Comparison of ease of insertion, visibility of strings and continuation rate of post-partum intrauterine copper device insertion by long inserter versus with the help of Kelly’s forceps

Authors

  • Swati Shukla Department of Obstetrics and Gynecology, Subharti Medical College, Meerut, Uttar Pradesh
  • Mamta Tyagi Department of Obstetrics and Gynecology, Subharti Medical College, Meerut, Uttar Pradesh
  • Smriti Gupta Department of Obstetrics and Gynecology, Subharti Medical College, Meerut, Uttar Pradesh
  • Lalita Yadav Department of Obstetrics and Gynecology, Subharti Medical College, Meerut, Uttar Pradesh

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205442

Keywords:

PPIUCD, Long inserter, Kelly’s forceps, Ease of insertion, Number of attempts, String visibility, Expulsion rate

Abstract

Background: The objective of the study was to compare ease of insertion, visibility of strings and continuation rate of post-partum intrauterine copper devices (PPIUCD) insertion by long inserter versus with the help of Kelly’s forceps.

Methods: 100 women were enrolled in our study which was conducted in department of obstetrics and gynecology, Subharti medical college and Chattrapati Shivaji Subharti hospital (CSSH), Meerut over a period of 2 years between November 2018 and August 2020. In study comparison was done on insertion technique of PPIUCD.

Results: High fundal placement was achieved with long inserter. There was no perforation and decreased infection rate among the users with no increase in incidence of side effects and expulsion. Among 50 insertion, 1 woman (2%) had partial expulsion, 2 women (4%) had complete expulsion and 1 woman (2%) got PPIUCD removed on request. Providers reported 100% easier technique. 96% satisfaction among the users.

Conclusions: The dedicated long inserter PPIUCD was found to be safe, with high acceptability among the participants and providers. Study revealed the reduced risk of infection and expulsion, providers also reported increased convenience in insertion compared to standard PPIUCD insertion techniques.

Author Biography

Swati Shukla, Department of Obstetrics and Gynecology, Subharti Medical College, Meerut, Uttar Pradesh

Junior Resident 3

Subharti Medical College

Meerut

References

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Published

2020-12-26

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Original Research Articles