{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:59:36Z","timestamp":1775149176611,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,10,27]],"date-time":"2011-10-27T00:00:00Z","timestamp":1319673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the impact of a copper\u2010containing intrauterine contraceptive device (IUCD) and the levonorgestrel\u2010releasing intrauterine system (IUS) on puerperal and menstrual bleeding when fitted intraoperatively during scheduled elective cesarean.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were allocated to 3 groups: cesarean with no device inserted; IUCD inserted during cesarean; and IUS inserted during cesarean.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was significantly shorter and lighter puerperium in the IUS group (20.2 \u00b1 7.7 days and 3.1 \u00b1 1.6 pads\/day) than in the IUCD (33.4 \u00b1 9.5 days and 4.9 \u00b1 2.4 pads\/day) and the control (27.0 \u00b1 11.4 days and 4.9 \u00b1 2.3 pads\/day) groups (<jats:italic>P<\/jats:italic> &lt; 0.012 and <jats:italic>P<\/jats:italic> &lt; 0.0001, respectively). At the end of puerperium, mean duration of amenorrhea was significantly longer in the IUS group than in the IUCD and control groups (<jats:italic>P<\/jats:italic> &lt; 0.0001). Menstrual periods were longer and heavier in the IUCD group than in the control group but the difference was not significant (<jats:italic>P<\/jats:italic> &gt; 0.07). In the IUS group, menstrual periods were significantly shorter and lighter than in the other groups (<jats:italic>P<\/jats:italic> &lt; 0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intrauterine system fitting at the time of elective cesarean is associated with significant reductions in the duration and amount of puerperal blood loss, as well as a high incidence of amenorrhea and lighter periods thereafter.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2011.07.036","type":"journal-article","created":{"date-parts":[[2011,10,29]],"date-time":"2011-10-29T05:49:43Z","timestamp":1319867383000},"page":"31-34","source":"Crossref","is-referenced-by-count":20,"title":["RETRACTED: Puerperal and menstrual bleeding patterns with different types of contraceptive device fitted during elective cesarean delivery"],"prefix":"10.1002","volume":"116","author":[{"given":"Mervat S.E.","family":"Elsedeek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,10,27]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/17.3.549"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.03.024"},{"key":"e_1_2_6_4_2","first-page":"330","article-title":"IUD insertion during cesarean section and its most frequent complications","volume":"62","author":"Alvarez Pelayo J.","year":"1994","journal-title":"Ginecol Obstet Mex"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.06.018"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70033-9"},{"key":"e_1_2_6_7_2","series-title":"The Yearbook of Obstetrics and Gynecology","first-page":"376","volume-title":"The role of intrauterine progestogen in menorrhagia","author":"Panay N.","year":"2004"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1990.tb16240.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199102000-00019"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.09.002"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0010-7824(92)90122-A"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1990.tb16249.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(01)01847-7"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1991.tb37898.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/16.10.2103"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(00)00489-1"},{"key":"e_1_2_6_17_2","series-title":"The Yearbook of Obstetrics and Gynecology","first-page":"451","volume-title":"The Mirena intrauterine system","author":"Rogerson L.","year":"2004"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0010-7824(94)90109-0"}],"updated-by":[{"DOI":"10.1002\/ijgo.16000","type":"retraction","label":"Retraction","source":"publisher","updated":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000}}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729211004875?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729211004875?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2011.07.036","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2011.07.036","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2011.07.036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T13:16:35Z","timestamp":1730898995000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2011.07.036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,27]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.1016\/j.ijgo.2011.07.036"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2011.07.036","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,27]]}}}