BACKGROUND Evidence from observational studies suggests an increased risk of HIV acquisition among women using depot medroxyprogesterone acetate (DMPA) contraception. METHODS Within the context of a South African programme to increase women's access to the intrauterine contraceptive device (IUD), we conducted a pragmatic, open-label, parallel-arm, randomised controlled trial (RCT) of the IUD ...

BACKGROUND Delivering IUD services is one of the important competencies that midwifery students must obtain during academic period. As Objective Structured Clinical Examination (OSCE) can be reasonably reliable, valid and objective method for clinical skills assessment, this study was conducted to assess midwifery students' skill in delivering intrauterine device (IUD) services using a clinical...

PRESENT understanding of human female reproductive physiology has largely been derived from the results of animal experimentation, and particularly from studies on the rhesus monkey. This is also true of our present knowledge of the possible modes of action of an intra-uterine device (IUD). Recent studies in the rhesus monkey have shown that an intra-uterine device is contraceptive in this spec...

BACKGROUND We hypothesize that barriers to IUD insertion are central to low utilization in the USA. This study evaluates methods to minimize barriers, including post-abortal insertion, staff training and simplified screening. STUDY DESIGN We obtained data on IUD utilization during three study periods: a control period (Period 1), a period after initiating post-abortal insertion and staff trai...

AIM The study objective was to evaluate the pathological changes of the placenta in foetal death and foetal growth restriction and to find correlation of the findings with clinical causes. SETTING AND DESIGN Prospective study at a tertiary care hospital. MATERIAL AND METHODS Gross and histopathological examinations of the placentae were carried out in pregnancies with foetal demise (IUD) an...

BACKGROUND Copper T intrauterine devices (IUDs) remain the mainstay of family planning measures in developing countries, but have been associated with serious complications such as bleeding, perforation and migration to adjacent organs or omentum. Although perforation of the uterus by an IUD is not uncommon, migration to the sigmoid colon is extremely rare. Here, we report a case of migration o...

IUD translocation to the sigmoid colon after uterine perforation is a rare but serious event. Removal of the IUD in such a situation has been recommended because of the risk of complication, such as fistula formation and colonic perforation. We present the case of a 43-year-old female with a copper T380A IUD embedded in the sigmoid colon, which was removed with minimally invasive techniques.