A Comparative Study of Post-placental IUCD Insertion after Vaginal Delivery versus during Caesarean Section

Abstract

Introduction: Immediate postpartum period is the period from expulsion of placenta to 48 hours of delivery. The CuT-380A is effective for 10 years of continuous use. Institutional delivery provides an opportunity to the women with immediate Post-placental Intrauterine Contraceptive Device Services. Aims and Objectives: To compare complications of PPIUCD inserted after vaginal delivery and during caesarean section up to 12 weeks. To compare the rate of expulsion of PPIUCD inserted after vaginal delivery and after caesarean section. Material and Methods: Total 200 subjects were included in the study. Group A - Consisting of 100 subjects in whom IUCD (CuT 380 A) was inserted after vaginal delivery. Group B - Consisting of 100 subjects in whom IUCD (CuT 380 A) was inserted during caesarean section. Results: Whether CuT is expelled or in situ among both groups at 6 weeks and at 12 weeks shows significant difference in both groups; the rate of expulsion is more in group A at 6 weeks than group B, at 12 weeks there is no significant difference (P value = 0.0001 at 6 weeks and P value = 0.579 at 12 weeks). The reason might be early ambulation of patients after vaginal delivery compared to caesarean section. Conclusion: There should be a campaign to increase the awareness regarding lengths of PPIUCD. Health care personnel should be properly trained regarding aseptic insertion techniques and this will increase the usage of PPIUCD, reduce the unmet needs of contraception and also decrease the complications.