Postpartum insertion of intrauterine contraceptive device in a teaching hospital in Kalyani, West Bengal : one year review
Journal Title: Journal of the Indian Medical Association - Year 2017, Vol 115, Issue 12
Abstract
Postpartum period is a crucial time when both mother and newborn need a special integrated package of health services as morbidity and mortality rates are quite high in this period. The women are also vulnerable to unintended pregnancy. WHO medical eligibility criteria state that PPIUCD is safe in postpartum lactating women. This prospective longitudinal study was conducted in the Department of Obstetrics and Gynaecology of College of Medicine & JNM Hospital, Kalyani (West Bengal) in the calendar year of 2016. All women coming to antenatal clinic or labour room in early labour were counselled for postpartum insertion of Cu T either at vaginal delivery or lower caesarean section. Cu T 380 A was inserted within 10 minutes of placental expulsion in vaginal deliveries and during caesarean section. Women were followed up at 6 weeks after insertion. 7410 patients delivered from 1st January 2016 to 31st December 2016. Acceptance rate of PPIUCD insertion was 52.5%. Majority of the insertions were post placental insertions (63.7%). Majority of cases who had PPIUCD insertion were between the age group of 18-25 years (40.52%). Most of the clients were para-2 (34.89%). Majority of the patients (38.64%) were primary school educated. Around 56% belonged to Hindu community. 61.86% cases came for follow up and out of these cases 90.77% cases showed willingness to continue PPIUCD. Immediate postpartum IUCD insertion is safe, low cost, long acting and reversible spacing method. The feasibility of accepting PPIUCD insertion can increase with proper antenatal counselling and awareness programs in community
Authors and Affiliations
Banasree Bhadra, Sougata Kumar Burman, Ranita Roy Choudhury
Keywords
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