Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

Gutgutia, Isha; Rani, Kumari Usha; Prateek, Shashi; Arora, Renu; Shubham, .

doi:10.5455/2320-1770.ijrcog20150204

Cited by 5 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Discomfort due to bleeding, pain in the abdomen or discharge as main reasons for removal is consistent with findings of previous studies conducted in similar settings [12] , [16] , [19] . This finding emphasizes the need for quality pre- and postprocedure counseling for women so that they are aware that these side effects are to be expected and should not come as a surprise.…”

Section: Discussionsupporting

confidence: 91%

“…While global evidence on continuation rates is available for interval intrauterine contraceptive device (IUCD) insertions [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , it is limited for PPCuIUDs. The few studies on PPCuIUD continuation rates are restricted to hospital settings [18] , [19] , [20] , but there is little evidence from any program implemented at scale [21] . Considering the complexities in scale-up of any new intervention in resource-constrained health systems, this lack of program level evidence is a barrier to informed decision making for scale-up of these services globally.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

One-year continuation of postpartum intrauterine contraceptive device: findings from a retrospective cohort study in India

et al. 2019

View full text Add to dashboard Cite

Objective To evaluate outcomes of a national postpartum (within 48 h of delivery) copper intrauterine device placement (PPCuIUD) program in six “high-focus states” with high unmet family planning need in India. Study design We identified high-volume district hospitals that provided PPCuIUD in six (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh and Chhattisgarh) Indian states (two per state). Each selected hospital maintained a list of PPCuIUD acceptors with contact phone numbers. We randomly selected 100 women at each site for inclusion in a telephone survey of IUD outcomes at 1 year. Questions regarded IUD expulsion, discontinuation because of symptoms (e.g., pain, bleeding, discharge), discontinuation for other reasons and use of alternative contraception if discontinuation reported. Results We could contact 844 of the 1200 randomly selected women, of whom 673 (79.7%) had postplacental insertion (within 10 min of delivery), while 171 (20.3%) had an early postpartum insertion (between 10 min to 48 h after delivery). Of those contacted, 530 women (62.8%) reported continuing with the method beyond 1 year, 63 (7.5%) reported having an expulsion, 163 (19.3%) reported having removals for associated side effects (bleeding, pain and discharge), and 88 (10.4%) reported having removals for other reasons. After removal or expulsion, almost half of the women (46.5%) did not switch to any other modern contraceptive method. Conclusion PPCuIUD continuation rate at 1 year was 62.8%. Most removals within 1 year were due to associated side effects. Almost half of the women discontinuing PPCuIUD did not switch to an alternative modern contraceptive method. Implications The 1-year continuation rate of PPCuIUD achieved through a large-scale national program in India is satisfactory. The program though needs to address the low uptake of other modern contraceptive methods after discontinuation.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

One-year continuation of postpartum intrauterine contraceptive device: findings from a retrospective cohort study in India

et al. 2019

View full text Add to dashboard Cite

show abstract

“…(11,12) This may be due to that higher parity subjects opt for permanent methods on contrary to lower parity seeking for spacing methods.…”

Section: Discussionmentioning

confidence: 91%

“…accidental pregnancy and secondary complications like expulsion, infection, abdomen pain, bleeding per vagina, white discharge, uterine perforation, psychological disturbances, removal, etc. (10,12) MATERIALS AND METHODS All women admitted for delivery were counselled regarding PPIUCD and enrolled in the study conducted from April 2015 to Sep 2015 in the Department of Obstetrics and Gynaecology at Govt. Thoothukudi Medical College and Hospital, Thoothukudi, Tamilnadu.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Post-Partum Vaginal and Intracaesarean Insertion of Iucd

Raj¹,

Vasu²

2016

jemds

View full text Add to dashboard Cite

IUCD is a common method of contraception followed in women. The effectiveness and side effects of IUCD is best frequently reported. Here, we have attempted to evaluate the outcome in post-partum vaginal insertion and intracaesarean insertion of copper T. METHODSIn this study 1098 patients for whom Cu-T inserted in OG Department, Govt. Thoothukudi Medical College, Thoothukudi, were enrolled. Among these patients, 806 underwent vaginal insertion and 292 intracaesarean insertion. Both the groups were compared and analysed. Since there is a significant advantage of intracaesarean insertion over vaginal insertion, all patients who are planned for LSCS should be motivated for intracaesarean insertion of IUCD. RESULTSBoth modes of PPIUCD insertion were found to have very low rate of expulsion, vaginal bleeding, infection, missing string and also effective on contraception. Adverse effects are more in vaginal. Hence, intracaesarean from insertion of PPUICD is beneficiary. CONCLUSIONPPUICD is an effective approach and may become the best choice as post-partum contraception in both vaginal as well as caesarean delivery.

show abstract

“…After removal of placenta, fundus of the uterus corresponds to 5-month pregnant uterine size. Therefore, in significant number of women, strings of CuT380A IUD are not visible, especially after intracesarean insertions [3,[6][7][8][9]. Involution of uterus makes IUD strings descend and become visible.…”

Section: Introductionmentioning

confidence: 99%

Visibility of Strings After Postplacental Intracesarean Insertion of CuT380A and Cu375 Intrauterine Contraceptive Device: A Randomized Comparative Study

Agarwal

Dewan

Mittal

et al. 2017

J Obstet Gynecol India

View full text Add to dashboard Cite

show abstract

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

Cited by 5 publications

References 18 publications

One-year continuation of postpartum intrauterine contraceptive device: findings from a retrospective cohort study in India

One-year continuation of postpartum intrauterine contraceptive device: findings from a retrospective cohort study in India

Outcome of Post-Partum Vaginal and Intracaesarean Insertion of Iucd

Visibility of Strings After Postplacental Intracesarean Insertion of CuT380A and Cu375 Intrauterine Contraceptive Device: A Randomized Comparative Study

Contact Info

Product

Resources

About