A study of the complications of immediate post- partum iucd insertion

Kavitha N.S, Latha K and Jayashree V

Background: More than half of Indian women in the first year post-partum wish to use a family planning method, but only one fourth is utilizing any method. This study was done to assess the complications of immediate postpartum insertion of intrauterine contraceptive device with the aim to offer a more effective postpartum family planning method.
Study Setting: Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram.
Study Design: A prospective longitudinal study.
Methods: The women who choose to have a postpartum intrauterine device insertion (Cu T 380A) were counselled and device inserted within 48hrs postpartum. Follow up is done at 4 weeks for complications and client satisfaction.
Results: Of the 75 subjects in the study group, there were 8 intracaeserean insertions and 69 transvaginal insertions. Expulsion of the device was found to be a significant complication in this study. The total expulsion rate was 12.12% in the whole study group. There was no expulsion in the subjects who had intracaeserean insertion. All the expulsions were among those in the transvaginal route, which was 12.12% (p value, 0.003). At the end of 4 weeks follow up, of the total % of the subjects who continued with this method, thread of the device was not visible in 12.12%.
Conclusions: Immediate postpartum CuT380A is a method of family planning with good client satisfaction especially intracaeserean insertion which had less expulsion rate than transvaginal

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