To evaluate the efficacy and complications of post placental IUCD insertion in vaginal and post cesarean deliveries

Abstract

Introduction: PPIUCD is an emerging contraceptive method for women which is easily available, safe, efficient, long acting, reversible and available just after birth of baby. Aims and Objectives To study the efficacy of postplacental IUCD insertion in vaginal and cesarean delivaries. Comparative evaluation of postplacental IUCD in vaginal and cesarean insertion in terms of counseling and complications. Material and Method: This study was conducted at Department of Obsterics S& Gynecology ,SMS Medical College,Jaipur .Total 150 Vaginal and Cesarean Deliveries were included in this study.Women counseled for PPIUCD during antepartum, intrapartum or during preparation of cesarean section for post placental IUCD insertion in cesarean delivery or vaginal delivery and followed for any complication. Observation: In our study it was observed that the proportion of parturient accepting post placental IUCD on counseling was 27.98% in vaginal delivery and 36.95% in cesarean delivery. Excessive bleeding through os was seen in 6 to 8% of cases, missing tail was seen in 38.7% of cases in group B and 8.7% of cases in group A had expulsion of IUCD. There was higher acceptance of post placental IUCD with better follow up, with no expulsion and higher continuation rate in cesarean delivery in comparison to vaginal delivery. Conclusion: To conclude post placental IUCD is an effective, reversible method of contraception.specially in area where the situation is of limited access to post-partum care and inability of women to return back for contraceptive measures.