Experience on Awareness, Acceptability, Safety, Efficacy, Complications and Expulsion of Post-partum Intrauterine Contraceptive Device Insertion
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Background: Purpose: This study was conducted to evaluate the awareness, acceptance, safety, efficacy, complications and expulsion rate of Post-partum Intrauterine Contraceptive Device (PPIUCD) insertion among pregnant women in a tertiary care center. Materials and Methods: This is a retrospective analytical study conducted in S.C.B Medical College and Hospital, Cuttack, Odisha, over a period of 4 years. Willing 6104 clients were inserted PPIUCD who delivered either vaginally or by cesarean section. Post insertion follows up done. Various relevant parameters are critically analyzed. Results: Awareness about PPIUCD was significantly low compared to interval IUCD (11.37% vs. 69.53%). Acceptance rate was low (25.32%). Acceptance was higher in the age group of 26-30 years (35.3%), para-2 (42.84%) and those undergoing cesarean section (69%). 32.2% of acceptors came for follow-up. The main complaints at follow-up were missing thread and bleeding. Expulsion rate was low (2.91%). Continuation rate was 85.3%. No case of perforation, failure or any other major complication reported. The main causes of removal were bleeding and pressure from family. Conclusion: This study indicates that PPIUCD as a postpartum family planning method was highly effective, demonstrably safe, having no serious complication reported after insertion or during follow-up and had lower rate of expulsion in spite of low acceptance. The method may be particularly beneficial in our setting where women do not come for postnatal contraception counseling and usage. The acceptance of PPIUCD can be increased with repeated counseling beginning at the early antenatal period, public awareness, and offering incentives to acceptor, motivator and course provider.
Authors and Affiliations
Ajit Kumar Nayak, Manju Kumari Jain
Keywords
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