Comparative evaluation of IUCD insertion in postpartum period with interval period in a tertiary health care center of north India
Journal Title: Santosh University Journal of Health Sciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction Postpartum IUD insertion provides long term and effective contraception but there are concerns regarding increase in the risk of expulsion or perforation among researchers and clinicians This study compares PPIUCD versus interval IUCDMaterials and Methods In study 125 postpartum post placental and intracaesarean and 140 interval IUCD insertions total 265 IUCD were done 245 cases completed the study 21 were lost to followup Cu T 375 was used in the study Exclusion criteria were women with active PID uterine anomaly current carcinoma chorioamnionitis or puerperal sepsis prolonged rupture of membranes 18hrs genital trauma PPH history of ectopic pregnancy any hemorrhagic disorder genital infection diabetes mellitus heart disease pelvic tuberculosis and woman or husband having multiple sexual partners All were followed up for 6 months Various sociodemographic factors and complications like expulsion bleeding pain infection and medical removal were compared among groupsResults Most women came for follow up in both the groups PPIUCD758 and Interval712 The expulsion rate in PPIUCD group 92 was significantly higher than interval group 24 pConclusion There is an increased risk of expulsion in PPIUCD insertion but its benefits outweigh the risks So this method should be popularised across the country as a very effective method of interval contraception Keywords Postpartum intrauterine contraceptive device complications Satisfaction Removal rate
Authors and Affiliations
Alpana Agrawal, Amita Sharma, Neelima Agarwal, Manisha Gupta
Keywords
Related Articles
- EP ID EP488982
- DOI 10.18231/2455-1732.2018.0018
- Views 132
- Downloads 0
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