{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:41:21Z","timestamp":1790228481300,"version":"4.1.0"},"reference-count":6,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2000,12,18]]},"published-print":{"date-parts":[[2001,7]]},"abstract":"<jats:p>Two cases of uterine perforation are described, occurring 11 days and 4 months, respectively, after the insertion of GyneFix, a frameless intra-uterine contraceptive device (IUD). In both the cases initial ultrasound scan showed the intra-uterine position of the device. Removal of the IUD, either by laparoscopy or laparotomy, had to be carried out. Awareness of this complication, insertion of GyneFix by a trained operator, appropriateness of ultrasound scan monitoring and possible underreporting of this complication are discussed.<\/jats:p>","DOI":"10.1783\/147118901101195344","type":"journal-article","created":{"date-parts":[[2005,3,5]],"date-time":"2005-03-05T01:30:57Z","timestamp":1109986257000},"page":"153-154","source":"Crossref","is-referenced-by-count":8,"title":["Uterine perforation by GyneFix frameless IUD: Two case reports"],"prefix":"10.1136","volume":"27","author":[{"given":"Jagdish D","family":"Gandhi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Whitmore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen N","family":"Iskander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2001,7,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1111\/j.1471-0528.1978.tb15845.x","article-title":"Removal of intra-abdominal intrauterine contraceptive devices","volume":"85","author":"Osborne, J.L.; Bennett, M.J.","year":"1978","unstructured":"Osborne JL, Bennett MJ. Removal of intra-abdominal intrauterine contraceptive devices. Br J Obstet Gynaecol 1978; 85: 868\u2013871.","journal-title":"Br J Obstet Gynaecol"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"55","DOI":"10.3109\/00016349309013352","article-title":"Unrecognised perforation of the uterine and rectal walls by an intrauterine contraceptive device","volume":"72","author":"S\u00f8gaard, K.","year":"1993","unstructured":"S\u00f8gaard K. Unrecognised perforation of the uterine and rectal walls by an intrauterine contraceptive device. Acta Obstet Gynaecol Scand 1993; 72: 55\u201356.","journal-title":"Acta Obstet Gynaecol Scand"},{"key":"ref_3","first-page":"149","article-title":"an update for interval, emergency and interval contraception","volume":"24","year":"1999","unstructured":"-an update for interval, emergency and interval contraception. The British Journal of Family Planning 1999; 24: 149\u2013159.","journal-title":"The British Journal of Family Planning"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0010-7824(95)00140-9","article-title":"UNFPA and WHO Special Programme for Research Development and Research Training in Human Reproduction, World Bank: IUD Research Group. The Cu 380A IUD and the Frameless \u201cFlexi Gard\u201d. Interim Three-Year Data from an international multicenter Trial","volume":"52","author":"U.N.D.P.","year":"1995","unstructured":"UNDP, UNFPA and WHO Special Programme for Research Development and Research Training in Human Reproduction, World Bank: IUD Research Group. The Cu 380A IUD and the Frameless \u201cFlexi Gard\u201d. Interim Three-Year Data from an international multicenter Trial. Contraception 1995;52:77\u201383.","journal-title":"Contraception"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/BF01987278","article-title":"The Gynefix intrauterine implant: a major Improvement in efficacy, expulsion and tolerance","volume":"11","author":"H, Van Kets; M, Vrijens; y, Van Trappen","year":"1995","unstructured":"Van Kets H, Vrijens M, Van Trappen y, et al. The Gynefix intrauterine implant: a major Improvement in efficacy, expulsion and tolerance. Adv Contracept 1995; 11: 131\u2013142.","journal-title":"Adv Contracept"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/0010-7824(92)90150-R","article-title":"The Flexigard 330ICC, an ultrasound evaluation","volume":"47","author":"Wildemeersch, D.; Defoori, P.; Martens, G.","year":"1992","unstructured":"Wildemeersch D, Defoori P, Martens G, The Flexigard 330ICC, an ultrasound evaluation. Contraception 1992; 47: 471\u2013476.","journal-title":"Contraception"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/147118901101195344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:22:01Z","timestamp":1757100121000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/147118901101195344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,7]]},"references-count":6,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2001,7,1]]},"published-print":{"date-parts":[[2001,7]]}},"alternative-id":["10.1783\/147118901101195344"],"URL":"https:\/\/doi.org\/10.1783\/147118901101195344","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,7]]}}}