Post Placental intrauterine contraceptive device (PPIUCD): Women's experience at Combined Military Hospital Lahore

Abstract

Background& Objectives: The objective of this study was to evaluate post placental intrauterine contraceptive device (PPIUCD) in terms of awareness, acceptance, and expulsion in women. Place & duration of study: It was a prospective longitudinal study, conducted at Department of Obstetrics and Gynecology, Combined Military Hospital Lahore over a period of six months. Methods: All patients visiting antenatal clinic or labor room in early labor were counselled for insertion of Cu T-380A after vaginal delivery or at lower caesarean section. A total number of 232 women were included in the study after informed consent. Women with ruptured membranes for more than 18 hours,antepartum , postpartum hemorrhage, and evidence of chorioamnionitis were excluded from study.All the collected data was entered and analyzed through SPSS version 20. Results: Total number of deliveries were 1814 and acceptance rate is 12.8%.Only 4.5% of patients were aware about PPIUCD insertion. Maximum patients were between 25-29 years of age(36.6%).Patients with two children have highest acceptance rate of 32.8%. At six week postpartum,the expulsion rate is 1.9% while 3.3% of patients have missing strings which were coiled up in the uterus. The discontinunation rate is 6.5% (15),the reason being irregular vaginal bleeding in 3.5% cases, infection in 1.3% cases and other causes in 1.7%. The patients willing to continue PPIUCD were 93.5%. Conclusion: Insertion of IUCD in immediate postpartum period is an acceptable ,effective, safe and convenient contraceptive intervention in both caesarean section and vaginal deliveries.