Outcome of Immediate Postpartum Insertion of IUCD - A Prospective Study

Yusra mushtaq shah; Omer khursheed; Tabasum rashid; Tawseefa rashid; Aijaz Ahmad

doi:10.36948/ijfmr.2023.v05i04.4505

Outcome of Immediate Postpartum Insertion of IUCD - A Prospective Study

Author(s)	Yusra mushtaq shah, Omer khursheed, Tabasum rashid, Tawseefa rashid, Aijaz Ahmad
Country	India
Abstract	Introduction: Immediate postpartum intrauterine contraceptive device insertion is an outstanding approach to family planning, offering women in the delivery setting a secure, efficient, and reversible method of contraception for the long term. The primary objective of this study was to evaluate the safety and effectiveness of immediate postpartum intrauterine contraceptive device insertion. Additionally, it aimed to compare the outcomes of two different insertion routes, namely vaginal deliveries and caesarean sections. Objective: The aim of this study is to assess the level of awareness regarding postpartum intrauterine contraceptive device (PPIUCD) among women who have recently given birth. This study seeks to investigate the safety and effectiveness of inserting a PPIUCD immediately after childbirth. Materials and methods: In this prospective interventional study, a total of 100 vaginal deliveries and 100 caesarean deliveries with postpartum intrauterine contraceptive device (PPIUCD) insertion were included. The study spanned a duration of 1 year, and the participants were followed up for a period of three months. The study focused on assessing various outcome measures related to safety and efficacy. Safety outcomes included evaluating incidences of perforation, irregular bleeding, unusual vaginal discharge, and infection. Efficacy outcomes encompassed measuring occurrences of pregnancy, expulsions, discontinuation, and the presence of coiled up or undescended strings. Subsequently, the data collected was compiled and subjected to analysis. Results: According to the findings of this study, a minority of the study sample, specifically 34.5% (N=69), demonstrated awareness of the postpartum intrauterine contraceptive device (PPIUCD). Conversely, the majority of participants, accounting for 65.5%, were found to be unaware of this contraceptive method. The study did not observe any significant complications, such as pregnancy or perforation, among the participants. The most frequently reported complication in both the vaginal delivery and caesarean section groups was excessive vaginal bleeding, followed by lower abdominal pain. However, it is noteworthy that spontaneous expulsion of the device was documented in 3% of the cases involving vaginal insertions, while no instances of expulsion were observed in the caesarean insertion group. Conclusion: PP IUCD is a highly effective approach for controlling or spacing childbirths. It is provided to women in situations where they possess strong motivation and a genuine requirement for this method.
Keywords	PP IUCD, Postpartum contraception, Insertion of IUCD.
Published In	Volume 5, Issue 4, July-August 2023
Published On	2023-07-20
Cite This	Outcome of Immediate Postpartum Insertion of IUCD - A Prospective Study - Yusra mushtaq shah, Omer khursheed, Tabasum rashid, Tawseefa rashid, Aijaz Ahmad - IJFMR Volume 5, Issue 4, July-August 2023. DOI 10.36948/ijfmr.2023.v05i04.4505
DOI	https://doi.org/10.36948/ijfmr.2023.v05i04.4505
Short DOI	https://doi.org/gshm7v

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Outcome of Immediate Postpartum Insertion of IUCD - A Prospective Study

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