Acceptability and short-term complications of PPIUCD
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20240454Keywords:
Acceptability, Contraception, IUCD, LARC, PostpartumAbstract
Background: Intrauterine contraceptive device (IUCD) is an effective form of long-acting reversible contraceptive (LARC). Postpartum IUCD insertion is labelled when IUCD is inserted within 10 minutes to 48 hours of expulsion of placenta. assess the acceptability and short-term complications of postpartum intrauterine contraception device insertion in tertiary care hospital of Bangladesh. The aim of the study was to assess the evaluation of factors associated with acceptability of post-partum intrauterine contraceptive device (PPIUCD).
Methods: This was a prospective observational study was conducted at department of obstetrics and gynecology, Dhaka Medical College Hospital (DMCH).
Results: Out of 360 eligible counselled postpartum patients, 48 (13.3%) women underwent PPIUCD insertion. Acceptance of PPIUCD was higher in the age group of 25-30 years (43.75%), having former health counselling about PPIUCD (70.8%), multipara (68.75%). The commonest complications were missing thread (8.3%) followed by lower abdominal pain (6.25%), irregular per vaginal bleeding (4.2%).
Conclusions: PPIUCD is not very acceptable in our set up but it is a safe, highly effective method of contraception with very few side effects and no major complications and contraindications. The acceptability of PPIUCD can be increased with antenatal counselling and institutional delivery.
References
Nabi R, Salimullah AH. Promoting Catamaran tourism in Bangladesh: the challenges of blue economy. In: Technology Application in Tourism Fairs, Festivals and Events in Asia. Singapore: Springer Singapore; 2022:181-208.
Luby SP. Yang and Yamazaki Environment and Energy Building 473 Via Ortega, Stanford, CA 94305 USA.
Kanhere AV, Pateriya P, Jain M. Acceptability and feasibility of immediate postpartum IUCD insertion in a tertiary care centre in Central India. Int J Reprod Contracept Obstet Gynecol. 2015;4(1):179-85.
Pleah T, Hyjazi Y, Austin S, Diallo A, Dao B, Waxman R, et al. Increasing use of postpartum family planning and the postpartum IUD: early experiences in West and Central Africa. Glob Health Sci Pract. 2016;4(Supplement 2): S140-52.
Rizvi A, Bhatti Z, Das JK, Bhutta ZA. Pakistan and the millennium development goals for maternal and child health: progress and the way forward. Paediatr Int Child Health. 2015;35(4):287-97.
Gonie A, Worku C, Assefa T, Bogale D, Girma A. Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia. Contracept Reprod Med. 2018;3(1):1-8.
Mohamed SA, Kamel MA, Shaaban OM, Salem HT. Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. Med Principles Pract. 2003;12(3):170-5.
Sharma A, Gupta V. A study of awareness and factors affecting acceptance of PPIUCD in south-East Rajasthan. Int J Community Med Public Health. 2017;4(8):2706-10.
Mishra S. Evaluation of safety, efficacy, and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD). J Obstet Gynecol India. 2014;64:337-43.
Goswami G, Yadav K, Patel A. A prospective study to evaluate safety, efficacy and expulsion rate of post placental insertion of intra uterine device. J Evol Med Dent Sci. 2015;4(56):9770-5.
