A preliminary feasibility study to evaluate the safety, acceptability and efficacy of PPIUCD prior to implementation of PPIUCD service
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction PPIUCD is a very safe reversible long term contraceptive The recommended interval between pregnancies is at least 24 months in order to reduce the risk of adverse maternal perinatal and infant outcomes In our district the usage of PPIUCD is 01 and 60 of deliveries take place in private health facilities This preliminary study is conducted in a private teaching hospital with the aim to determine proportion of women accepting PPIUCD and to develop our own data regarding immediate complications to guide us in counselling the women and to implement PPIUCD servicesMaterials and Methods This prospective feasibility study was done from July 2017 to January 2018 100 women attending the for antenatal checkups were counselled for PPIUCD The women who consented were inserted with PPIUCDResults Acceptance rate was 30 and most of the women who accepted PPIUCD were primiparae 583 An analysis of the reasons for acceptance of PPIUCD showed that long term efficacy 333 safety 20 fewer clinic visits 166 and non hormonal 133 were the most common reasons for acceptanceConclusion The PPIUCD is safe having no reported incidence of perforation with low rate of expulsion pelvic infection and few lost strings and these complications can be reduced further with training and practice The acceptance and continuation rates can be improved with counselling and strategic follow up protocols in our district with very low rate of PPIUCD usage Keywords Postpartum intra uterine contraceptive device Long acting reversible contraceptives Acceptance Complications
Authors and Affiliations
Naima Fathima, M V. Ramana Rao, Swathi J
Keywords
Related Articles
- EP ID EP475989
- DOI 10.18231/2394-2754.2018.0108
- Views 59
- Downloads 0
Fetomaternal Outcome in Acute Viral Hepatitis
Introduction: Viral hepatitis is one of the commonest causes of jaundice in pregnancy. Hepatitis E viral (HEV) infection is associated with major catastrophes in pregnancy with high maternal and foetal mortality rate. Ob...
Interesting phenomenon of Concomitant Leiomyomas: Management issues in a two case miniseries
Vaginal fibroids with coincidental uterine fibroids are very occurrences in gynaceological practice. They tend to pose management difficulties with regards to radiological, clinical and operative aspects. Here, we attemp...
Comparative study of serum calcium and serum magnesium levels in patients of preeclampsia and normotensive patients
Introduction Hypertension disorders are major factors responsible for morbidity and mortality in pregnancy and preeclampsia is the leading cause The etiopathology of PE is not known even after significant research done o...
A comparative study of the methods of tubal patency using Hysterosapingography, Sonosalpinography and Laproscopic Chromopertubation
Objectives: To find out the comparative evaluation of Sonosalpingography, Hysterosalpingography and Laparoscopy for determination of tubal factors in cases of primary and secondary infertility. Method: A total of 71 pati...
Effectiveness of self-developed informational booklet regarding birth preparedness and complication readiness (BPCR) on knowledge of antenatal women and assessment of competencies of ASHAs regarding BPCR-A pilot study
Introduction A healthy childbirth experience is absolutely vital for an antenatal woman as it can greatly influence not only her health but also that of the newborn Birth preparedness and complication readiness is an app...