A STUDY ON OUTCOME OF POSTPLACENTAL INSERTION OF INTRAUTERINE CONTRACEPTIVE DEVICE AT A TERTIARY CARE CENTRE IN COASTAL ANDHRA PRADESH
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 1
Abstract
BACKGROUND In view of high rate of teenage marriages, unintended pregnancies and low rate of birth spacing in this region, there is a need for reliable, effective, long-term contraception such as Intrauterine Contraceptive Device (IUCD) in postpartum women. The present study was planned to evaluate the safety and efficacy of postplacental IUCD insertion in women delivering vaginally or by caesarean section in a tertiary care centre facility in East Godavari District of Coastal Andhra Pradesh. MATERIALS AND METHODS The women recruited had Cu-T 380A insertion immediately after delivery of placenta in vaginal or caesarean delivery. The women were followed up at 6 weeks and 6 months after delivery. RESULTS A total of 123 women were included in the study. 93.4% women reported for 1st follow up at 6 weeks and 73% women reported for 2nd follow up at the end of 6 months. The cumulative expulsion rate at the end of 6 months was 8.67%. Cases required removals of Cu-T in view of menorrhagia were 4%. There were no cases of misplaced IUCD, PID, perforation of uterus, pain abdomen. However, 4% of women got IUCD removed due to domestic reasons. CONCLUSION Although, the expulsion rate for immediate postpartum insertion was higher than for interval insertion, the benefits of providing highly-effective contraception immediately after delivery outweigh this disadvantage particularly in a rural area where women have limited access to medical care.
Authors and Affiliations
Chandrika Kanne, Venkateswara Rao Jakamsetti
Keywords
Related Articles
- EP ID EP211020
- DOI 10.18410/jebmh/2017/9
- Views 132
- Downloads 0
ACQUIRED CUTIS LAXA WITH RECURRENT URTICARIA
A 30 year old male patient presented with progressive laxity and wrinkling of skin over the face for past 10 years, patient also gives history of recurrent urticaria since 12 years. Skin biopsy using Verhoff Van Gieson s...
A STUDY OF GRAFT UPTAKE AND HEARING IMPROVEMENT IN CARTILAGE TYMPANOPLASTY
BACKGROUND To evaluate the effectiveness of Cartilage as a grafting material in terms of graft uptake and postoperative hearing following Type I Tympanoplasty. Tympanoplasty is a procedure to eradicate disease in the mid...
FOGGING RETINOSCOPY- A NOVEL METHOD TO PERFORM REFRACTION UNDER NORMAL CONDITIONS
This study of fogging retinoscopy in persons with refractory errors under normal conditions was conducted to evaluate an alternate simple way of getting an accurate assessment of the extent and amount of refractory error...
A STUDY ON VARIOUS MODES OF PRESENTATION OF GASTROINTESTINAL TUBERCULOSIS AT EMERGENCY, ITS MANAGEMENT AND OUTCOMES
Abdominal tuberculosis is the 6th most common form of extrapulmonary tuberculosis, among which ileocaecal tuberculosis is most common. Tuberculosis has been declared a global emergency by the World Health Organization (W...
PREVALENCE OF ANAEMIA AMONG CHILDREN AGED 12 YEARS AND YOUNGER IN NORTH EAST INDIA
BACKGROUND AND OBJECTIVE Anaemia is one of the most important public health problem among children. The infants, preschool children, adolescents and pregnant women are at highest risk of nutritional anaemia. The aim of t...