Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording

G Justus Hofmeyr; Kyungu M Kime

doi:10.1155/2023/4410984

Novel Concepts for Intrauterine Device Placement at Caesarean Delivery: Description of Technique and Video Recording

Obstet Gynecol Int. 2023 May 5:2023:4410984. doi: 10.1155/2023/4410984. eCollection 2023.

Authors

G Justus Hofmeyr^{1

2}, Kyungu M Kime¹

Affiliations

¹ Department of Obstetrics and Gynaecology, University of Botswana, Gaborone, Botswana.
² Effective Care Research Unit, Universities of the Witwatersrand, Fort Hare and Walter Sisulu and Eastern Cape Department of Health, East London, South Africa.

Abstract

The International Federation of Gynaecology and Obstetrics recommend digital insertion of the copper intrauterine device (IUD) during caesarean delivery and note the risk of thread inclusion in the uterotomy closure and nonvisibility of threads at follow-up. We describe a novel method of inserting the IUD with the insertion straw and directing the lower end of the straw through the cervix for retrieval after the operation, to protect and ensure alignment of the threads. We also describe a simple method of lengthening one thread with part of the other thread, to avoid risks associated with braided suture extensions.