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COMPARISON OF ACCEPTANCE, SAFETY AND EXPULSION OF IUCD INSERTION IN POST-PLACENTAL PERIOD VERSUS IMMEDIATE POSTPARTUM PERIOD IN A TERTIARY CARE CENTER

Geeta Katheit, Sudha Chaurasia, Aruna Kumar, Juhi Agarwal

Abstract


Background: The study was conducted to compare post-placental intrauterine contraceptive device insertion with immediate post partum IUCD in terms of acceptance, safety and expulsion in vaginal deliveries.

Methods: This was a prospective longitudinal study. 397 willing women were inserted PPIUCD out of which 305 were in post placental period while 92 in immediate post partum period. Outcomes were studied at 6 weeks.

Results: 76.8% of PPIUCD insertions were post placental whereas only 23.17% were in the immediate postpartum period.  83.38% of clients returned for follow-up whereas 16.12% of clients were lost during the study. In the post placental group,89.5% of women retained their IUCD after 6 weeks of insertions, while in the immediate postpartum IUCD insertion group only 34.14% retained the IUCD at follow-up visit.(p<<<0.0001)

Conclusion: Expulsion rates are more in immediate post partum IUCD than post placental IUCD therefore it is better to insert CuT immediately after the expulsion of placenta.


Keywords


Post placental IUCD, Immediate post partum IUCD, Safety of IUCD, Expulsion of IUCD, Cu-T 380A, Contraception.

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References


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