A prospective study of immediate postpartum intra uterine device insertion in a tertiary level hospital

Sharma, Arti; Gupta, Vineeta; Bansal, Neeta; Sharma, Utkarsh; Tandon, Archna

doi:10.5455/2320-6012.ijrms20150132

Cited by 9 publications

(13 citation statements)

References 7 publications

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“…The excessive discharge in 26.09% women was the most common symptom in the present study as compared to other studies done with Cu T 380 A by Sharma A et al (10) (1.04%). The reason for higher rate of excessive discharge in this study could be due to the reaction caused by nylon thread of Cu 375 in contrast to polyethylene thread of Cu T 380 A used in other studies.…”

Section: Discussionsupporting

confidence: 67%

“…The reason for higher rate of excessive discharge in this study could be due to the reaction caused by nylon thread of Cu 375 in contrast to polyethylene thread of Cu T 380 A used in other studies. Only 4.35% women had menorrhagia in the present study which was lower than the study done by Sharma A et al (10) (16.66%) and Kanhere et al (5) (6%). Lower rates of menorrhagia in the present study could be due to coverage of broad spectrum antibiotics and antiinflammatory after the PPIUCD insertion.3 women (2.61%) after 6 months reported pregnancy in the present study; unfortunately the reason could not be explained.…”

Section: Discussioncontrasting

confidence: 55%

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Efficacy and safety of Post-Partum Intrauterine Contraceptive device (PPIUCD) insertion-A prospective study

2017

SUJHS

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Introduction: Significantly increased institutional deliveries in India provide an opportune time for offering postpartum family planning services to the women. Although the available contraceptive methods are many, need of a single efficacious, feasible and cost effective method is desirable especially in a low resource country like India.This study was done to evaluate the acceptance, efficacy and safety of intrauterine contraceptive device as an immediate family planning method following delivery, and the complications associated with it. Materials and Method: A total of 115 women who underwent PPIUCD insertion were followed up at 1, 3 & 6 weeks and at 3 & 6 months post-partum. Outcome in terms of side effects, removal and expulsion was noted and compared in vaginal delivery and caesarean section insertions. Results: Out of 280 women who were counselled, only 115 women (41.07%) accepted the PPIUCD insertion. Insertion in literate women was high and extremely statistically significant (P<0.0001) as compared to illiterate women. Expulsion rate was 17.85%. There was no expulsion in intracaesarean PPIUCD insertion which is statistically significant (P < 0.01) as compared to postplacental insertion. Excessive discharge (26.09%), missing strings (5.22%) and menorrhagia (4.35%) were minor complications.3 women (2.61%) had failure of PPIUCD at 6 months follow up. Conclusion: PPIUCD is a safe and efficacious family planning method after vaginal as well as caesarean delivery.

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Section: Discussionsupporting

confidence: 67%

Section: Discussioncontrasting

confidence: 55%

Efficacy and safety of Post-Partum Intrauterine Contraceptive device (PPIUCD) insertion-A prospective study

2017

SUJHS

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“…In another study by Sharma et al, in 59 (61.45%) women there was no complaint regarding PPIUD results being similar to ours. 7 In an another study by Shukla et al using Cu T 200 B in immediate post-partum period, they found it was only 11.3% of participants were symptom less at 6 months. 8 Kittur et al has shown that 86.2% of subjects in their study were satisfied with the PPIUCD insertion.…”

Section: Lall J Et Al Int J Reprod Contracept Obstet Gynecol 2017 Mmentioning

confidence: 94%

Comparative study of post placental cut insertion following vaginal and caesarean delivery

