Journal of Reproductive Health and Contraception

Presentation and Intervention in Missing Copper T Thread in Reference to Timingof Insertion

Objective

To analyse the impact of time of insertion of Copper T to presentation and intervention for management of missing Cu-T thread.

Methodology and setting

One year data of 57 patients, referred, reported or detected with missing Cu T thread collected. Retrospective data was collected from OT and OPD hospital records and duly completed telephonically.

Outcomes measured

Data was analysed with various interrelated factors like relation to timing of insertion, presentation, complications, number and kind of interventions for its removal.

Type of statistical analysis

Proportion of women with missing Cu T thread were calculated among all women in percentages. Correlation between different groups couldn’t be calculated because of major difference in the number of subjects in groups.

Results

Among 57 women, 30 had post LSCS Cu T insertion, 6 had post NVD, 20 had interval Cu T insertion and 1 had post abortal insertion. Misplaced Cu T was detected in 8 women on USG, 4(50%) had post LSCS, 3(37.5%) post NVD and 1(12.5%) had interval Cu T insertion. OPD removal could be attempted successfully in 30 women; 11(36.67%) post LSCS, 2 (33.33%) post NVD, 16(80%) interval and 1(100%) post abortion insertion. OT removal was needed in 23 women, (17 (56.67%) post LSCS, 2(33.33%) post NVD, 4(20%) interval Cu T insertion). Spontaneous expulsion diagnosed in 4, 2 post LSCS and 2 post NVD Cu T insertion.

Conclusion

There is definite impact of timing of Cu T insertion on incidence of misplacement and expulsion and more studies and data is needed for developing a common information performa to develop SOPs for follow up of such patients.

Author(s): Pooja Rani, Alka Sehgal, Dilpreet Kaur Pandher, Bikramjit Singh Jafra

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