Acceptance, safety and complications of postpartum intra uterine contraceptive device: a prospective study in tertiary care hospital

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dc.contributor.authorJain, Rekhaen_US
dc.contributor.authorSharma, Manishaen_US
dc.contributor.authorGupta, Shrutien_US
dc.date.accessioned2020-10-16T07:55:49Z
dc.date.available2020-10-16T07:55:49Z
dc.date.issued2019-05
dc.description.abstractBackground: Intrauterine contraceptive device is a long acting, effective and reversible method of contraception. It can be inserted post placental during vaginal or LSCS delivery and within 48 hours of delivery.  This study evaluates the acceptance, safety, side effects and complications associated with immediate post-partum intrauterine contraceptive device (PPIUCD) insertion.Methods: The study was conducted at Hindu Rao Hospital and NDMC Medical College, Delhi for a period of 18 months. Patients admitted and delivered at Hindu Rao Hospital were counseled for PPIUCD, CuT 380 A / CuT 375 insertions and it was inserted within 10 minutes of delivery of placenta during vaginal delivery or LSCS or within 48 hours of delivery. Patients were followed at 6 weeks and then between 6 to 12 months of delivery for continuation, side effects or any complications.Results: After counseling 1253 (9.8%) patients agreed for PPIUCD insertion out of which 650 patients came for follow up. 46% women came for routine follow up while 54.06% came with one or the other complications. Missed thread was most common complications, followed by bleeding P/V and pain abdomen. Expulsion in 5.5% and CuT failure was seen in 0.92% women only. Removal of IUCD was done in 94 patients for one or other reasons. There was retention of PPIUCD in 84.5% while removal was done in 14.5% during period of 6 months to one year follow up. Missed thread was main cause of anxiety among acceptors.Conclusions: Immediate PPIUCD is safe and effective method of contraception with a high retention rate. Though acceptance in initial months was less but it gradually increased over time with increasing awareness, counseling of patients and training of health personnel.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Hindu Rao Hospital and NDMC Medical College, Malkaganj, Delhi, Indiaen_US
dc.identifier.citationJain Rekha, Sharma Manisha, Gupta Shruti. Acceptance, safety and complications of postpartum intra uterine contraceptive device: a prospective study in tertiary care hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 May; 8(5): 1916-1920en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206699
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber5en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20191942en_US
dc.subjectIntra uterine contraceptive deviceen_US
dc.subjectPPIUCDen_US
dc.subjectCuT 380 Aen_US
dc.subjectCuT 375en_US
dc.titleAcceptance, safety and complications of postpartum intra uterine contraceptive device: a prospective study in tertiary care hospitalen_US
dc.typeJournal Articleen_US
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