scholarly journals A Prospective Study to Evaluate Vaginal Insertion and Intra-Cesarean Insertion of Post-Partum Intrauterine Contraceptive Device

2014 ◽  
Vol 66 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Abhijit Halder ◽  
M. S. Sowmya ◽  
Abhimannyu Gayen ◽  
Popli Bhattacharya ◽  
Sanjay Mukherjee ◽  
...  
Keyword(s):  
Prospective Study ◽  
Post Partum ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
A Prospective Study

scholarly journals Immediate post placental insertion of intrauterine contraceptive device at caesarean delivery: a prospective study

2020 ◽  
Vol 9 (6) ◽  
pp. 2244
Author(s):  
Sravani Mukka ◽  
Madhavi Y.
Keyword(s):  
Family Planning ◽  
Prospective Study ◽  
Post Partum ◽  
Unmet Need ◽  
Intrauterine Contraceptive Device ◽  
Efficacy Rate ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
A Prospective Study

Background: In India almost 65% of the women have an unmet need for family planning in the first postpartum year. Increasing rates of institutional deliveries creates an opportunity for providing quality post-partum family planning services. Post-partum Intrauterine contraceptive device (PPIUCD), a form of long acting reversible contraception (LARC) is one of the most affective and safest method available. The present study aims at evaluating the safety, efficacy, rate of acceptance and rate of discontinuation of Intra caesarean inserted contraceptive device Copper T-380A.Methods: This was a prospective study conducted at ESIC Medical College, Sanathnagar in women delivered by caesarean section during the period between March 2018 to February 2019. Recruitment was done based on the WHO medical eligibility criteria (MEC) for PPIUCD and also their willingness to participate in the study. Follow-up visits were scheduled at 6 weeks, 3 months and 6 months.Results: Of the 265 women fulfilling the WHO MEC, 180 (67.92%) were willing to participate in the study. Total acceptance rate was 67.7%. Majority of them belonged to the age group 21-30 years (80%) and para 2 (53.88). 93.3% of the women were literates. 12 (6.66%) cases lost to follow up and the complications were studied in the rest 168 women. During follow up -38.69% had missing strings, 12.5% menstrual disturbances, 4.76% abdominal pain and spontaneous expulsion in 4.1%. No cases of perforation and pregnancy were reported. Total continuation rate was 84%.Conclusions: PPIUCD is a safe and convenient option of contraception with low expulsion rates and high continuation rates.

scholarly journals Prospective study on outcome of post-partum intrauterine contraceptive device insertion at tertiary level rural health institute of Gujarat, India

2019 ◽  
Vol 8 (6) ◽  
pp. 2275
Author(s):  
Shilpa N. Ninama ◽  
Tejas A. Shah ◽  
Mayur R. Gandhi
Keyword(s):  
Prospective Study ◽  
Post Partum ◽  
Public Awareness ◽  
Tertiary Care ◽  
Significant Risk ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Vaginal Route ◽  
Vaginal Deliveries ◽  
Intrauterine Contraceptive

Background: This study was conducted to evaluate the acceptance, safety, efficacy, complications and expulsion rate of post-partum intrauterine contraceptive device (PPIUCD) insertion among post-partum pregnant women in a rural tertiary care center. Objective of this study was assessment of the efficacy and safety of post-partum IUCD insertion. Comparing the complications and client satisfaction in both groups (intra caesarean insertion versus vaginal route of insertion).Methods: This is a prospective study conducted at one of the rural tertiary care teaching institution. A total of 150 patients with caesarean or vaginal deliveries had PPIUCD insertions and they were followed up for a period of one year. The outcome measures analyzed were menstrual irregularities, vaginal discharge, pelvic infection and perforation and efficacy measures - failure, expulsion and removal. Data are expressed in frequency and percentage. Chi square test was used for comparison and P value <0.05 was considered significant.Results: The study shows that PPIUCD is an effective intervention in both caesarean and vaginal delivery with non-significant differences in safety and efficacy depending on the route of insertion. There was no case of perforation and no significant risk of infection in either caesareans or delivery. Spontaneous expulsion occurred in two cases inserted by vaginal route. Missing string incidence is high in the caesarean group compared to vaginal insertion.Conclusions: PPIUCD is a safe, effective and long term reversible method of contraception and should be encouraged by public awareness and community acceptance.

