Outcome of immediate postpartum insertion of IUCD - A prospective study
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
Introduction Immediate postpartum intrauterine contraceptive device insertion is an excellent family planning method which provided safe effective long term and reversible contraception to women in the delivery setting Hence the present study was undertaken to assess the clinical outcome of immediate postpartum insertion of intrauterine contraceptive device in terms of safety and efficacy and to compare the two routes of insertion ie in vaginal deliveries and cesarean sectionObjective 1 To study awareness level of PPIUCD among parturient 2 To study safety and efficacy of PPIUCD insertionMaterials and Methods A cohort of 100 vaginal and 100 cesarean deliveries with PPIUCD insertion were studied over a period of 1 year and followed for three months in this prospective interventional study Outcome measures of safety were perforation irregular bleeding unusual vaginal discharge and infection Outcome measures of efficacy were pregnancy expulsions discontinuation and incidence of coiled up undescended strings The data was compiled and analyzedResults In the present study only 345 N69 of the study sample were aware of the PPIUCD while the rest 655 were unaware No serious complications such as pregnancy or perforation were encountered in our series Most common complication reported in both the groups was excessive bleeding PV followed by pain in lower abdomen Spontaneous expulsion of the device was noted in 3 of vaginal insertions and none in the cesarean insertionConclusion PPIUCD is an excellent method to limit or space child births It is offered to a woman in a setting when she is highly motivated and genuinely needs itKeywords PPIUCD Postpartum contraception Insertion of IUCD
Authors and Affiliations
Durga Sahu, Urmila Tripathi
Keywords
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- EP ID EP475996
- DOI 10.18231/2394-2754.2018.0115
- Views 66
- Downloads 0
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