Clinical and ultrasonographic evaluation of PPIUCD

Arihant Tater, Swati Garg, Urvashi Sharma, Ashmita Jawa


Background: India is the second most populated country in the world. Effective contraception with low complication rates and high continuation rate in post-partum period can check population growth.

Methods: This is a prospective study carried out at Mahatma Gandhi Hospital after ethical committee approval. 100 patients giving the informed consent were taken in the study. PPIUCD inserted in patients and they were followed up at 48 hrs, 6 weeks and 12 weeks by clinical examination and USG.

Results: In this study, with PPIUCD insertion during LSCS, the expulsion and removal was observed in 4% and 14% whereas in cases with FTVD 8.33% expulsion and 12.5% removal were observed. 82% and 79.2% continued the use of PPIUCD in LSCS and FTVD respectively. The most common complain of the patients with PPIUCD were irritation because of thread. No case of pelvic infection or perforation was observed. There was no expulsion of PPIUCD when the distance of PPIUCD from fundus on USG was <10 mm.

Conclusion: PPIUCD have high continuation rates with low complication rate. Distance of PPIUCD from fundus on USG is not a good indicator for predicting expulsion of PPIUCD.


FTVD, LSCS, PPIUCD, Post-partum

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