scholarly journals EVALUATION OF FACTORS FOR DISCONTINUATION OF INTRAUTERINE CONTRACEPTIVE DEVICE AMONG WOMEN IN A TERTIARY CARE CENTER IN JAMMU, INDIA

2017 ◽  
Vol 6 (55) ◽  
pp. 4157-4160
Author(s):  
Zareena Hassan Khan ◽  
Sameena Akhter ◽  
Mubashar Mir ◽  
Shashi Gupta
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Tertiary Care Center ◽  
Intrauterine Contraceptive

scholarly journals Prospective study on outcomes of postpartum intrauterine contraceptive device including safety, efficacy and expulsion at GMERS Medical College, Dharpur-Patan, Gujarat, India

2018 ◽  
Vol 7 (8) ◽  
pp. 3131
Author(s):  
Parul S. Jani
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Prospective Analysis ◽  
Contraceptive Device ◽  
Tertiary Care Center ◽  
Hospital Record ◽  
Expulsion Rate ◽  
Medical College ◽  
Intrauterine Contraceptive ◽  
Post Placental

Background: Evaluation of PPIUCD in terms of incidence of failure, expulsion, bleeding p\v and other complication. Present study is aimed at determining the safety, efficacy, expulsion of post placental and intra cesarean insertion of intrauterine device.Methods: Prospective analysis was carried out to collect information regarding IUCD insertion and outcome at tertiary care center for the period of three years using the hospital record that a total number of 600 mothers had postpartum intrauterine contraceptive device.Results: Total women opted for PPIUCD 600, Followed up 560 after 1 week, 580 after 6 weeks and 400 after 6 months. Complications after 6 months 228. (pain 66, bleeding 37, expulsion 17, strings problem 7, discharge p/v 101).Conclusions: The insertion of PPIUCD is safe and effective method of contraception in the means of complication though it is a new concept for the population it is well accepted by the community though expulsion rate is somewhat high compare to conventional IUCD. it can be reduced with practice.

scholarly journals Outcome of immediate postpartum intrauterine contraceptive device in caesarean versus vaginal insertion: a comparative study

2017 ◽  
Vol 6 (2) ◽  
pp. 694
Author(s):  
Aswathy Shanavas ◽  
Sujamol Jacob ◽  
Nirmala Chellamma
Keyword(s):  
Tertiary Care ◽  
Significant Risk ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Maternal Child Health ◽  
Chi Square ◽  
Safety And Efficacy ◽  
Vaginal Deliveries ◽  
Intrauterine Contraceptive

Background: Immediate Postpartum Intrauterine Contraceptive device is a novel approach to contraception which integrates Maternal - Child health and family planning services. It is a postpartum method which provides long term reversible contraception to women before discharge from the delivery setting. More research is needed in the field of PPIUCD to enhance awareness and acceptance in the community. This study is designed to compare the safety and efficacy of PPIUCD inserted at cesarean versus vaginal delivery.Methods: This is a prospective study conducted at Sree Avittom Thirunal Hospital, Govt. Medical College, and Kerala – A tertiary care teaching institution. A total of 126 patients with cesarean or vaginal deliveries had PPIUCD insertions and they were followed up for a period of one year. The outcome measures analyzed were safety measures – 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 cesarean and vaginal delivery with no significant differences in safety and efficacy depending on the route of insertion. There was no case of perforation or failure and no significant risk of infection in either group. Spontaneous expulsion occurred in two cases inserted by vaginal route. Missing string incidence is high in the cesarean group compared to vaginal insertion.Conclusions: PPIUCD is a safe effective and convenient method of contraception and should be encouraged in both vaginal and cesarean deliveries.

A cross sectional study on willingness and acceptabily: PPIUCD by primipara mothers at a tertiary care hospital, Tamil Nadu

2017 ◽  
Vol 6 (7) ◽  
pp. 3030
Author(s):  
T. K. Shaanthy Gunasingh ◽  
T. S. Meena ◽  
R. Mothilal
Keyword(s):  
Family Planning ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Intrauterine Contraceptive

Background: Postpartum intrauterine contraceptive device is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim was to study the willingness and acceptability of Postpartum intrauterine contraceptive device among primi paraous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: A cross sectional analytical study was done in a tertiary care teaching institution to know the willingness and acceptance among primi paraous delivery (either vaginal and caesarean deliveries) for the period of three months using the hospital records that a total number of 587 primi paraous deliveries and among them 433 mothers had Postpartum intrauterine contraceptive device over the three months period, were taken as a secondary data and studied for their willingness and acceptance for Postpartum intrauterine contraceptive device.Results: 82.8 % of primi paraous women were showing willingness for Postpartum intrauterine contraceptive device and 73.8 % of them had Postpartum intrauterine contraceptive device insertion. Postpartum intrauterine contraceptive device insertions were more in caesarean deliveries than in vaginal deliveries of mothers with one child.Conclusions: Postpartum intrauterine contraceptive device is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of Postpartum intrauterine contraceptive device in women with one child was effective and statistically significant at p value is < 0.05.

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