Immediate Postpartum Intrauterine Device Insertion and its outcome: a Prospective Study in a Tertiary Care Centre
Background: In developing countries, the maternal mortality and morbidity associated with closelyrelated pregnancies and abortions can be prevented by intervening immediately after delivery byproviding women with insertion of IUCD. This study was intended to evaluate PPIUCD as a methodof contraception immediately following the delivery. Aims and Objectives: To evaluate theacceptability of PPIUCD, various factors affecting its influence, and to study the follow-upcomplications.
Materials and Methods: This study was conducted in the labour room at KIMS,Karad from January 2020 to May 2021. Women around 18-40 years, of 34-40weeks, were included.Pregnancies complicated with PROM>18 hours, obstructed labour, fever, anaemia, and PPH wereexcluded. After proper counselling, women were inserted with IUCD after 10min-48 hrs of delivery ofplacenta in vaginal or caesarean section and followed up at discharge and 6weeks.
Results: Out of8128 deliveries, 3534(43.6%) women had fulfilled medical eligibility criteria, out of which 140(40%)women had accepted the service among the counselled women of 350(9.90%). During follow up,75.7% had no complaints at discharge and 84.2% at 6weeks. Few had excessive bleeding, pain inthe lower abdomen, and no visible thread complaints. The overall expulsion rate at 6 weeks in thisstudy was around 2.1% and the continuation rate was 97.8%.
Conclusion: There is a need forproper counselling for PPIUCD and conduct workshops from the early weeks of pregnancy to coverthe unmet needs of contraception.
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