Comparative study of interval versus postpartum Cu-T insertion in a Central Referral Hospital of North East India

Lucksom, Pesona Grace; Kanungo, B. K.; Sebastian, Nikhil; Mehrotra, Rashi; Pradhan, Dipika; Upadhya, Rekha

doi:10.5455/2320-1770.ijrcog20150209

Cited by 11 publications

(19 citation statements)

References 10 publications

(7 reference statements)

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“…In present study expulsion rate of Interval IUCD was 1.25% which is comparable with above studies. In Lucksom et al and Mohan H et al expulsion rate of Interval IUCD insertion were 5.95% and 5.0% respectively 10,11. In present study expulsion rate of Interval IUCD insertion was 1.25% which is not comparable with above studies.…”

contrasting

confidence: 76%

“…In Gupta A et al, Singh U et al, Mohan H et al and Srivastava et al expulsion rate higher in PPIUCD than Interval IUCD insertion group which was comparable with present study 6,7,9,11. While in Lucksom et al expulsion rate was higher in Interval IUCD group than PPIUCD group this was because focus training of doctors in PPIUCD insertion which was not comparable with our study 10. Below table shows in various studies continuation rate of PPIUCD group varies from 88% to 94.20% which was comparable with present study where continuation rate was 86.25%.…”

supporting

confidence: 57%

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Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Godhani

Patel

2019

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONAccording to Family Welfare Statistics 2011, Current population of India is 1.21 billion. 5.7% couples are effectively protected by using IUCD as a contraceptive measure. During the year 2010-11, 5.6 million IUCD insertion were reported as against 5.7 million in 2009-10. This shows decrease in acceptance rate of IUCD. Family planning is important not only for population stabilization, but it has been increasingly recognized as central tool to improve maternal and neonatal health.The methods of contraception currently available in India can be broadly divided into two categories, spacing methods and permanent methods. Spacing methodsThese are the reversible methods of contraception to be used by couples who wish to have children in future. These includes• Hormonal methods -oral/injectables • Barrier methods -male/female condoms ABSTRACT Background: Family planning is important not only for population stabilization, but it has been increasingly recognized as central tool to improve maternal and neonatal health. Aim of current study was to compare interval and post partum intrauterine contraceptive device (IUCD) insertion in terms of effectiveness and safety. Methods: This was a prospective observational cohort study, done in the department of Obstetrics and Gynecology, GMERS Medical College, Sola, Ahmedabad, from August 2015 to April 2017 was taken for evaluation. 80 women in each group who were inserted IUCD after delivery and in the interval period were studied. Outcome was measured by expulsion rate, continuation rate, and incidence of dysfunctional uterine bleeding (DUB), Pelvic inflammatory disease (PID), failure rate and effect on puerperium. Results: Expulsion rate in PPIUCD group was 8.75% while in interval IUCD group it was 1.25%. Continuation rate following Postpartum intrauterine contraceptive device (PPIUCD) and interval IUCD insertion was 86.25% and 95% respectively. Incidence of bleeding per vaginum (menorrhagia) was 7.5% in PPIUCD group while 8.75% in interval IUCD group. There was one case 1.25% of PID in interval IUCD group while no case in PPIUCD was noted. Failure rate was nil in both the group. There was no effect on puerperium following PPIUCD insertion group during present study. Conclusions: PPIUCD is an effective and safe spacing method of contraception as compared to interval IUCD insertion. There is no statistically significant change in incidence of expulsion rate, continuation rate and other complications in both the group.

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contrasting

confidence: 76%

supporting

confidence: 57%

Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Godhani

Patel

2019

Int J Reprod Contracept Obstet Gynecol

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“…In the study conducted by Lucksom et al, they reported nil expulsion rate in postplacental group versus 5.95% in the interval group. 6 Another retrospective study showed that the expulsion rate was significantly lower in the interval insertion group (2.7%) than in the immediate postpartum insertion group (9.3%). 7 The number of women who had abnormal uterine bleeding was comparable within the two groups, with 13.2% women having abnormal uterine bleeding in the postplacental group and 13.3% women in the interval group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of clinical outcomes following CuT-380A insertion in postplacental period with interval insertion

Chauhan¹,

Gainder²

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Postplacental intra-uterine device has many benefits like providing contraception immediately after childbirth, non-interference with lactation and high efficacy. However, concerns about its safety have led to decreased use of this method of contraception. Hence, this study aims to compare the complication rates following insertion of immediate postplacental IUCD (PPIUCD) with interval insertion.Methods: This is a prospective study conducted under the Department of Obstetrics and Gynaecology in PGIMER, Chandigarh. 196 women were included in the study. Women were divided in two groups, those who were inserted with immediate postplacental IUCD versus those who had IUCD insertion in interval period. The two groups were followed up for a period of 6 months and complications were recorded. The PPIUCD group was further subdivided into 2 subgroups based on mode of delivery, vaginal delivery and caesarean section. These PPIUCD subgroups were also compared.Results: There was no statistically significant difference in the incidence of pelvic pain, infection, abnormal uterine bleeding and expulsion between the PPIUCD and interval group. However, when the PPIUCD subgroups were compared, it was seen that no woman in caesarean section subgroup had expulsion of IUCD whereas 9.8% women had expulsion in the vaginal delivery PPIUCD subgroup.Conclusions: Postplacental and interval IUCD seem to be comparable for the incidence of various complications. However, intra-caesarean PPIUCD insertion seems to have a much lower expulsion rate as compared to vaginal delivery PPIUCD insertion.

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“…The length of strings of CuT380A IUD (HLL Lifecare Limited, India) is 11.5 cm, whereas Cu375 IUD has longer nylon thread of 19.4 cm (Pregna International Limited, India). Non-visualization of CuT380A IUD strings at follow-up visits is due to its short strings [5,6,8,12,13]. Therefore, postplacental insertion of Cu375 IUD following cesarean delivery may lead to string visibility at cervical os in more number of women.…”

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

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Comparative study of interval versus postpartum Cu-T insertion in a Central Referral Hospital of North East India

Cited by 11 publications

References 10 publications

Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Comparison of clinical outcomes following CuT-380A insertion in postplacental period with interval insertion

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

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