Study the efficacy and compliance of postpartum intrauterine device
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 3
Abstract
Background: Postpartum period in any woman’s life is very important as it demands care of newborn and also prevention of unwanted pregnancies. This is a period where female can be motivated most for contraceptive advice and unmet need of contraception can be tackled. Postpartum IUCD is one method of long acting contraception which can be used immediately after child birth or within 48 hrs. Result: Out of 1800 patients councilled 400 accepted the PPIUCD. The mean age accepting the facility to maximum was 20-24 yrs and 55% were second gravida who had second child earlier than was supposed. 86.5 % patients were educated showing impact of education of female on contraception.72.5% patients preferred intracasarean PPIUCD to prolong the next conception due to operative delivery. The preference to use this method was mainly due to no need for a second visit for contraception and also it is devoid of hormonal side effects. Inspite of councelling to 1800 patients only 400 (22.2%) patients accepted this method mainly because they were not accompanied by partners and not able to take decision. During follow up at 6 weeks 72 % patients had no complaints while after 6 months 95% patients had no complaints. There was not a single patient of infection and perforation. We had 6 patients of expulsion at 6 weeks and 1 patient at 6 months follow up. Only 12 patients requested for removal of IUD. Conclusion: PPIUCD is a very effective, nonhormonal, long acting, reversible method of contraception. It needs extreme motivation, councelling from the antenatal period of the couple to increase the usage of this method.
Authors and Affiliations
V D Mule, J V Rokade
Keywords
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