Evaluation of Short-Term Complications of PPIUCD

Abstract

Background: Postpartum intrauterine contraceptives device (PPIUCD) offers an effective means of providing contraceptive services to women in countries with high rates of unmet needs for family planning services. Scientific literature estimating the long-term retention rates is scarce. The complications following PPIUCD insertion at the three follow-up visits. The PPIUCD can be placed immediately following delivery of the placenta, during cesarean section or within 48 hours following childbirth. Objectives: The aim of the study was to assess the evaluation of short-term complications of Post-Partum Intrauterine Contraceptive Device (PPIUCD). Methods: This is a prospective observational study was conducted at Department of Obstetrics and Gynecology, Dhaka Medical College Hospital (DMCH). 360 eligible postpartum women were counselled for PPIUCD insertion. These women were also interviewed for their reasons for accepting and rejecting PPIUCD. After consent, Cu-T 380A insertion was done. Follow-up was done at 6 weeks or when reported with any complaint. Results: PPIUCD implantation was performed on 48 (13.3%) of 360 eligible counseled postpartum patients. Acceptance of PPIUCD was higher in the age range of 25 - 30 years (43.75%), women from middle socioeconomic status (58.3%), those with family support (75%), those who had previously had PPIUCD health counselling (70.8%), and multipara (68.75%). Missing thread (8.3%), lower abdomen pain (6.25%), and irregular per vaginal bleeding (4.2%) were the most prevalent problems. There was 86% continuation of IUCD, 8% discontinuance, 6% expulsion, and no occurrence of unintended pregnancy. Conclusion: The awareness about availability of PPIUCD is quite low because it is recently introduced in the family planning methods. The most common reason for refusal is disagreement between the husband and his family. Acceptance can be increased further by disseminating information and providing proper counseling in antenatal clinics.