A prospective study to evaluate the acceptance, efficacy, side effects and expulsion rates of post-placental intrauterine device

Richa S. Sankhe, Meenal T. Kamble


Background: This study was conducted to know the factors associated with acceptability of immediate post placental IUCD insertion in women and to know the level of safety, efficacy and expulsion of post placental insertion of IUCD.

Methods: This study was conducted in Obstetrics and Gynecology Department of Kasturba General Hospital, Mumbai over a period of 1 year. Women admitted and delivered at KGH were informed and counselled regarding intrauterine devices regarding its insertion, efficacy and side effects. Cu T 380A was inserted within 15 minutes of delivery of placenta and membranes in women who gave consent and had no contraindications for IUD insertion. All these women were followed for 6 months in the post insertion period.

Results: Total number of women counselled was 400 over the period of six months from August 2015 to January 2016. Out of these only 250 women gave consent for PPIUCD insertion. 50 were lost to follow up.  200 women were followed, out of which 15 women had expulsion, 15 women had excessive bleeding, 20 women complained of pelvic pain, bleeding and abdominal pain together was found in 25 women. 160 out of 200 continued with the method   while the rest discontinued.

Conclusions: Based on present study it may be concluded that post placental intrauterine device is an effective method of contraception. Proper counselling and insertion techniques would further improve the acceptability and reduce the expulsion rates.


Contraception, Post placental intra uterine device, Post placental Insertion

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Park K. Park’s text book of social and preventive medicine. 23rd ed. Jabalpur: Banarsidas Bhanot; 2015.

India at Glance - Population census 2011. Census organization of India, 2011. Available at: Accessed on 21st July 2015.

Post-partum. IUCD reference manual. New Delhi: Family Planning Division, Ministry of Health and Family Welfare, Government of India; 2010.

Kanhere A, Pateriya P, Jain M. Acceptability and Feasibility of Immediate post-partum IUCD insertion in a tertiary care centre in Central India. Int J Reprod Contracept Obstet Gynecol. 2015;4(1):1.

Nelson A. Intrauterine contraceptives. vol. 6. Philadelphia: Lippincott Williams and Wilkins; 2004. Gynaecology and Obstetrics. In: 2.

Thomas D. Maluccio J. Fertility, contraceptive choice, and public policy in Zimbabwe. World Bank Econ Rev. 1996;10(l):189-222.

Mohamed SA, Kamel MA, Shaaban OM, Salem HT. Acceptability for the use of postpartum intrauterine contraceptive devices: assiut experience. Med Princ Pract. 2003;12:170-5.

Maternal and Child Health Integrated Program and PPFP activities, WHO Report. Available at Report_ formatted.pdf.

Grimes D, Schulz K, Van Vliet H, Stanwood N. Immediate post-partum insertion of intrauterine devices: a Cochrane review. Hum Reprod. 2001;17(3):549-54.

Maternal and Child Health Integrated Program and PPFP activities, WHO Report. Available at

Blanchard H. Mac Kaig C. ACCESS-FP Program. 2006. Postpartum contraception. Available at