A retrospective study of post-partum intrauterine contraceptive devices in a government maternity home of Delhi

Authors

  • Neha Taneja Laboratory of Disease Dynamics and Molecular Epidemiology, Laboratory of Health Data Analytics and Visualization Environment, ¬Amity Institute of Public Health, Amity University, Noida, Uttar Pradesh, India
  • Sujata Gupta North DMC Medical College and Hindu Rao Hospital, Delhi, India
  • Karuna N. Kaur Laboratory of Disease Dynamics and Molecular Epidemiology, Laboratory of Health Data Analytics and Visualization Environment, ¬Amity Institute of Public Health, Amity University, Noida, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205224

Keywords:

PPIUCD, Contraceptive, Post-partum

Abstract

Background: Post-partum period is defined to be an ideal time for family planning counselling. Being a second largest populated country, India has a high rate of unintended pregnancy especially in post- partum women. There is a need for accessible, reliable contraception like post-partum intra uterine contraceptive device (PPIUCD) in our country. The present study is an attempt to evaluate the safety and efficacy of intra- uterine devices in post-partum women.

Methods: The study population included all the women who delivered vaginally who were counselled for PPIUCD insertion in prenatal period, early labour and within 48 hours of delivery and were willing to participate in the study. Participants were interviewed prior to discharge after receiving a PPIUCD and then six, ten, fourteen weeks and 6 months or earlier when necessary. Institutional ethical approval and informed consent were taken.

Results: A total of 1625 deliveries took place out of which only 888 were inserted PPIUCD. So, the total acceptance rate was 54.6%. Majority of cases were between the age group of 21-25 (46.4%) and most of them were primipara (39.8%). 34.8% came for routine follow up in OPD at 6 weeks, 14% at 6 months and 6.1% at 1 year.

Conclusions: The IUCD insertion has been proved to be a safe and effective method of contraceptive with very few side effects and no major complications. To increase the knowledge and skills among health care providers, it is necessary to arrange training on PPIUCD.

References

Jairaj S, Dayyala S. A Cross Sectional Study on Acceptability and Safety of IUCD among Postpartum Mothers at Tertiary Care Hospital, Telangana. J Clin Diagn Res. 2016;10(1):LC01-4.

Rutstein SO. Effects of preceding birth intervals on neonatal, infant and under-five years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. Int J Gynaecol Obstet. 2005;89(1):S7-24.

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.

Grimes DA, Lopez LM, Schulz KF, Van Vliet HA, Stanwood NL. Cochrane Database Syst Rev. 2010;(5):CD003036.

Institutional Deliveries. (n.d.). Available from: https://niti.gov.in/content/institutional-deliveries. Accessed on 31 July, 2020.

Chi IC, Wilkens L, Rogers S. Expulsions in immediate postpartum insertions of Lippes Loop D and Copper T IUDs and their counterpart Delta devices--an epidemiological analysis. Contraception. 1985;32(2):119-34.

Tatum HJ, Beltran RS, Ramos R, Van Kets H, Sivin I, Schmidt FH. Immediate post placental insertion of GYNE-T 380 and GYNE-T 380 postpartum intrauterine contraceptive devices: randomized study. Am J Obstet Gynecol. 1996;175:1231-5.

Celen S, Möröy P, Sucak A, Aktulay A, Danisman N. Clinical outcomes of early post placental insertion of intrauterine contraceptive devices. Contraception. 2004;69:279-82.

Araujo VB, Ortiz L, Smith J. Postpartum IUD in Paraguay: a case series of 3000 cases. Contraception. 2012;86:173-86.

Blumenthal P, Shiliya N, Neukom J, Chilambwe J, Vwalika B, Prager B et al. Expulsion rates and satisfaction levels among immediate postpartum IUD users in peri-urban Lusaka, Zambia. Contraception. 2011;84:320.

Runjun D, Bornali P. A retrospective study on acceptability and complications of ppiucd insertion. J Evol Med Den Sci. 2016;5(31):1631-4.

Maluchuru S, Aruna V, Prabhavathi N. Postpartum intrauterine device insertion-2 years, experience at tertiary care center in Guntur medical college/Govt general hospital, Guntur. J den med sci. 2015;14(3):56-61.

Shukla M, Qureshi S, Chandrawati. Post-placental intrauterine device insertion-a five year experience at a tertiary care centre in north India. Indian J Med Res. 2012;136(3):432-5.

rimes DA, Lopez LM, Schulz KF, Van Vliet HA, Stanwood NL. Immediate post-partum insertion of intrauterine devices. Cochrane Database Syst Rev. 2010;(5):CD003036.

Borthakur S, Sarma AK, Alakananda, et al. Acceptance of postpartum intra-uterine contraceptive device (ppiucd) among women attending gauhati medical college and hospital (gmch) for delivery between January 2011 to December 2014 and their follow up. J Evol Med Den Sci. 2015;4(92):15756-8

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 Den Sci. 2015;4(56):9770-74.

Gautam R, Arya KN, Kharkwal S, Singh S, Trivedi M. Over view of immediate PPIUCD application in Bundelkhand region. J Evol Med Dent Sci. 2014;3(36):9518-26.

Vidyarama R, Nagamani T, Prasad K. PPIUCD as a long acting reversible contraceptive (larc)–an experience at a tertiary care centre. Int J Scie Res. 2015;4(5):5-7.

Kittur S, Kabadi YM. Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion. Int J Reprod Contracept Obstet Gynecol. 2012;1:26-32.

Bonilla Rosales F, Aguilar Zamudio M, Cázares Montero ML, Hernández Ortiz ME, Luna Ruiz MA. Factors de expulsión del dispositivo intrauterino TCu380A aplicado en puerperio inmediato y tardío [Factors for expulsion of intrauterine device TCu380A applied immediately postpartum and after a delayed period]. Rev Med Inst Mex Seguro Soc. 2005;43:5-10.

Celen S, Möröy P, Sucak A, Aktulay A, Danişman N. Clinical outcomes of early postplacental insertion of intrauterine contraceptive devices. Contraception. 2004;69(4):279-82.

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

Sofat R. Postpartum CuT insertion - a trial. Indian J Maternal Child Health. 1990;1:23-4.

Downloads

Published

2020-11-26

Issue

Section

Original Research Articles