A prospective study of immediate postpartum intra uterine device insertion in a tertiary level hospital

Arti Sharma, Vineeta Gupta, Neeta Bansal, Utkarsh Sharma, Archna Tandon

Abstract


Background:In India there is an unmet need for contraception. Intrauterine device is a long acting reversible method. This study was done to determine the efficacy and safety of immediate Post-Partum Intrauterine Device (PPIUD) and to compare the outcome of PPIUD insertion after vaginal delivery and caesarean section.  

Methods:A total of 113 women who underwent PPIUD insertion were followed up at 6 weeks and 6 months post-partum. Outcome in term of side effects, removal and expulsion was compared in vaginal delivery and caesarean section insertions.

Results:In 61.45% women there was no complaint. Menstrual disturbances were found in 16.66% women and pelvic pain in 13.54% women. The expulsion rate was 5.20% and IUD removal was done in 13.54% women. Incidence of removal was more in vaginal insertions than in caesarean insertions and this difference was statistically significant. Continuation rate at 6 months was 81.25%.  

Conclusion:Immediate postpartum IUD insertion is a safe, convenient and effective method.


Keywords


Immediate postpartum, Intrauterine device, Caesarean section, Expulsion rate

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References


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