Acceptance of immediate postpartum intrauterine contraceptive device (PPIUCD) insertion by pregnant women
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Higher maternal and child mortality and morbidity are interrelated with short intervals between births. Postpartum women need a range of effective contraceptive methods for prevention of an unplanned pregnancy, within a short interval. Significant counselling during the antenatal period and before delivery decides the use of PPIUCD as a method of contraception. Immediate postpartum insertion of IUCD is a safe and effective, in comparisons with other insertion times. Objective: The study was aimed to evaluate the acceptance of immediate postpartum intrauterine contraceptive device (PPIUCD) insertion during normal vaginal delivery and intraceasarean after 10 minutes of removal of placenta (post placental insertion) and immediate post partum (within 48 hours) of normal vaginal delivery. Materials and Method: It was conducted among 50 postpartum women attending Eastern Command Hospital, Kolkata with their consent and permission of Institutional Ethics Committee. The participants were counselled during antenatal period, early labour and postpartum period (within 48 hours of delivery). Results: The acceptance of PPIUCD insertion was higher during early labour (48%) followed by post partum period (34%) and antenatal period (18%). It was higher in multigravida (88%) than among primigravida (12%). The acceptance in multigravida with two or more children was higher (54%) than multigravida with one child (34%) and with primigravida (12%). It was higher in normal vaginal delivery (84%) than intraceasarean insertion (16%). Post placental insertion was higher (62%) than immediate post partum insertion (38%). Conclusion: The acceptance of PPIUCD was high. This study will develop possible references to motivate the pregnant women with an assurance for immediate PPIUCD insertion.
Authors and Affiliations
Dr. Mahabur Rahaman, Dr. Nirmalya Saha, Brig. (Dr. ) A. K. Srivastava, Col. (Dr. ) A. K. Sood
Keywords
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