scholarly journals Knowledge, attitude and practice study on immediate postpartum intrauterine contraceptive device method of family planning

2017 ◽  
Vol 4 (8) ◽  
pp. 2981
Author(s):  
Nidhi Gupta ◽  
Renuka Sinha ◽  
Abha Mangal
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Planning Method ◽  
Family Planning Method ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Intrauterine Contraceptive ◽  
Knowledge Attitude And Practice

Background: The objectives of the study were to assess knowledge, attitude and practice in post-partum intrauterine contraceptive device method of family planning and to know about willingness for post-partum intrauterine contraceptive device (PPIUCD) when knowledge is provided for the same.Methods: This is a cross sectional observational study including 1200 patients of immediate post-partum period (<48 hrs of delivery), delivered at Safdarjung hospital. Women were evaluated with the help of a pre-designed and pre-tested questionnaire.Results: Out of 1200 women 864 (72%) were aware of some family planning method but only 672 (56%) had used some family planning method in the past. 108 (9%) women had knowledge regarding Post-partum intrauterine contraceptive device (PPIUCD). Among these, 72 (6%) women opted for PPIUCD. After knowledge regarding PPIUCD had been given, 80 more women adopted this as a method of contraception. So total 152 (12.67%) opted PPIUCD.Conclusions: This study highlights that awareness and knowledge does not always lead to use of contraceptives. A lot of educational and motivational activities are needed.

scholarly journals Postpartum intrauterine contraceptive device use and its associated factors in Ethiopia: systematic review and meta-analysis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Bekalu Getnet Kassa ◽  
Alemu Degu Ayele ◽  
Habtamu Gebrehana Belay ◽  
Adanech Getie Tefera ◽  
Gebrehiwot Ayalew Tiruneh ◽  
...  
Keyword(s):  
Associated Factors ◽  
Post Partum ◽  
Meta Analysis ◽  
Grey Literature ◽  
Random Effect Model ◽  
Database Systems ◽  
Intrauterine Contraceptive Device ◽  
Measurement Tool ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive

Abstract Background The intrauterine contraceptive device, a type of long-acting reversible contraception, is one of the most effective and safe contraceptive methods. In Ethiopia, intrauterine contraceptive device is little known and practised to delay pregnancy. Therefore, this study aimed to assess post-partum intrauterine contraceptive device utilisation and its associated factors among women in Ethiopia. Method In the current meta-analysis, variables were searched from different electronic database systems, including PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were also analysed by using STATA 16 statistical software. I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled utilisation of postpartum intrauterine contraceptive device. Results Twelve full-article studies were included. The pooled prevalence of post-partum intrauterine contraceptive device among women in Ethiopia was 21.63%. Occupation (OR = 4.44, 95% CI, 2.24–8.81), educational level of college and above (OR = 5.93, 95% CI, 2.55–13.8), antenatal care (OR = 2.09, 95% CI, 1.4–3.12), age (OR = 4.8, 95% CI, 2.3–10.04), good knowledge (OR = 4.16, 95% CI, 1.65–10.49), counseling (OR = 3.05, 95%CI, 1.41–6.63), husband support (OR = 11.48, 95% CI, 6.05–21.79) and awareness about IUCD (OR = 3.86, 95% CI, 1.46–10.2) were positively associated with utilization of postpartum intrauterine contraception device. Conclusions Utilisation of post-partum intrauterine contraceptive device was significantly low. Scaling up women’s educational status and ANC use has paramount importance in increasing post-partum IUD use, which further improves maternal and child health in general. This finding may be useful in both reproductive health promotion at an individual level and policy-making regarding this issue.

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