Evaluate immediate post-placental intrauterine contraceptive device (IPPIUCD) insertion by ultrasonography and clinical follow up
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 1
Abstract
Aims and Objective: To evaluate immediate post-placental intrauterine contraceptive device (IPPIUCD) insertion by ultrasonography and clinical follow up. Method: This study was conducted in the department of Obstetrics and Gynaecology, MKCG Medical College, Berhampur, Odisha from November 2014 to October 2016. Immediate post placental intrauterine contraceptive device (IPPIUCD i.e. CuT-380A) was inserted after vaginal delivery and during caesarean section and followed up till 6 weeks of insertion. USG performed at 24 hours and follow up at 6 weeks both clinically and by performing USG. Results: Out of 580 patients 62.8% received IPPIUCD after VD and 37.2% after caesarean section. USG done after 24 hours and IUCD’s >10 mm from fundus seen in 19.5% cases. 65.2% cases came back for follow up. Expulsion rate at 6 weeks was 9.8% and seen more in VD group and in multipara. Menorraghia in 16.7% cases and more in VD. Pain abdomen at follow up seen in 12.6% cases and similar in both VD and CS groups. Infection at 6 weeks was 2.1%. Expulsion rate was more with infection (57.1%).Expulsion rate(8.2%) and pain abdomen(74.4%) was higher with misplaced cases. At 6 weeks, misplaced IUCD’s seen in 5.5%. 93.2% at 6 weeks had properly placed IUCD’s. Removal rate was 8.5%. The leading causes for removal were menorrhagia, pain abdomen(4.4%,3.2% respectively). Conclusion: IPPIUCD (CuT-380A) is a highly acceptable contraceptive. No complications like uterine perforation, infection, pregnancy in situ occurred during the study and follow up period. Clinical and USG are the important methods for evaluation. It is beneficial for both clients and service providers. IPPIUCD is an important, useful, safe, convenient, highly acceptable, long acting, doesn’t affect tlactation and highly efficacious, temporary contraceptive method after delivery.
Authors and Affiliations
Khetrabasi Subudhi, Abhishek Kujur
Keywords
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