Title: A Prospective Study of Acceptability, Safety and Efficacy of Postpartum Insertion of Intrauterine Copper Device (CU-T380a) in Tertiary Care Teaching Hospital in South India
Authors: Shanthi Ponusamy, Minthami Sharon, Akanksha Singh
DOI: https://dx.doi.org/10.18535/jmscr/v10i1.31
Abstract
Introduction: Many national postpartum family planning (PPFP) programmes are progressively including postpartum intrauterine contraceptive devices (PPIUCD). Effectiveness of Intrauterine contraceptive device (IUCD) is an inexpensive method of family planning which is reversible, once inserted gives 5–10 years of protection against pregnancy.
Aim: We aimed to compare numerous IUCD-related clinical parameters to assess acceptability, safety, and efficacy in immediate postpartum vaginal insertion, intra-caesarean insertion.
Materials and Methods: It was a prospective analysis of data collected regarding maternal age, socioeconomic status, education, occupation, and parity of 354 eligible postpartum mothers in a tertiary care teaching hospital and Medical College in Tamil Nadu from January 2017 to January 2020. These women's data included acceptability, safety, and efficacy, as well as the spontaneous expulsion rate of IUCD, reasons for removal, and IUCD up to a 12-month follow-up period.
Results: The majority of the women were between the ages of 24 and 35, literate, primiparous, employed, and from a middle/lower socioeconomic status. Leukorrhea and abdominal discomfort were the most common side effects at 6 weeks,6 months, and a year, followed by vaginal bleeding. The majority of Cu- T was withdrawn in this trial due to p/v haemorrhage and stomach pain. After that, there is a per-vaginum discharge. At the end of the 12-month follow-up, the continuation rate was 94.61 percent.
Conclusion: The benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for women who receive PPIUCD, and the rates of expulsion were low enough.
Keywords: Intrauterine contraceptive device, Postpartum, Acceptance, Counselling, Complications.
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