Common Complications after Immediate Postpartem Intrauterine Contraceptive Device Insertion

Abstract

Introduction: Low contraceptive rates in poor nations are caused by numerous causes including a lack of information about contraceptives, the inability to get family planning methods, and cultural and geographic constraints on women's movement in these countries. If the birth takes place at a health care institution, women with limited access to medical care have a unique chance to address their contraception needs. Objective:To determine the frequency of common complications in immediate postpartum intrauterine contraceptive device insertion. Material and Methods: This study was conducted at Gynae and Obs department, QaziHussain Ahmed Medical Complex, Noshehra. This was a cross sectional descriptive study in which consecutive non probability sampling technique was used. Duration of the study was 6 months from 21st August 2020 to 20th February 2021,in which a total of 292 patients were studied. All multigravida females undergoing Normal Vaginal delivery and who gave consent for Immediate IUCD insertion were included, while patients with known history of pelvic inflammatory disease or sexually transmitted infection, patients having cavity distorting uterine fibroids, known uterine or cervical malignancy as seen through medical records and women with bleeding disorders as detected from past medical records were excluded.Data wascollected on a pre-designed proforma and analyzed by the SPSS version 20. Results: In this study mean age was 27 years with standard deviation ±1.26. Two hundred and four patients had delivery of placenta and IUCD insertion in 1-5 hours and 88 patients had delivery of placenta and IUCD insertion in 5-10 hours. Regarding complications 44 patients had expulsion in which partial expulsion was found in 9 patients and complete expulsion was found in 35 patients, uterine perforation was found in 6 patients while pelvic inflammatory disease was found in 29 patients. Conclusion: Despite the fact that IUCD's verbal approval was low, its real insertion was even less so. The only time these women have to learn about contraceptive options is during childbirth, when they are in direct touch with medical workers. That's why some people think family planning can help increase the uptake of contraceptives among women who otherwise wouldn't seek them out on their own. Keywords:Common complications, Immediate postpartum, Intrauterine contraceptive device insertion.