Role of Vaginal Misoprostol Prior to IUCD Insertion in Women Who Delivered Only by Elective Caesarean Section.

Role of Vaginal Misoprostol Prior to IUCD Insertion in Women Who Delivered Only by Elective Caesarean Section.

Role of vaginal misoprostol prior to IUCD insertion in women who delivered only by elective caesarean section.

Misoprostol ( 400mcg ) vaginally administrated 3 hours prior to IUCD insertion increases the ease and success of insertion and decrease associated pain among women who had delivered only by elective caesarean section.

Inclusion Criteria:

• All women will be 20 to 40 years of age.
• Desires IUCD placement and able to participate.
• Negative pregnancy test.
• Willing to follow- up in 6-8 weeks for a standard IUCD follow-up visit.
• Delivered only by cesarean section.

Exclusion Criteria:

• Active cervical infection.
• Current pregnancy.
• Uterine anomaly.
• Fibroid uterus.
• Copper allergy/Wilson's disease.
• Undiagnosed abnormal uterine bleeding.
• Cervical or uterine cancer.
• Allergy to misoprostol.
• Previous vaginal delivery.