Postpartum intrauterine contraceptive device: evaluation of acceptance and complications

Authors

  • Sindhu S. Gaur Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India
  • Suman Mendiratta Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20193538

Keywords:

Acceptance, Awareness, Complications, Counseling, PPIUCD, Removal

Abstract

Background: Postpartum intrauterine contraceptive device is inserted within 10 minutes to 48 hours of expulsion of placenta. The objective of the study was to determine acceptability, safety and complications of PPIUCD in tertiary care center.

Methods: This is a retrospective study conducted at Zenana Hospital, SMS Medical College, Jaipur over a period of 1 year from April 2018 to March 2019. Women were followed after 6 weeks and their complaints and various parameters were analyzed.

Results: 5653 women were inserted PPIUCD during 1 year period. Acceptance rate was 29.26% and higher in multipara (54.30%) and between 18 to 25 years of age (50.29%). The main complaints at follow-up were pain and bleeding which were dealt mainly by reassurance. Main cause of removal was bleeding, pain and family pressure.

Conclusions: The acceptance was high in this study group. PPIUCD is safe, effective and acceptable with negligible side effects. PPIUCD has abundant scope in India where accessibility for contraception is lower during interval period and women do not come for follow-up after delivery.

Metrics

Metrics Loading ...

References

World Health Organization. Technical Report Series No. 483; 1971. Available at: apps.who.int>iris>bitstream>handle. Accessed on 28th May, 2019.

Speroff L, Mishell DR. The postpartum visit: its time for a change in order to optimally initiate contraception. Contracept. 2008;78:90-8.

Barrett G, Peacock J, Victor CR, Manyonda I. Caesarean section and postnatal sexual health. Birth. 2005;32:306-11.

Khajehei M, Ziyadiou S, Safari RM, Tabatabaee H, Kashefi F. A comparison of sexual outcomes in primiparous women experiencing vaginal and caesarean births. Indian J Community Med. 2009;34:126-30.

Grimes DA, Lopez LM, Schulz KF, Van Vliet HA, Stanwood NL. Immediate postpartum insertion of intrauterine devices, Cochrane Database Syst Rev. 2010;5:CD003036.

Family Planning Division, Ministry of Health and Family Welfare, Government of India : Postpartum IUCD reference manual, 2010. Available at: www.nrhmtn.gov.in>modules> PPIUCD. Accessed on 28th May 2019.

Shukla M, Qureshi S, Chandrawati. Postplacental intrauterine device insertion - a five year experience at a tertiary care centre in north India. Indian J Med Res. 2012;136:432-5.

Akkuzu G, Vural G, Eroglu K, Dilbaz B, Taskin L, Akin A, et al. Reason for continuation or discontinuation of IUD in post placental/early post-partum periods and post puerperal/interval periods. One year follow up. Turkiye Klinikleri J Med Sci. 2009;29:353-60.

Kopp N, Curtis KM. Intrauterine device Insertion during the postpartum period a systemic review. Contracept. 2009;80:327-36.

Katheit G, Agarwal J. Evaluation of post placental intrauterine contraceptive device (PPIUCD) in terms of awareness, acceptance and expulsion in a tertiary care centre. Int J Reprod Contracept Obstet Gynaecol. 2013;2:539-43.

Mishra S. Evaluation of safety, efficacy, and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD). J Obstet Gynaecol India. 2014;64:337-43.

Kumar S, Sethi R, Balasubramaniam S, Charurat E, Lalchandani K, Semba R, et al. Women’s experience with postpartum intrauterine contraceptive device use in India. Reprod Health. 2014;11:32.

Rani K, Pangtey NK, Khanna G, Rani M. Postpartum intrauterine contraceptive device (PPIUCD) insertion: practices and aftermath at tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2018;7(11):4742-6.

Shobhasmita B, Anupal S, Alakananda D, Bhattacharjee A, Nabnita D. Acceptance of postpartum intrauterine contraceptive device among women attending Gauhati Medical College and Hospital for delivery between January 2011 to December 2014 and their follow up. J Evol Med Dent Sci. 2015;4:15756-8.

Malchuru S, Arun V, Prabhavathi N. Postpartum intrauterine device insertion- 2 years’ experience at tertiary care centre in Gunture Medical College/Govt general hospital, Guntur. J Dent Med Sci. 2015;14:56-61.

Gautam R, Arya KN, Kharakwal S, Singh S, Trivedi M. Overview of immediate PPIUCD application in Bundelk hand region. J Evol Med Dent Sci. 2014;3:9518-26.

Vidyarama R, Nagamani T, Prasad U. PPIUCD as a long acting reversible contraceptive (Larc)-an experience at a tertiary care centre. IJSR. 2012;4:5-7.

Chen BA, Hayes JL, Hohmann HL, Perriera LK, Reeves MF, Creinin MD. A randomized trial of post-placental compared to delayed insertion of the levonorgestrel releasing intrauterine device after vaginal delivery. Obstet Gynecol. 2010;116(5):1079-87.

Mishra S. Evaluation of safety, efficacy, and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD). J Obstet Gynaecol India. 2014;64(5):337-43.

Singhal S, Bharti R, Dewan R, Dabral A, Batra A. Sharma M, et al. Clinical outcome of postplacental Copper 380 a insertion in women delivering by cesarean section. JCDR. 2014;8(9):1-4.

Downloads

Published

2019-07-26

How to Cite

Gaur, S. S., & Mendiratta, S. (2019). Postpartum intrauterine contraceptive device: evaluation of acceptance and complications. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(8), 3219–3222. https://doi.org/10.18203/2320-1770.ijrcog20193538

Issue

Section

Original Research Articles