EVALUATION OF SAFETY, EFFICACY AND COMPLICATIONS OF POSTPATUM IUCD IN A TERTIARY INSTITUITE

Archana Bhosale; Kavya H S; Anjuri Roy; Ayesha Ansari

Volume : VIII, Issue : I, January - 2018

EVALUATION OF SAFETY, EFFICACY AND COMPLICATIONS OF POSTPATUM IUCD IN A TERTIARY INSTITUITE

Archana Bhosale, Kavya H S, Anjuri Roy, Ayesha Ansari

Abstract :

Background: For most women, including women who want to have children, contraception is not an option; it is a basic health care necessity.

Aims and objectives: To assess the efficacy and feasibility of IUD (CuT 380–A) insertion immediately after delivery of placenta and to assess the post–insertion side–effects, complications & expulsion rate.

Materials and methods: A study was conducted over a period of 2 years in a tertiary care institute in Mumbai. Open label, prospective, and longitudinal study. Postpartum IUCD was inserted as per the inclusion and exclusion criteria. Out of 451 women inserted with PPIUCD, 142 were intracesarean insertions. These patients were followed up at 6 weeks.

Results: New advances and new understanding about PPIUCD led it to be safe and effective and with good retention rates; serves as useful method for family planning. There was no incidence of failure, perforation or PID. There was absolutely no complaints in 44.8%. expulsion rate was 2.4%. It necessitated removal only in 13.1%.

Conclusion: PPIUCD is a right choice, when inserted with right technique, right instrument, right time. Expulsion rate minimal if correct insertion technique and with trained hands.