This is a prospective randomized controlled study to determine the effect of prostaglandin intake before Mirena IUD insertion It was conducted at the Department of Obstetrics \& Gynecology, Kasr El-Ainy Teaching Hospital, Faculty of Medicine, Cairo University,
The study aiming to measure the estimate difficulty of insertion of the Mirena IUD by using prostaglandins 2 hours before the procedure and the effect of prostaglandins to make this procedure easy with other side effects and complications as bleeding perforation, nausea, vomiting, failure of insertion and comparing them with a placebo group who didn't receive prostaglandins
Study Type
OBSERVATIONAL
Enrollment
400
misoprostol 200 mcg will be given sublingual 2 hrs before mirena iud insertion
Cairo University
Cairo, Egypt
RECRUITINGDifficulty of insertion of Mirena IUD by using the Ease of Insertion score graduated as VAS like scale
By using the visual analogue score
Time frame: During the intervention
cervical dilataion < 4 mm
need for cervical dilatation to pass the IUD
Time frame: During the intervention
Pain at insertion according to VAS
By using the visual analogue score
Time frame: During the intervention
Subjective sensation of satisfaction graduated as VAS like scale
By using the visual analogue score like system
Time frame: During the intervention
side effects during IUD insertion: bleeding, vasovagal reaction, cramps, nausea, perforation, vomiting
Bleeding by using the soaked bads
Time frame: During the intervention
side effects after 24 hrs of IUD insertion: nausea, vomiting, cramps and hyperthermia
Time frame: During the first 24 hours
side effects after 30 days of IUD insertion: spotting, cramps, acute PID and expulsion
Time frame: After 30 days of intervention
Duration of insertion(min)
From start of procedure till removing the speculum
Time frame: During the intervention
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