The Clinical Outcome of Post Placental Copper-T-380A Insertion with Long Placental Forceps (Kelly’s Forceps) After Normal Vaginal Delivery and Cesarean Section

Gupta, Garima; Ritu, G; Kadam, V. K.; Sharma, P

doi:10.1007/s13224-014-0636-y

Cited by 7 publications

(12 citation statements)

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“…This is similar to study conducted by Gupta G et al with percentage satisfaction among users after 6 weeks-91.7%, 3 months-92.9%, and 6 months-95.6%. 8 The present study showed continuation rates of about 88.23% for PPIUCD users over a follow up period of 6 months. Celen et al also showed continuation rates of 87.6% for PPIUCD at 6 months' interval.…”

Section: Discussionsupporting

confidence: 60%

“…In accordance to our study, no perforations were reported in post placental IUD insertion in the studies done by Kapp et al and Gupta G et al which matches our study. 7,8 In present study, the number of women who were satisfied with the use of Cu T as a contraceptive method at 1st, 2nd and 3rd follow up visit in interval delivery and postpartum delivery were 122 (88.4 %), 126 (92.5%) and 122 (92.4%) and 133 (92.3%), 130 (92.9 %) and 130 (95.6%) respectively. This emphasizes that the mode of delivery is not affecting the satisfaction level of the women .…”

Section: Discussionmentioning

confidence: 48%

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Comparative evaluation of postpartum IUCD versus interval IUCD at a tertiary care centre in Allahabad, India

Singh

Sonkar

Yadav

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONNationally unplanned pregnancy rate is 21% of all pregnancies.1 In India 65% of women in the first year postpartum have an unmet need for family planning, out of which only 26% of woman are using any method of contraception. Hence, contraceptive counselling has become an integral part of antenatal and postpartum programme as pregnant and postpartum women are generally highly motivated towards controlling the fertility, either in spacing out there children or stopping their fertility altogether. Postpartum period is one of the sensitive time of woman's life when she is in contact with health care facility known as crisis oriented and when both mother and newborn need a special care. Postpartum contraceptive options are limited. Barrier contraceptives and progesterone only pills, both are user and compliance dependent methods and therefore have high failure rates. Traditionally, Cu T insertion was limited to interval period. But now, recent studies on postpartum contraceptive methods have suggested the use of Cu T in postpartum period which can provide long term and effective contraception with failure rate of <1%.Percentage of institutional deliveries in India is 41%.2 As the number of institutional deliveries is increasing, postpartum Cu T insertion can provide a unique opportunity to increase the contraceptive prevalence ABSTRACT Background: The use of Cu T in postpartum period can provide long term and effective contraception and this study compares PPIUCD versus interval IUCD. Methods: 300 women enrolled in the study were divided into two groups. Postpartum group-150; Postplacental or within 10 minutes/intracaesarean/within 48 hrs of delivery. Interval Group 150; after 6 weeks of delivery / postmenstrual. Cu T 380A was used in the study. Contraindication for PPIUCD were between 48 hrs and 6 wks postpartum, chorioaminionitis, PROM >18 hrs, unresolved PPH and puerperal sepsis. All were followed up for 6 months. Results:The continuation rate at 6 months was 81.81% in interval group and 88.23% in postpartum group. Complications occurred in 15.33% cases after PPIUCD and in 19.33% cases after interval IUCD. Expulsion rate was significantly higher in PPIUCD as compared to interval insertions (6.96% v/s 2.2%; p value <0.05). Removal rate of IUCD was almost similar in both the groups (4% in PPIUCD v/s 6.0% in interval). Conclusions: PPIUCD is an effective, safe, convenient, low cost and long term method of postpartum contraception irrespective of the mode of delivery.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 48%

Comparative evaluation of postpartum IUCD versus interval IUCD at a tertiary care centre in Allahabad, India

Singh

Sonkar

Yadav

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…11 Women's satisfaction after wearing PPIUCD was 91.7% after 6 weeks, 92.9% after 3 months, and 95.6% after 6 months. 12 Nearly all women (99.6%) were satisfied with IUCD at the time of insertion and 92% were satisfied at 6 week follow-up visit. 13 Continuation rate after 1 year was 91%.…”

