Efficacy and satisfaction rate in postpartum intrauterine contraceptive device insertion: A prospective study

Abstract

Background: Early resumption of sexual activity coupled with early and unpredictable ovulation leads to many unwanted pregnancies in the first year postpartum. Moreover, in developing countries particularly, women who once go back home after delivery do not return for even a routine postpartum check-up, leave aside contraception. There are many reasons for not using contraception, specifically long-acting reversible contraception (LARC), including lack of awareness, non-availability of accessible family planning services, social pressure, and limitations on women’s mobility mostly due to cultural or geographical factors. Thus, immediate postpartum family planning services need to be emphasized wherein the woman leaves the hospital with effective contraception in place. This study puts in an effort to find the efficacy and satisfaction rate in postpartum intrauterine contraceptive device insertion. Aims and Objectives: To determine the efficacy and satisfaction rate in postpartum intrauterine contraceptive device insertion. Materials and Methods: IUCD was inserted immediately postpartum regardless of the mode of delivery either intra-cesarean section (CS) or spontaneous vaginal delivery (SVD). Some patients took longer to make the decision, and IUCD was inserted after vaginal delivery within 48 hours. All the patients were followed up at six weeks and six months. Results: There were some complications and as accepted the satisfaction levels were good in the cases who did not have any complications. Conclusion: The satisfaction level is good except in the patients who suffer from initial complications.