‘Study of Long Acting Reversible Contraception(larc) After Abortion'

Abstract

Background: The study was conducted to evaluate clinical outcome of post abortion intrauterine contraceptive device (PAIUCD) insertion in terms of acceptability, complications, expulsion and continuation rate. Methods: A prospective observational study was conducted in GMCH, Aurangabad from 2018 to 2020 after Institution Ethics committee approval. Results:Total 250 women were recruited in study. Acceptance rate of PAIUCD was 13.13%. Their age ranges from 20-36years.Majority of women who underwent PAIUCD insertion (77.3%) were from lower middle socioeconomic class of Modied Kuppuswami scale. Around 54.8% were primiparas. Complication rates of immediate PAIUCD insertion were low. Not a single case of uterine perforation was noted. The complications associated with PAIUCD were heavy menstrual bleeding (7.94%), irregular bleeding (4.2%), dysmenorrhea (6.5%) and pelvic infection (1.4%). Expulsion rate was 7.47%. It was found to be higher (5.53%) in cases of mid trimester abortion than in cases of rst trimester abortion (1.87%). Continuation rate was78.97% at the end of 6 months. Conclusion: Higher rate of continuation with lower rate of expulsion, pelvic inammatory disease and minimal risk of perforation were noted after PAIUCD insertion. PAIUCD was safe and well tolerated by women.