Changing trends in intrauterine contraceptive device: from interval intrauterine contraceptive device to postpartum intrauterine contraceptive device: a prospective observational study in a tertiary care hospital in eastern Uttar Pradesh

Authors

  • Sneha Tyagi Department of Obstetrics, BRD Medical College, Gorakhpur, Uttar Pradesh, India
  • Vani Aditya Department of Obstetrics, BRD Medical College, Gorakhpur, Uttar Pradesh, India
  • Reena Srivastava Department of Obstetrics, BRD Medical College, Gorakhpur, Uttar Pradesh, India
  • Geeta Gupta Department of Obstetrics, BRD Medical College, Gorakhpur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161907

Keywords:

PPIUCD interval IUCD acceptance expulsion

Abstract

Background: The current outburst of Indian population (1.21 billion as per census 2011) is because of the lack of awareness and acceptance of contraception in the immediate postpartum period. Postpartum intrauterine contraceptive device (PPIUCD) insertion can do wonders and curb this unmet need of family planning if good counselling and proper insertion techniques are followed.

Methods: The present study was carried among 526 women in the department of obstetrics and gynaecology of Nehru Hospital in BRD medical college Gorakhpur, India. Intrauterine contraceptive device (IUCD) was inserted in 424 women in PPIUCD group and in 102 women in interval IUCD group after taking proper consent and following the WHO medical eligibility criteria for contraceptive use (MEC). Follow-up was done at 6 weeks and 6 months.

Results: The acceptance rate of PPIUCD was 30.34% as compared to 18% in interval IUCD group (p-value <0.05). The chief reason for declining the use of IUCD was fear of excessive pain and bleeding (26.3%). Long term reversible method (32%) was the main reason given for accepting IUCD. There was no perforation or any other major complication at the time of insertion in both the groups. Rate of expulsion was 5.7% in PPIUCD and 2.22% in interval IUCD group p-value (>0.05).

Conclusions: PPIUCD is a safe, effective, feasible and reversible method of contraception. It should be made a part of family health care programmes in India.

References

National rural health mission ministry of health and family welfare Government of India. JSY. Available at http:// www. mohfw.nic.in/ layout_09-06. pdf. Accessed on 18 October 2014.

Abdulwahab R, Ali M. Dept of Obstetrics and Gynaecology,Muhimbili University of Health and Allied Sciences , Tanzania, November 2012.

Grimes D, Schulz K , Van VH, Stanwood N. Immediate postpartum insertion of IUCD. Cochrane Database Rev. 2003;1(4):23-7.

Safwat A, Mohamed MA, Kamel OM. Acceptability for the use of postpartum intrauterine contraceptive devices: assiut experience. Med Princ Pract. 2003;12:70-5.

Bonilla RF, Aguilar ZME, Cazares ML, Hernandez OME, Luna RMA. Factors for expulsion of intrauterine device TCu380 a applied immediately postpartum and after a delayed period. Rev Med Inst Mex Seguro Soc. 2005;43:5-10.

Kafiye E, Greenslade AG. Comparison of efficacy and complication of IUCD insertion in immediate post placental, early postpartum period with interval period. 1 year follow up period. Contraception. 2006;74:376-81.

Celen S, Moroy P, Sucak A, Aktulay A, Danişman N. Clinical outcomes of early postplacental insertion of intrauterine contraceptive devices. Contraception. 2004;69:279‐82.

Beltagy NS, Darwish EA, Kasem MS, Hefila NM. Comparison Between Cupper T380 Iud and Multiload 375 Iud in early post‐partum insertion. Middle East Fertility Society J. 2010;16:143‐8.

Zhou SW, Chi IC. Immediate postpartum IUD insertions in a Chinese hospital a two year follow-up. Int J Gynaecol Obstet. 1991;35:157-64.

Iyenger K, Ayenger SD. The Copper-T 380A IUD: a ten-year alternative to female sterilisation in India. Reproductive Health Matters. 1992;16:125-33.

Tatum HJ, Beltran RS, Ramos R, Van KH, Sivin I, Scmidt FH, Immediate postplacental insertion of gyne t 380 and gyne t 380 postpartum iucd. randomised study. Am J Obst Gynae. 1996;175:1231-5.

Postpartum IUCD Reference Manual, Ministry of Health and Family Welfare, India. November 2010.

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Published

2017-02-23

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Original Research Articles