{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:10:07Z","timestamp":1756293007216,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,8,5]]},"abstract":"<jats:p>Use of a postpartum intrauterine contraceptive device (PPIUCD) is a highly effective, reversible and long-acting family planning method that can be initiated in the immediate postpartum period, especially in lactating women. PPIUCDs have been inserted in more than 65\u2005000 women worldwide and the numbers are increasing with many countries introducing PPIUCDs as part of their family planning programme. As the numbers of PPIUCD insertions are increasing, we are getting wiser regarding complications of this procedure. One of the less-understood entities is a malpositioned PPIUCD, a situation where the IUCD is present inside the uterus but its placement is eccentric and a part or the whole of it may be embedded in the myometrium. It can present as lost strings or as a failure to remove the intrauterine device. We present a series of cases with malpositioned PPIUCDs and their management.<\/jats:p>","DOI":"10.1136\/bcr-2015-211424","type":"journal-article","created":{"date-parts":[[2015,8,19]],"date-time":"2015-08-19T06:56:02Z","timestamp":1439967362000},"page":"bcr2015211424","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Malpositioned IUCD: the menace of postpartum IUCD insertion"],"prefix":"10.1136","volume":"2015","author":[{"given":"Aruna","family":"Nigam","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayesha","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Archana","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, Jamia Hamdard, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,8,19]]},"reference":[{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.1","unstructured":"Rutstein SO . Further evidence of the effects of preceding birth intervals on neonatal, infant, and under-five-years mortality and nutritional status in developing countries: Evidence from the Demographic and Health Surveys. DHS Working Papers, Demographic and Health Research (41). 2008. http:\/\/dhsprogram.com\/pubs\/pdf\/WP41\/WP41.pdf (accessed15 Jul 2015)."},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.2","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-014-0550-3"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.3","unstructured":"USAID Maternal and Child Health Integrated Program. Program Learning for Postpartum Intrauterine Contraceptive Device [PPIUCD] Integration with Maternal Health Services. Programmatic Experience from Multiple Countries. http:\/\/www.mchip.net\/sites\/default\/files\/MCHIP%20Guidance%20for%20PPIUCD.pdf (accessed 20 May 2015)."},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.gyobfe.2011.08.019"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.5","first-page":"56","article-title":"Post partum\u2014intrauterine device insertion 2\u2005yr experience at a Tertiary Care Center in Guntur Medical College\/Govt. General Hospital, Guntur","volume":"14","author":"Maluchuru","year":"2014","journal-title":"IOSR J Dent Med Sci"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.6","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5455\/2320-1770.ijrcog001112","article-title":"Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion","volume":"1","author":"Kittur","year":"2012","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.08.015"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.01.018"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.9","first-page":"38","article-title":"Malpositioned IUDs: when you should intervene (and when you should not)","volume":"24","author":"Braaten","year":"2012","journal-title":"OBG Manag"},{"key":"2025082703543786000_2015.aug19_1.bcr2015211424.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2006.07.013"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-211424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:54:44Z","timestamp":1756292084000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-211424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,19]]},"references-count":10,"alternative-id":["10.1136\/bcr-2015-211424"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-211424","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,8,19]]}}}