Complications Following Immediate Postpartum Intrauterine Contraceptive Device Insertion among Pregnant Women
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Immediate Post Partum Intra Uterine Contraceptive Devices (PPIUCD) insertion provide immediate contraception, prevents repeat unintended pregnancies, reduces side effects like menstrual problems, lower abdominal pain and cramps during insertion. It is more approachable in our country where delivery may be the only time when a healthy woman comes in contact with health care personnel. Despite all the advantages of, numerous complaints and complications have been encountered with PPIUCD insertion. So, the aim of the study was to evaluate the complaints and complications following immediate post partum intra uterine contraceptive devices (IUCDs) insertion and to determine the removal and continuation rates of PPIUCD insertion. Methodology: This study was conducted among fifty married pregnant women. The immediate postpartum intrauterine contraceptive device (Cu – T 380A) was inserted and the patients were counselled for checking the IUCD thread regularly and were advised to visit outpatient department for follow up after 6 week and at 3 months or any time if any complaints and complications arose. In each follow up, women were asked for checking of thread, history of missing string, spontaneous expulsion, pain abdomen, excessive bleeding, any infection, fever, any vaginal discharge etc. Results: At 6 weeks follow up period, 25 (50%) of the participants had presented with complaints and complications. After three months 5 (10%) of the participants had presented with complaints and complications and 45 (90%) of the participants had no complaints and complications. The commonest complaints at follow up after 6 weeks of PPIUCD insertion was of pain abdomen (20%) followed by heavy bleeding (18%), missing string (8%) and threads comes out (4%). At follow up after three months of PPIUCD insertion pain abdomen was still the predominant complaints (8%) followed by missing string (2%). Conclusion: Immediate postpartum contraceptive device insertion was safe and effective method of postpartum family planning, the complaints and complications were more in early period after insertion which has decreased at 3 months follow up. Insertion of PPIUCD was safe and effective and had high continuation rate (86%) with no failure (0%).
Authors and Affiliations
Dr. Mahabur Rahaman, Col. (Dr. ) A. K. Srivastava
Keywords
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