A study to evaluate and compare the expulsion, removal and continuation of post placental insertion of Cu 375 and CuT 380A in Indian women
Journal Title: International Journal of Clinical Obstetrics and Gynaecology - Year 2018, Vol 2, Issue 1
Abstract
Background: Post Partum period is the ideal time for family planning counselling. Accessibility to health care facility is more during this period in our country. In view of repeated pregnancies, the present study is planned to evaluate the expulsion, removal and continuation of PPIUCD (Cu 380A and Multiload 375) in women delivering vaginally or by caesarean section in a tertiary care facility. Material and Methods: 220 women had PPIUCD insertion immediately after delivery of the placenta in vaginal and caesarean section (110 each in CuT 380A and Multiload 375) after applying inclusion and exclusion criteria. They were then followed up at 6 weeks and 3 months. Results: There were total of 6 expulsion, 4 in CuT 380A and and 2 in Multiload at 6 weeks follow up and 2 expulsion in Copper T 380A and none in Multiload at 3 months. Expulsion was more in case of vaginal delivery. There was 5.5% removal at 3 months (7.8% in Cu T 380A and 3.8% in Multiload 375). Main reasons for removal were pain lower abdomen (23.1%, Bleeding 38.4%, Discharge 15.3% and Family Pressure 23.1%).At the end of 3 months 86.7% continued with Copper T 380 A and 94.6% in the Multiload 375. Conclusion: Immediate postpartum IUCD insertion provides highly effective contraception immediately after delivery with minimal side effects. The expulsion in our study was not very high and can be reduced with skill and practice. Cash incentives to the acceptor, motivator and provider could bring about a substantial progress in the PPIUCD use in developing countries like India.
Authors and Affiliations
Dr. Somila Xess, Dr. Manju Sharma, Dr. Lata Rajoria, Dr. Seema Mehta
Keywords
Related Articles
- EP ID EP501874
- DOI -
- Views 140
- Downloads 0
Assessment of platelet count and its correlation with severity of pre-eclampsia: A comparative cross-sectional study
Background: Pregnancy induced hypertension (PIH) is the most common medical disorder of pregnancy contributing significantly to maternal / fetal morbidity & mortality. Hematological abnormalities ranges from thrombocytop...
Measurement of serum cholesterol levels as a predictor of preterm delivery
Introduction: Pregnancy is considered as an unique and physiologically normal episode in a women’s life. All pregnancies are at risk, while most pregnancies are uneventful. About 15% of pregnant women may develop a poten...
Knowledge, attitude, practice of contraceptive methods at ART centre, RIMS, Raichur Karnataka
Objective: To assess the knowledge, attitude, practice and preferences on contraceptive methods among the HIV positive females, to determine the association between knowledge and attitude on contraceptive methods with th...
Comparative study of hydrotubation, sonosalphingography, hysterosalphingography and diagnostic laproscopy for evalution of tubal patency in infertile women
Objectives: This study was done to compare Hydrotubation, Sonosalphingography, Hysterosalphingography and Diagnostic laproscopy for evalution of tubal patency in infertile women. Methods: 50 women with primary and second...
Association of elevated serum ferritin levels in mid-pregnancy and the risk of gestational diabetes mellitus
Gestational Diabetes Mellitus is defined as carbohydrate intolerance of variable severity with onset or first recognition during pregnancy, according to WHO guidelines. serum ferritin, is a major storage protein of iron....