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 91
- Downloads 0
Characteristics of patients of ante-partum hemorrhage at a tertiary care centre
Introduction: Antepartumhaemorrhage (APH) defined as bleeding from or into the genital tract after 24 weeks of gestation but before the birth of baby. The causes of APH are placenta previa, abruption placentae, local cau...
An evaluation of the effect of N – Butylbromide in the form of suppository in augmentation of cervical dilatation during labour, a prospective study at a tertiary care center
Introduction Labour is a multifactorial process The perception of pain to a great extent depends on the duration of labour and prolonged labour sets in a viscious cycle of pain fear spastic cervix This cycle has to be...
Comparison of two methods of delivery of the deeply engaged fetal head at Cesarean delivery
Although Cesarean delivery (CD) is the most common surgical procedure employed by the Obstetrician, vaginal delivery is the generally preferred mode of delivery by most women. But, sometimes while awaiting vaginal delive...
Evaluation of Umbilical Cord Coiling Index in late second trimester and its association with Perinatal Outcome
Background: Umbilical cord plays a major role for foetal persistence during the intrauterine period. Reports had shown that abnormal umbilical cord coiling in the form of hypo or hypercoiling are associated with abnormal...
Isolated Congenital Megacystitis (ICM): A rare case report
Isolated congenital Megacystitis represents a rare variant of fetal Megacystitis without other associated anomalies. The aetiology is not clear. Various methods of management have been described in literature. We report...