A comparative feedback between traditional Copper-T 380 A and Etherena T Cu 380 A a Innovative loading and inserting device to provide a safe and convenient method of IUD insertion

Abstract

Objectives: To establish comparative results related to insertion of Copper-T 380A using traditional method of insertion versus an innovative inserter (Etherena). Comparison parameters included ease of insertion, fundal placement, time taken to insert, training needs, client comfort and perception during use of different types of Uterine Sound. Methods: A comparative single-blinded study was conducted in Muzaffarnagar Medical College, India. One Hundred randomly selected women enrolled between October-2020 and March-2021 for the study. All participants were counselled for family planning, met eligibility criteria, and requested for interval IUD. Resident doctors, with experience in traditional Copper-T insertions prior to study implementation, performed insertions after getting training for Etherena insertion. For traditional Copper-T, metallic uterine soundwhereas a disposable Uterine Sound with Etherena was used. Results: Post-insertion ultrasonography showed successful placement of IUD to the fundus in 100% of the cases in both groups.The mean distance from the fundus was 1.82 mm and 3.7mm respectively in Etherena v/s Copper-T group, as assessed by ultrasonography. Mean time taken for the process in both groups was similar (≈90 seconds); it was more consistent in Etherena vs Copper-T. The setting of uterine depth measurement on inserter was easy in 98% vs 88% cases in Etherena v/s Copper-T.Sounding related pain or discomfort was reported in 2% cases of Etherena group vs 48% in Copper-T. Client satisfaction levels reported were 98% for Etherena and 72% for Copper-T. No case of trauma or perforation observed in either group. Conclusions: The innovative & safe insertion process using Etherena makes Copper-T 380A insertions more convenient and accessible and significantly comfortable from the client perspective.