International Journal of Health and Clinical Research

Yazarlar: Radha Nair

Konular:-

Anahtar Kelimeler:Cohort,Caesarean section,IUCD,Postpartum contraception,Insertion of IUCD.

Özet: Introduction:Postpartum intrauterine contraceptive device insertion is an admirable family planning method which offered safe effective, long term and flexible contraception to women in the delivery setting. The rationale behind the study was to evaluate the clinical outcome of postpartum insertion of intrauterine contraceptive device in terms of safety and efficacy and to compare the two routes of insertion i.e. in vaginal deliveries and caesarean section. Objectives: 1. To study level of awareness among parturient towards PPIUCD. 2. To study safety and efficacy of PPIUCD insertion.Materials and Methods: A Cohort of 200 women was selected as 100 vaginal and 100 caesarean deliveries with PPIUCD insertion were studied over a period of 1 year and followed for four months in this prospective interventional study. Outcome measures of safety were perforation, irregular bleeding, unusual vaginal discharge, and infection. Outcome measures of efficacy were pregnancy, expulsions, discontinuation, and incidence of coiled up/ undescended strings. SPSS software was used for data analysis and p value of less than 0.05 is considered statistically significant.Results: In the present study only 38% (N=76) of the study sample were aware of the PPIUCD while the rest 62% were unaware. No serious complications such as pregnancy or perforation were encountered in our series. Most frequent complication stated in both the groups was excessive bleeding PV supported by pain in lower abdomen. Conclusion: PPIUCD is an outstanding method to limit or space child births. It is suggested to a woman in a setting when she is highly inspired and genuinely needs it.

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