Section: Discussionmentioning

confidence: 89%

An analysis on choices of contraception

Pal¹,

Roy²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Contraception is a matter of choice by the end users. The choice varies time to time. Present study tries to find out which type of contraceptive measure people prefer nowadays.Methods: This is a retrospective observational study conducted at College of Medicine & JNM Hospital, WBUHS, Kalyani, India. The contraceptive performance data of the hospital are collected from the computerised data entry register. The study period was from January 2015 to December 2017. Total number of different contraceptive methods (OCP, condom, IUCD, MTP, tubal ligation etc.) accepted by the people were found out. Data was then analysed in comparison to total number of contraception with each other by student ‘t’ test and chi square test.Results: It is found that condom use is significantly increased from 2015 to 2017 (p<0.00001). OCP use is significantly decreased from 2015 to 2017 (p<0.00001). IUCD insertion significantly increased from 2015 to 2017 (P<0.00001) and tubal ligation significantly decreased from 2015 to 2017 (p<0.00001).Conclusions: Contraception choice preference is shifting towards LARCs (long acting reversible contraceptives).

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“…Gupta et al reported the expulsion rate was 14.3% at 6 weeks, 2.9% at 3 months, and 0% at 6 months, respectively. 5 Sharma reported the expulsion rate was 5.2% at 6 months. 21 Chhari et al reported a 12% of expulsion rate in the post-placental group compared to 0% in the cesarean group.…”

Section: Discussionmentioning

confidence: 97%

“…Abdominal pain was the a year, respectively). 5,28 Heavy menstrual bleeding was the most common reason for removal. 27 In this study, the reasons for IUD discontinuation were dyspareunia, vaginal bleeding, abdominal pain, and vaginal discharge (one patient in each complaint).…”

Section: Ppiud Effectivity Side Effects and Satisfactionmentioning

confidence: 99%

A Prospective Study of Effectivity, Expulsion, and Acceptability of Post-placental IUD Cu T380A Insertion Using Clamp in a Tertiary Hospital

Gunardi¹,

Putri²,

Pasidri³

2021

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: Intrauterine device (IUD) has a high effectivity of long-term contraception method. Post-placental IUD increases the number of contraception use and decreases the unmet need for contraception. The purposes of this study were to evaluate the effectivity, expulsion, acceptability, and side effects of post-placental IUD insertion using a clamp at Dr. Cipto Mangunkusumo National General Hospital. Materials and methods: This prospective longitudinal observational study was conducted at a tertiary teaching hospital (Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) from April 2018 to March 2019. Post-placental IUD was inserted using a clamp. We interviewed the patients at 3 months and 6 months after insertion to evaluate the outcome. A total of 94 women were included in this study. Results: The effectivity was 100%. The expulsion rate was 2.13, 3.45, and 0% at 6 weeks, 3 months, and 6 months, respectively. The total acceptability rate at 6 weeks, 3 months, and 6 months was 96.81, 93.3, and 90.8%, respectively. Most of the subjects were satisfied with the IUD contraception at 3 months and 6 months. Conclusion: Post-placental IUD insertion using a clamp had good safety, effectivity, acceptance, and satisfaction. This data could be used for family planning counseling in daily practice. Post-placentaI IUD insertion should be routinely offered to all eligible postpartum women undergoing institutional deliveries.

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The Clinical Outcome of Post Placental Copper-T-380A Insertion with Long Placental Forceps (Kelly’s Forceps) After Normal Vaginal Delivery and Cesarean Section

Cited by 7 publications

References 0 publications

Comparative evaluation of postpartum IUCD versus interval IUCD at a tertiary care centre in Allahabad, India

Comparative evaluation of postpartum IUCD versus interval IUCD at a tertiary care centre in Allahabad, India

An analysis on choices of contraception

A Prospective Study of Effectivity, Expulsion, and Acceptability of Post-placental IUD Cu T380A Insertion Using Clamp in a Tertiary Hospital

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