Lall

Nagar

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONIndia is the second most populated country in the world after China with an estimated total population of 1.26 billion. India's maternal mortality ratio stays at an alarming figure of 254/100000 live births, which cause 1,17,000 women to die from pregnancy and child birth complications every year. This contributes to 20% of global maternal deaths. 1In India, 65% of women in the first year postpartum have an unmet need for family planning.2 Intrauterine devices (IUDs) have been used by women in India for decades for spacing pregnancy. Copper IUDs are the most commonly used type of IUD and the Cu T 380A has been found to be most effective IUD available in govt. sector free of charge. 3Appropriate times for IUCD insertion in the postpartum periods include the postplacental IUCD insertion, the immediate postpartum IUCD insertion and the transcaesarean IUCD insertion. Taking advantage of the immediate postpartum period for counselling on family planning, IUCD is a good option as a contraceptive method. The increased institutional deliveries provide the opportunity to provide women easy access to immediate PPIUCD services. The National Family Health Survey (2005)(2006) reported that 61% of births were spaced less than 3yrs in India. Unmet need is greater in 1st year postpartum. Only 3-5% of post-partum women wants another child within two years. 4 To address the unmet need during the post-partum period the Ministry of Health and Family Welfare, Government of India developed a national strategy to expand PostPartum Intrauterine Device (PPIUD) services among public sector facilities. Since, not much work has been done in assessing the complications and side effects of PPIUCD in caesarean and vaginal deliveries, we decided to undertake this study. ABSTRACT Background:The IUCD is a safe and effective contraceptive option for postpartum women who wish to either space or limit subsequent births. Methods: In a hospital based prospective observational, study we compared outcome of post placental IUCD in vaginal and caesarean delivery groups. Results: We found that expulsion rate is significantly higher in vaginal group (10%) as compared to caesarean delivery (2%) group at 3 months of follow up. Excessive bleeding is mostly commonly found complication (18% in both groups at 6weeks of follow up). Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

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“…Sharma etal, in their study compared the outcomes of PPIUCD insertion after vaginal delivery and caesarean section in terms of side effects, removal and expulsion. 13 Therefore, the present study was undertaken to evaluate the safety and efficacy of insertion of post-partum IUCD in women and to compare the outcomes of PPIUCD insertion after vaginal delivery and caesarean section.…”

mentioning

confidence: 99%

A follow up study of postpartum intrauterine device insertion in a tertiary health care centre

Ranjana

Verma

Chawla

2017

Int J Reprod Contracept Obstet Gynecol

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Background: In view of high rate of unintended pregnancy in our country, particularly in post-partum women, there is a need for reliable, effective and long-term contraception such as intrauterine device (IUCD) in post-partum women. This study was done to determine the efficacy and safety of Post-Partum Intrauterine Device (PPIUCD) and to compare the outcomes of PPIUCD insertion after vaginal delivery and caesarean section.Methods: This follow up study was carried out in the department of Obstetrics and Gynecology, Dr. R.M.L Hospital, PGIMER, New Delhi over a period of 7 month from January 2016 to July 2016. PPIUCD (cu T- 380 A) insertions were done in 136 women who fulfilled the inclusion criteria. Women having haemoglobin less than 8 gm%, rupture of membranes more than 18 hours, obstructed labour, Uterine anomalies, distorted uterine cavity by fibroid, significant postpartum haemorrhage, coagulation disorders, fever or clinical symptoms of infection during labour were excluded from the study. Post insertion counselling was done, and these women were advised to follow up at 6 weeks and then after 6 months postpartum in the family planning O.P.D. At the follow-up visit, the women were asked for any symptoms of unusual vaginal discharge, irregular or heavy bleeding per vagina, and any expulsions if noticed.Results: Total number of cases that reported for follow up in family planning OPD was 118. Therefore, 18 patients were lost in the follow up. In 58.47% women, there was no complaint. Heavy menstrual bleeding was found in 17.79% women and pelvic pain in 16.10% women. The expulsion rate was 5.08% and IUCD removal was done in 12.71% women. Though, the incidence of expulsion and removal rate was more in vaginal insertions than in caesarean insertions but this difference was not statistically significant, while the incidence of missing threads were found more in intra caesarean insertion (28% vs. 11.76% with p value <0.05). Continuation rate at 6 month was 82.20%.Conclusions: PPIUCD insertion is a safe, convenient and effective method of contraception. Although the expulsion rate and removal rate was more in vaginal PPIUCD insertions, the benefits of providing highly effective contraception immediately after delivery outweigh this disadvantage, particularly in our country where most of the women do not come for contraceptive advice after delivery.

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A prospective study of immediate postpartum intra uterine device insertion in a tertiary level hospital

Cited by 9 publications

References 7 publications

Efficacy and safety of Post-Partum Intrauterine Contraceptive device (PPIUCD) insertion-A prospective study

Efficacy and safety of Post-Partum Intrauterine Contraceptive device (PPIUCD) insertion-A prospective study

Comparative study of post placental cut insertion following vaginal and caesarean delivery

A follow up study of postpartum intrauterine device insertion in a tertiary health care centre

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