POST PARTUM INTRA UTERINE DEVICE - AN EFFECTIVE TOOL TO REDUCE UNMET NEED OF CONTRACEPTION IN POST PARTUM PERIOD

Anupa Singhal; Ritu Khatuja; Dolly Chawla; Prachi Renjhen

Volume : VII, Issue : IV, April - 2018

POST PARTUM INTRA UTERINE DEVICE - AN EFFECTIVE TOOL TO REDUCE UNMET NEED OF CONTRACEPTION IN POST PARTUM PERIOD

Anupa Singhal, Ritu Khatuja, Dolly Chawla, Prachi Renjhen

Abstract :

Introduction

Long acting reversible contraceptive is a safe and effective method of contraception which can be used during postpartum period to space pregnancies. Postpartum intra uterine contraceptive device (PPIUCD) can be inserted post placental, within the 48 hours postpartum and intra caesarean. We conducted a study with the aim to determine the demographic profile of women accepting PPIUCD, its outcome, satisfaction and continuation rate in our hospital.

Methods

An observational study was conducted to see the acceptance, satisfaction and continuation rate of PPIUCD when inserted in post placental, within 48 hours of delivery and intra caesarean period. The data was analysed using z test.

Result

Total number of delivery during the study period were 5865 (4367 normal vaginal delivery and 1498 caesarean section) and women who accepted PPIUCD were 973 (16.5%). Out of 973 women, 383 (25.5%), 321 (7.3%), 269(6.1%) accepted PPIUCD intracaesarean, post placental and within 48 hours of delivery respectively. A single follow up at six months was 529 (54.3%). Overall expulsion rate was 5.8% and removal was 4.7% and continuation rate was 89.5%. There was no statistical difference in expulsion, removal and continuation rate in any of the three groups (post placental, within 48 hours of delivery or intra caesarean).

Conclusion

PPIUCD is a safe and effective method of postpartum contraception during a single visit for institutional delivery and eliminates the need for a return visit to start contraception.