Analysis of Acceptance, Efficacy and Retention Rate of Postpartum Intrauterine Contraceptive Device
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 6
Abstract
Background: Postpartum intrauterine contraceptive device is an effective form of long acting reversible contraception. This study was done to determine the level of acceptance among Indian women according to their socio-demographic profile and to estimate the retention rate of postpartum intrauterine contraceptive device among mothers who accepted Cu T 380A with mode of insertion through vaginal and cesarean section delivery. Methods: It is a cross sectional prospective study on mothers who were discharged after accepting postpartum intrauterine contraceptive device for the period from 1st April 2013 to 31st March 2014, was conducted during the month of August- October 2017 in tertiary care hospital. Results: Total number of postpartum mothers who accepted Cu T 380A were 2276 for the year 2013-14. About 332 mothers were taken as random sample and followed up to know the current status of their Cu T insertion. 76.2 % of the mothers were continued Cu T up to 6 months. Only 10.2 % of mothers reported as expulsion of Cu T. 46.6 % of mothers stated Cu T removed for want of childbirth. 25.7 % of mothers stated Cu T was removed due to complications. The mean retention period of PPIUCD was 23.7 months. The Retention Rate of PPIUCD was 44.6 % up to two years. The maximum period of retention of PPIUCD was about 5 years was found in two cases. 11.1% of mothers only were retained the PPIUCD for the maximum period of 4 to 5 years. Conclusions: In the present study, the retention rate of postpartum intrauterine contraceptive device in women was 67.8%, 46.4 %, 27.7%, 11.1 % up to one, two, three and four years respectively. About 19.3 % of women stated that they were continuing the PPIUCD at the time of follow up. Women with complications for PPIUCD were found more in Caesarean section (15.3 %) than in women who had delivered vaginally (10.4%). The postpartum intrauterine contraceptive device acceptance and retention rate was found higher in caesarean section delivery than in vaginal delivery. The follow up services of PPIUCD acceptors should be strengthened.
Authors and Affiliations
Dr. K. S. Ramya
Keywords
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