Clinical Outcome of Ppiucd (Copper-380A)-Intracaesarean Insertion

Garuda, Lakshmi; Suhasini, K; Neelohita, B

doi:10.5958/2394-2754.2015.00019.3

Cited by 6 publications

(11 citation statements)

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“…In a study by Garuda et al 11 and Mishra, 12 the maximum number of acceptors for copper T insertion belonged to the primipara group which accounted to 67.27 and 64.53%, which is similar to this study in which primiparas accounted for 71.88% as shown in Table 3. However, in a study by Srivastava and Bano, 13 the maximum number of acceptors belonged to the para 2 group which accounted for 36.86%.…”

Section: Discussionsupporting

confidence: 87%

Evaluation of Acceptance, Safety, and Expulsion of Postplacental Intrauterine Contraceptive Devices

Gnanasekar¹

2018

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aims and objectives:• To determine the proportion of women accepting immediate PPIUCD insertion. • To determine the rates of expulsion, pelvic infection, lost strings, and displacement following PPIUCD insertion among the acceptors by 6 weeks. Materials and methods:The material used in this study was copper T 380A.The modified kelly's forceps was used for the post placental insertion of copper T into the uterine cavity under aseptic precautions. Results:The acceptance rate of copper T in this study was 26.44.• The expulsion rate of copper T at the end of 6 weeks was 2.22% • There were no cases of pelvic infection or displacement of copper T in this study. Conclusion:The acceptance rate of copper T was poor which was mainly attributable to the lack of sufficient knowledge about copper T and the false beliefs regarding the impact the copper T has on the health of the individual. However in those women who accepted for copper T insertion were satisfied with the copper T as a temporary method of contraception.

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Section: Discussionsupporting

confidence: 87%

Evaluation of Acceptance, Safety, and Expulsion of Postplacental Intrauterine Contraceptive Devices

Gnanasekar¹

2018

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…These results are in accordance with the findings of Zulficar et al, who reported missing thread in 8% of cases 12. In another study by Garuda et al, missing thread was observed in 14.54% of cases 4. Comparatively higher percentage of missing thread about 30% and 35.45% was found in studies by Rahman and Banerjee and Shanavas et al, respectively 10,13.…”

mentioning

confidence: 82%

Complications after post placental insertion of Cu T 380 A in women undergoing caesarean delivery

Singh

Thakur

2020

Int J Reprod Contracept Obstet Gynecol

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Background: India is the second most populated country in the world after China with more than a billion people and has highest number of maternal deaths in the world. The aim of the study was to find out the complications after insertion of post placental Cu T 380 A in women undergoing caesarean delivery.Methods: A prospective observational study was carried out in the department of obstetrics and gynecology, Dr RPGMC Kangra (Rural Medical College) after taking approval of Protocol Review and Institutional Ethics Committee of the Institution. A total of 104 women delivering by caesarean section and wanting post-placental intra-caesarean Cu T 380 A insertion and who were meeting WHO standard medical criteria for PPIUCD insertion and were willing to comply with the study protocol was recruited for the study.Results: There were no major complications and only minor side effects like pain and fever were observed in 6.25 and 6.90 and 9.37 and 11.11% of women who were admitted electively and in emergency, respectively during follow-up visit up to 6 months. String became visible in 72.12% of women at the 6 weeks follow-up visit and their visibilities increased with time and at 6 months follow-up in 90.81% of the cases. Continuation rate was 100% at 6 weeks post-partum follow-up. After that spontaneous expulsion occurred in 4 cases (3.84%) and another 4 women (3.84%) requested removal for various reasons leading to continuation rate of 92.30% at six months post-partum follow-up. There was no case of pregnancy with Cu T in situ with no failure at the end of study at six months post-partum.Conclusions: Post placental insertion of Cu T 380 A in women undergoing caesarean section was safe and effective method of postpartum family planning, the complaints and complications initially increased but decreased at 6 months follow-up.

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“…There are only .6 to.8 pregnancies per 100 women in first year of use. 3 It can be used for the 10 years continuously or for whatever time period the women wants up to 10 years. PPIUCD inhibits the sperm migration, sperm survival, ovum transport and causes inflammatory reactions in the endometrium due to sterile foreign body and copper.…”

Section: Exclusion Criteriamentioning

confidence: 99%

Clinical and ultrasonographic evaluation of PPIUCD

Tater

Garg

Sharma

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONIndia is the second most populated country in the world after China. According to the census 2011 the population of India on 1 st March 2011 was 1,210,193,422. In spite of the availability of wide range of contraception the unmet needs of contraception for family planning is estimated to be 12.8%, the reason for the unmet needs are mainly lack of information, fear about the side effects of contraceptive methods and unsatisfactory services.The recommended birth to birth interval in India is 36 months approximately 27% of birth in India occurs in less than 24 months after the previous birth and another 34% of birth occurs between 24 to 35 months. 1 The main reason for the decreased interval of birth is lack of knowledge of contraception in post-partum period. The contraception used during this period should be safe and effective and focus on extended post-partum period.Importance of post-partum family planning is as follows:• Maternal health: Women becoming pregnant at short intervals faces problems like anemia, abortion, premature rupture of membranes and high maternal mortality • Child health: short birth interval leads to increased risk of pre-term babies, Intra uterine growth retardation (IUGR), and increased death in neonatal period • To fulfill the Unmet needs: 65% of the women in first year of delivery have unmet needs for family planning. Only 26% of the of the women in India are using any contraception in first year after delivery. 2 ABSTRACTBackground: India is the second most populated country in the world. Effective contraception with low complication rates and high continuation rate in post-partum period can check population growth.Methods: This is a prospective study carried out at Mahatma Gandhi Hospital after ethical committee approval. 100 patients giving the informed consent were taken in the study. PPIUCD inserted in patients and they were followed up at 48 hrs, 6 weeks and 12 weeks by clinical examination and USG. Results: In this study, with PPIUCD insertion during LSCS, the expulsion and removal was observed in 4% and 14% whereas in cases with FTVD 8.33% expulsion and 12.5% removal were observed. 82% and 79.2% continued the use of PPIUCD in LSCS and FTVD respectively. The most common complain of the patients with PPIUCD were irritation because of thread. No case of pelvic infection or perforation was observed. There was no expulsion of PPIUCD when the distance of PPIUCD from fundus on USG was <10 mm. Conclusion: PPIUCD have high continuation rates with low complication rate. Distance of PPIUCD from fundus on USG is not a good indicator for predicting expulsion of PPIUCD.

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Clinical Outcome of Ppiucd (Copper-380A)-Intracaesarean Insertion

Cited by 6 publications

References 0 publications

Evaluation of Acceptance, Safety, and Expulsion of Postplacental Intrauterine Contraceptive Devices

Evaluation of Acceptance, Safety, and Expulsion of Postplacental Intrauterine Contraceptive Devices

Complications after post placental insertion of Cu T 380 A in women undergoing caesarean delivery

Clinical and ultrasonographic evaluation of PPIUCD

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