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Category: Volume 07 Issue 12 December 2019
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Title: Postpartum Intrauterine Contraceptive Device – A Follow up Study of Clinical Outcomes

Authors: Rekha Aseri, Kalpana Mehta, Vimla Choudhary

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.20

Abstract

Background: Intrauterine Contraceptive Devices (IUCDs) have been used by women in India for decades for spacing pregnancies and it is the most commonly used reversible method of contraception worldwide. IUCD can be inserted safely at any time during the first 48 hour after delivery, can also be inserted after 6 weeks postpartum. It can be removed whenever the individual desires and fertility returns immediately.

Objective: To study the acceptance rate and clinical outcomes of the Postpartum IUCD.

Material and Methods: A prospective study was conducted about immediate postpartum IUCD (IPPIUCD) insertions at MDM Hospital Jodhpur, Rajasthan and Follow-up clinic visits of women who reported for examination after 6 weeks of IPPIUCD insertion were analyzed.

Results: A total of 4378 deliveries occurred including vaginal and caesarean. PPIUCD inserted in 1264 women which shows acceptance of immediate PPIUCD in 28.87% of women. Perforation of uterus does not occurred in any woman. Unusual vaginal discharge was found in 12.5%, infection in 2.03% and irregular bleeding per vaginum in 11.56%. Expulsion of device occurred in 6.25%. Thread of IUCD string was not felt by 9.06% of women in subsequent visit. 

Conclusion: The finding suggests that concept of PPIUCD is new in community and there is need to increase in level of awareness in the community by means of health education and counselling.  PPIUCD can play a pivot role in country’s family planning programme.

Keywords: Expulsion, Family planning, PPIUCD, Postpartum contraception.

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Corresponding Author

Rekha Aseri

Dr S N Medical College, Jodhpur, Rajasthan, India