 2001...
August 8, 2003: New Zealand Medical Journal
A Huber, E Olbrich
990 cases of women using standard copper IUDs (Cu 7; Cu T; Multiload) up to a maximum period of 8 years have been analyzed statistically. The long-term use effectiveness was evaluated mainly by using statistical methods (life table). Pregnancy rates decreased during the whole period of observation but more evidently after 2 years of use. It is recommended that medicated IUDs, free of side effects, be exchanged only after 5 years of use, corrosive changes being not too far advanced after this period. New IUD models are less likely to be subject to corrosion and will therefore need to be replaced less frequently...
April 1982: Contraceptive Delivery Systems
D A Van Lith, M Du Plessis-alblas, L Querido, K J Van Schie, W Beekhuizen
No abstract text is available yet for this article.
October 1981: Contraceptive Delivery Systems
V Ruiz-velasco, M Meza, J S Lopez
A Multiload (ML) Cu 250 IUD was inserted manually immediately after childbirth in 200 volunteer women. The patients were followed up at 1, 3, 6, 12, and 24 months. There were no undesirable side effects and no serious complications occurred. No noteworthy bleeding occurred either in the postpartum period or subsequently. Maternal lactation was not affected. During the 2 years, 6 devices were removed for medical reasons and the IUD was expelled spontaneously in only 2 patients. 2 pregnancies occurred among the women who were followed up...
October 1981: Contraceptive Delivery Systems
N D Goldstuck
The immediate postinsertion and 3 minute postinsertion pain response in nulliparous women undergoing insertion of either the Copper 7 (Cu 7) or the Multiload Copper 250-short (ML Cu 250-short) IUD has been studied. 35 women were fitted with a Cu 7 device and 23 with the ML Cu 250-short. The immediate postinsertion pain scores were significantly higher in the ML Cu 250-short group than in the Cu 7 group. There was no significant difference between the 3 minutes postinsertion scores for the 2 groups. The 3 minute pain scores were significantly lower than the immediate pain scores for each individual device group...
October 1981: Contraceptive Delivery Systems
W A Os, M Thiery, H Van Der Pas, P E Rhemrev, C C De Nooyer, J Kleinhout
No abstract text is available yet for this article.
October 1981: Contraceptive Delivery Systems
J P Souza, A T Andrade, E Pizarro
No abstract text is available yet for this article.
1991: Boletim do C.B.R
M M Fakhr, D M Fakhr, A A Hassan, N M Nasser
300 Women at Cairo's Al-Zahraa Hospital, using 1 of 3 different IUds (CuT 200, multiload Cu250, and Lippes loop size C) to compare the rate of complications encountered among the 3 groups. Failed insertion was highest among the Cu T200 group with a rate of 3.24/HWY, hundred woman years. Accidental pregnancy was highest among that group as well. With a rate 2.16/HWY compared with 1.10/HWY among the ML Cu250 group and none among the Lippes Loop group. The spontaneous expulsion rate was the same for the Cu T200 and Lippes Loop, i...
1988: Population Sciences
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