{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:57:39Z","timestamp":1790866659008,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2026,10]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To assess an innovative technique of intra\u2010cesarean post\u2010placental insertion of the Copper T380A IUD (CPPIUD), and explore the role of predischarge ultrasound with replacement of low\u2010lying IUDs.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We conducted a prospective observational study at Princess Marina Hospital, Gaborone, Botswana, from May 31, 2023, to April 3, 2024. Sixty\u2010seven participants were recruited following CPPIUD. We compared the standard FIGO technique with a novel method in which the insertion straw was left in place to stabilize the IUD and strings during uterine and abdominal closure, then retrieved transvaginally (see youtube video\n https:\/\/www.youtube.com\/watch?v=ToWkp3z0_Vg<\/jats:ext-link>\n ). Technique selection was according to the attending surgeons' personal preference. IUD placement was assessed by predischarge transabdominal ultrasound, and participants were followed up at 6\u2009weeks or later. The primary outcome was IUD retention.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall IUD retention was 63\/67 (94.0%). The straw\u2010stabilized group showed a slightly but not statistically significantly higher retention rate (97.9% vs. 85.0%) and string visibility (34.0% vs. 15.0%). Predischarge ultrasound identified low\u2010lying IUDs in 7\/67 participants (10.4%) across both groups; these devices were replaced. One spontaneous expulsion and three removals on request occurred after discharge.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The straw\u2010stabilized method is at least equivalent to the standard approach. Early predischarge ultrasound may enhance retention.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.71007","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T12:41:58Z","timestamp":1775565718000},"page":"226-232","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of novel intra\u2010cesarean post\u2010placental intrauterine device insertion techniques, and early ultrasound, with expulsion rates and strings visibility: A prospective exploratory study"],"prefix":"10.1002","volume":"175","author":[{"given":"Kyungu M.","family":"Kime","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Botswana and Princess Marina Hospital Gaborone Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liza","family":"Bazzett\u2010Matabele","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Botswana and Princess Marina Hospital Gaborone Botswana"},{"name":"Department of Obstetrics and Gynecology University of Arkansas for Medical Sciences Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3080-1007","authenticated-orcid":false,"given":"G. Justus","family":"Hofmeyr","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Botswana and Princess Marina Hospital Gaborone Botswana"},{"name":"Effective Care Research Unit Walter Sisulu University and University of the Witwatersrand East London South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-020-00999-4"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.29063\/ajrh2018\/v22i2.8"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsrh-2022-201748"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12600"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.12.002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S132391"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-016-0940-9"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.02.045"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-15-00355"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.32771\/INAJOG.V2I3.395"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/4410984"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-017-0965-8"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.15761\/COGRM.1000145"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6504a1"},{"issue":"6","key":"e_1_2_9_16_1","first-page":"546","article-title":"Pregnancy risk associated with intrauterine devices expelling or partially expelling: a systematic review","volume":"85","author":"Brahmi D","year":"2012","journal-title":"Contraception"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:23:02Z","timestamp":1790864582000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,7]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/ijgo.71007"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71007","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,7]]},"assertion":[{"value":"2025-12-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}