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CompletedNCT02941198Updated Jan 3, 2018

Postpartum Immediate Contraception in Cesarean Deliveries-Comparison of Two Intrauterine Systems

An interventional study of GyneFix and Cu T380 A in Intrauterine Systems and Postpartum Immediate Contraception, sponsored by Zeynep Kamil Maternity and Pediatric Research and Training Hospital. Completed at 1 site in Turkey. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-01-03.

Sponsored by Zeynep Kamil Maternity and Pediatric Research and Training Hospital · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2016, registered Oct 2016).
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

To compare two intrauterine systems in order to avoid complications originating from short pregnancy interval and undesired pregnancies in the early postpartum period.

Read the detailed description

The patients admitting to Zeynep Kamil Research and Training Hospital for caesarean delivery will be included in the study. There will be two computer based randomized groups. The investigators expect that both groups will have 100 cases. First group will be treated with conventional intrauterine devices (Cu T380 A) while the second group will be treated with frameless intrauterine devices (GyneFix). The participants will be informed about postpartum unplanned pregnancies and the complications of short pregnancy interval. Participants will also be informed about possible complications of having an intrauterine device and that there may be a possibility of failure.The participants who choose to participate in the study will be divided into two groups by computer based randomization and one of the systems will be applied. After the participants read and sign the informed consent form, the intrauterine device will be applied postplacental up to 10 minutes.

02

Conditions studied

  • Intrauterine Systems
  • Postpartum Immediate Contraception
03

In context

Lead sponsor

Zeynep Kamil Maternity and Pediatric Research and Training Hospital is the lead sponsor of 38 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • The patients who read and sign the informed consent form.

Exclusion criteria

Exclusion Criteria:

  • The patient who has more than 6 cm dilatation, prolonged premature rupture of the membranes (more than 12 hours), chorioamnionitis, and kongenital or acquired haemorragic diathesis will be excluded from the study.
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (actual)

Study arms

  • Active comparator
    Gynefix

    The GyneFix® 200 IUD(frameless iud) is only 2 cm long. Its small surface area is 1/3 of that of the conventional T-shaped IUDs such as TCu380A

    Device: GyneFix

  • Active comparator
    Cu T380a

    conventional T-shaped IUDs (TCu380A)which has a frame will be placed into the uterus after placental extraction

    Device: Cu T380 A

Interventions

  • DeviceGyneFix

    The fiber is fixed to the anchoring thread by means of a stainless steel clip 1 cm from the upper part of the anchoring knot. The anchoring knot is implanted into the myometrium of the uterus thus permanently securing the implant in the uterine cavity

    Also known as: Gynefix(frameless intrauterine devices)

  • DeviceCu T380 A

    Cu T380 A will be inserted into the uterus

    Also known as: Copper T 380a

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What researchers measure

Primary outcomes

  1. expulsion rates

    expulsion is the major obstacle for intrauterin devices when using immediate postpartum.

    Time frame: The patients will be seen postoperative 6th week

Secondary outcomes

  1. Number of participants with treatment-related adverse events as assessed by conventional intrauterine devices (Cu T380 A) and frameless intrauterine devices (GyneFix)

    there are some effects due to intrauterin devices. we want to compare the differences between two devices

    Time frame: The patients will be seen postoperative 6th week

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Study locations

1 site
  • Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Obstetrics and Gynecology
    Istanbul, 34000, Turkey
08

References and documents

Publications

  • Hooda R, Mann S, Nanda S, Gupta A, More H, Bhutani J. Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes. Int J Reprod Med. 2016;2016:7695847. doi: 10.1155/2016/7695847. Epub 2016 Aug 17. PubMed 27631023 ↗
  • Lopez LM, Bernholc A, Hubacher D, Stuart G, Van Vliet HA. Immediate postpartum insertion of intrauterine device for contraception. Cochrane Database Syst Rev. 2015 Jun 26;2015(6):CD003036. doi: 10.1002/14651858.CD003036.pub3. PubMed 26115018 ↗
  • Singal S, Bharti R, Dewan R, Divya, Dabral A, Batra A, Sharma M, Mittal P. Clinical Outcome of Postplacental Copper T 380A Insertion in Women Delivering by Caesarean Section. J Clin Diagn Res. 2014 Sep;8(9):OC01-4. doi: 10.7860/JCDR/2014/10274.4786. Epub 2014 Sep 20. PubMed 25386484 ↗
  • Bhutta SZ, Butt IJ, Bano K. Insertion of intrauterine contraceptive device at caesarean section. J Coll Physicians Surg Pak. 2011 Sep;21(9):527-30. Erratum In: J Coll Physicians Surg Pak. 2011 Nov;21(11):717. PubMed 21914407 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 3, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02941198
Lead sponsor
Zeynep Kamil Maternity and Pediatric Research and Training Hospital
Responsible party
Ahmet Eser (medical doctor, Zeynep Kamil Maternity and Pediatric Research and Training Hospital) — Principal investigator
First posted
Oct 21, 2016
Start date
Jun 1, 2016
Primary completion
Jan 31, 2017
Completion
Jan 31, 2017
Last update
Jan 3, 2018

Study contacts

ceren ünal, m.d.
principal investigator · medical doctor

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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