MotherÃ¢ÂÂs Experiences with Cut380a Postpartum Intrauterine Contraceptive Device in Enugu, Southeast, Nigeria

Okafor Innocent Igwebueze

doi:10.4172/2167-0420.1000266

Abstract

Objective: To assess mother’s experiences with CuT380A Postpartum Intrauterine Contraceptive Device (PPIUD). Subjects and methods: Mothers who accepted PPIUD in three centers in Enugu from August 1, 2013 to July 31, 2014 were the subjects of the study. Mother’s experiences with PPIUD were assessed with structured questionnaires. Data was analyzed using excel 2007 software, and presented using percentages and graphs. Results: Fifteen PPIUD were inserted during caesarean deliveries while 66 were inserted vaginally. Majority of the mothers were of ages 31-40 years 43(53%), married 76(93.8%), secondary educated 46(56.8) and para 2-4 68(84%). PPIUD was mostly accepted because it was convenient after childbirth 81(100%). Few women experienced missing PPIUD strings 8(9.9%) and spontaneous expulsions 2(2.5%). There was no failed PPIUD. Seventy four (91.4%) mothers were satisfied with PPIUD. The major sources of the satisfactions were convenient time of insertion 81(100%), few complications 78(96.30%), and the safety of CuT380A PPIUD during breast feeding 78(96.30%). Sixty two (76.5%) mothers wanted to continue to use PPIUD while 25(30.9%) recommended the method to friends. Eight (9.9%) mothers removed their PPIUD to achieve pregnancy. Conclusion: PPIUD is a safe and effective contraceptive method. Missing PPIUD strings and expulsions were the few complications experienced in this study. Most mothers were satisfied with the method. Convenient time of insertion, few complications, and PPIUD safety during breast feeding were the major sources of satisfactions. Many mothers wanted to continue to use PPIUD, and recommended the method to friends. The desire to achieve pregnancy was the commonest cause of discontinuation of PPIUD.

Highlights

CuT380A postpartum intrauterine contraceptive device (PPIUD) is the insertion of CuT380A into the fundus of the uterine cavity within the first 48 hr of childbirth
Other characteristics of the mothers were as shown in tables 1 and 2 and (Figures 4-6) showed that few clients experienced few complications like missing IUD strings 8 (9.9%) and spontaneous expulsions 2 (2.5%)
Over 74 (91.4%) of the mothers were satisfied with PPIUD and sources of their satisfactions were as shown in figure 5

Summary

Introduction

CuT380A postpartum intrauterine contraceptive device (PPIUD) is the insertion of CuT380A into the fundus of the uterine cavity within the first 48 hr of childbirth. PPIUD can promote the health of mothers and children by preventing financial, psychological, obstetric, and other health complications associated with short-interval pregnancies [2] It increases mother’s opportunities of starting effective contraceptive methods before being discharged after facility childbirths because the time of commencement of postpartum ovulation is unpredictable and may occur as early as 25 days in non-breast feeding mothers. The time of facility childbirth is a great opportunity for PPIUD service providers to counsel and provide the method to large numbers of women that need contraception to space or limit childbirths especially in settings where there are cultural or geographical limitations of women’s mobility and access to healthcare. Out of 133,375 family planning clients seen in University of Nigeria Teaching Hospital, Enugu between 1999 and 2007, 6,947 were on IUD, but none of the clients received PPIUD [8]

Methods

Results

Discussion

Conclusion