Post Placental Versus Intra Caesarean Insertion of Intrauterine Contraceptive Device: A Prospective Comparative Study
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2019, Vol 7, Issue 2
Abstract
Background: Immediate postpartum intrauterine contraceptive device (PPIUCD) insertion is approved by WHO as one of the safe and effective method of temporary contraception. Aims and Objectives: To evaluate and compare the safety and efficacy of post placental versus intra caesarean insertion of intrauterine contraceptive device (CuT 380A). Material and Methods: This prospective study was carried out on 210 patients. The patients were divided in two groups: Group I: 105 patients in whom post placental intrauterine contraceptive device was inserted within 10 minutes of delivery of placenta after vaginal delivery. Group II: 105 patients in whom intra caesarean intrauterine contraceptive device was inserted. Results: Mean age of women in group I was 24.94 ± 2.67 years & 24.81 ± 3.15 years in group II. Majority of women in group I, 40 (38.09%) women and 47 (44.76%) in group II were primigravida. In group I, 56 (53.33%) women & 51 (48.57%) in group II had PPIUCD insertion for long acting reversible contraception (LARC). In group I, 49 (46.66%) women & 54 women (51.42%) in group II had PPIUCD insertion only to space the next pregnancy. The most common complication seen at 6 weeks was missing thread in both the groups, 7.61% in group I & 28.57% in group II (p value 0.001 significant). At 6 weeks, 21 women (20%) in group not statistically significant. The incidence of missing thread of PPIUCD was more in intracesarean insertion than post placental insertion, but proper counselling and awareness motivated majority of the women for continuation of PPIUCD. The continuation rate & removal rates were same in both the groups. There was no case of pregnancy or perforation in either of the groups. Hence, PPIUCD is highly effective and safe long acting contraceptive method both in vaginal as well as cesarean deliveries with no major complications.
Authors and Affiliations
Neetu Sangwan
Keywords
Related Articles
- EP ID EP626667
- DOI 10.21088/ijog.2321.1636.7219.10
- Views 86
- Downloads 0
The Study of Maternal and Fetal Outcome in the Breech Presentation
Background: Breech presentation is the commonest abnormal fetal presentation met with in practice. It has been attended by a high perinatal morbidity and mortality. The clinical art of conducting vaginal breech delivery...
The Use of Modified WHO Partogram in Assessing the Outcome of Labour in a Tertiary Care Centre of Karnataka
Background: Labour has been termed the most dangerous journey a human ever under takes Any failure to recognize such, would result in prolonged labour which may result in morbidity or mortality of both the mother & fetus...
Pregnancy Outcome in Cases of Meconium Stained Amniotic Fluid
Objective: Neonatal outcome in meconium stained amniotic fluid cases and correlation with maternal risk factors. Methods: it was an observational study at Sir Sunder Lal Hospital, Banaras Hindu University. This is a tert...
Study of Feto-Maternal Outcome of Pregnancy in Booked Versus Unbooked Patients
Objective: • To compare fetomaternal outcome of pregnancy in booked versus unbooked patients. • To study the effectiveness of hospital based antenatal monitoring and care. Material and method: This was a prospective anal...
To Study Indication of LSCS in New Civil Hospital, Surat Using Modified Robson’s Criteria
Objectives: to study indication of LSCS in our setting using modified Robson’s criteria. Materials and Methods: The study was carried out at Dept of Obstetrics and Gynecology, in our institute, for 1000 consecutive caesa...