Evaluation of Safety, Efficacy and Expulsion of Post Placental Insertion of Intrauterine Contraceptive Device.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 7
Abstract
Aims: To determine the safety, efficacy and expulsion of post placental insertion of contraceptive device. Materials and methods: The study population included all primigravida who were counselled both during antenatal period and during early labor and given consent and CuT 380A inserted within 10 minutes of placental delivery and were given post insertion counseling and were followed up at 6,12 and at 24 weeks Results and Discussion: Totally 2630 primipara’s was delivered of which 1828 women were included in the study. Acceptance rate is 69.50%. The mean age of women in the study was 24 year. Out of 1828 patients, 1450 patients (79.3%) delivered by labour natural, 318 patients (17.4%) delivered by caesarean section, 60 patients (3.3%) delivered by assisted deliveries. They are counselled for follow up at 6 weeks, 12 weeks and 24 weeks and issued a follow up card. Out of 1828 woman, only 922(50.4%) returned for first follow up and 780(42.7%) returned for second follow up and 703(38.4%) returned for third follow up. 276(15%) developed lower abdominal pain, 271(14.8%) developed excessive bleeding pervaginum,27 (1.5%) developed both lower abdominal pain and excessive bleeding pervaginum. 74 patients had expulsion of IUCD. Continuation rate at the end of 24 weeks is 38.1%. Conclusion: PPIUCD is the most safe and highly efficacious mode of contraception and provides healthy birth spacing, thereby decreasing the unmet need for family planning.
Authors and Affiliations
Dr. M. Mumtaj
Keywords
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