Full Article: PDF
Scientific Object Identifier: http://s-o-i.org/1.1/TAS-09-65-23
DOI: https://dx.doi.org/10.15863/TAS.2018.09.65.23
Language: English
Citation: Rehman S, Gulbaz S, Nawaz T (2018) MISPLACED IUCD, PRESENTATION AND MANAGEMENT. ISJ Theoretical & Applied Science, 09 (65): 144-148. Soi: http://s-o-i.org/1.1/TAS-09-65-23 Doi: https://dx.doi.org/10.15863/TAS.2018.09.65.23 |
Pages: 144-148
Published: 30.09.2018
Abstract: Objective: Purpose of this study was to determine various presentations of females with misplaced intra uterine contraceptive device and its management. Design and setting: This is a cross sectional study which was conducted in Gynecology and Obstetrics department of Doctors Trust Teaching Hospital Sargodha, Pakistan. Duration: This study was started in January 2018 and completed in July 2018 consisted on 7 months duration. Patients and methods: In this study 30 female patients with complications of misplaced IUCD were included. These cases presented directly to the study hospital or were referred from other hospitals with different presenting complaints due to misplaced IUCD. An inclusion and exclusion criteria was formed for including patients in the study. A questionnaire was formed for documenting all necessary data of study cases such as age, parity, time duration of IUCD placed etc. These cases were admitted in the ward for treatment. After treatment outcome in each patient was observed. Ethical permission for conducting study was taken from ethical committee of the institution. Consent was also taken from patients in study group and privacy of data was maintained. Data was analyzed on Microsoft office and SPSS software, calculated in the form of percentage and frequency and expressed via tables and charts. Results: Total 30 cases were studied belonging to different age groups. Range of their ages was 30-43 years with mean age of 36.5 years. Mostly cases were above 30 years of age. Common presenting complaints reported were abdominal pain in 8 cases, dysfunctional uterine bleeding in 5 cases, and missing thread of device while 3 females became pregnant with IUCD and recurrent urinary tract infection due to dislodged device was reported in 4 cases. Different sites of misplaced IUCD were reported such as adherent to uterine wall found in 3 cases, in uterine cavity in 15 cases, inside urinary bladder found in 2 cases, in adenexa In one case, in uterovesicle pouch in 3 cases and in pouch of douglas device was found in 2 cases. It was seen that most common site of dislodged device was intra uterine cavity. These cases were managed according to site of device. Dilatation and uterine exploration was done in females having device in uterine cavity. Other procedures performed were Cystoscopy, Laparotomy and hysteroscopic guided exploration of uterus. Conclusion: Dislodgement of intra uterine contraceptive device is a much common problem. Most common presenting complaint is abdominal pain. Females should be educated about the use of contraceptive devices its insertion and removal so that complications may be avoided.
Key words: misplaced intra uterine contraceptive device, complications of IUCD, dilatation and curettage.
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