Cu-T 380A as a intrauterine device - its acceptability, safety and efficacy depending on the timings of insertions

Volume : VIII, Issue : X, October - 2018

Dr Annappa Shetty

Background: Intrauterine copper T device is used either to space the births or to limit the family size, so as to check the

fertility effectively and safely. This study aims to compare the various IUCD related clinical factors to its acceptability,

safety and efficacy in immediate postpartum vaginal insertion, intracaesarean insertion , delayed postpartum vaginal insertion and interval

insertion at OBG department of Karwar Institute of Medical Sciences , Karwar – a tertiary care hospital.

Methods: It was a retrospective analysis of data for a period of one and half year i.e from 01–02–2016 to 31 –7–2017. The data collected during

this period was analyzed with respect to maternal age, parity, socio–economic status, education and occupation. It was compared between post

partum group and interval group. Data about spontaneous expulsion rate of IUCD, not able to feel the thread , reason for removal of IUCD and

failure rate upto a period of 6 months was collected in these mothers and compared with respect to immediate postpartum insertion, delayed

postpartum vaginal insertion, intra caesarean insertion and interval insertion.

Results: Majority of women in this study were literate belongs to the age group of 21 – 36 years, low /middle socio–economic status , multiparous

and unemployed in both postpartum and interval groups . Spontaneous expulsion rates were 1.96 , 1.26 , 3.95 and 1.58 , proportion of patients

not able to feel the thread were 2.95 , 9.24 , 6.97 and 2.52 % and removal rates were 7.81, 7.98, 8.72 and 4.76 in immediate vaginal insertion,

intracaesarean insertion, delayed postpartum insertion and interval insertion groups respectively.

Conclusion: Copper–T IUCD were more acceptable way of interval method among well educated , literate , young multiparous women . It was

found that immediate post partum period was the safest time for IUCD insertion with maximum continuation rate and less failure . Hence

mothers should be adequately counselled for IUCD insertion in the immediate post partum period.