Evaluation of Safety, Efficacy and Continuation Rates of Postpartum Intrauterine Contraceptive Devices (PPIUCD) (Cu-T 380 A)
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 7
Abstract
Introduction: Copper intrauterine devices (IUDs) are the most commonly used type of IUD. This study is aimed at assessing the safety, efficacy and continuation rates of postpartum Cu T380A in women delivering at our center. Methodology: A longitudinal study of participants recruited from the antenatal clinic willing for postpartum insertion of Cu T380A was done. Participants were counselled about Cu T380A during the antenatal period. Baseline demographic information, medical and menstrual history and adverse effects were noted. Expulsions and continuation rates were assessed. Results: During the study period 89 women were willing for IUCD insertion and regular follow up. Most common age group was 26 to 30 years and 73% were primipara. 53% of all participants had an immediate postpartum insertion of IUCD. Insertion of IUCD was easy in 87% of the cases and two thirds had a pain perception of 0 to 5 on the VAS. During the follow up period pf one year a total of 12 expulsions were observed. Additionally, five cases had their IUCD removed. So the total continuation rate in our patient population was 81%. Unplanned pregnancy was reported in one cases (1.1%). Five cases reported abnormal vaginal bleeding, three reported pain in abdomen and two cases reported the thread to be missing. No cases of pelvic inflammatory disease (PID) were reported in our patient population during the study period. Conclusions: The benefits of Cu T380A should become better recognized with time. As part of routine antenatal services, counselling for post-partum family planning should be done for all women.
Authors and Affiliations
Dr Sanjivani Ashok Deshpande, MD, DGO
Keywords
Related Articles
- EP ID EP517491
- DOI -
- Views 72
- Downloads 0
The Role of Fibrin Glue for Splenic Salvage in Grade I and II Splenic Injuries in Albino Rats and Rabbits
Introduction: Spleen is one of the most commonly injured abdominal organ in blunt trauma. Iatrogenic splenic injury accounts for 20% of all splenectomy. A better understanding of importance of the spleen, its role in imm...
Bacteriological Profile and Antimicrobial Susceptibility of Blood Culture Isolates from Tertiary Care Hospital, Navi Mumbai
Introduction: Blood stream infections (BSI) constitute a significant public health problem with increasing morbidity and mortality in hospitalized patients. Illnesses associated with blood-stream infections range from se...
Effect of Adalimumab on Ankylosing Spondylitis: A three Month Clinical Response in Indian Scenario+
Introduction: This study aimed to evaluate the clinical response and safety in patients of Ankylosing spondylitis (AS) from a Rheumatology clinic in Madhya Pradesh, city Indore, after three months of Adalimumab therapy....
Bilateral Bronchiectasis Presenting as Persistent Pneumonia in a 12 year Old Child
Bronchiectasis in children presents as a wide spectrum of disease severity. Some children have intermittent symptoms of cough and occasional lower respiratory tract infection. Others experience daily cough and produce pu...
ABO and Rh Blood Groups in Ischemic Heart Disease Patients: A Cross Sectional Study from Rural Tertiary Care Hospital of South Karnataka
Background: Genetic factors are one of the non modifiable risk factors for ischemic heart disease. The ABO blood group is one such pivotal genetic determinant that can give valuable information for early detection of ris...