scholarly journals Ultrasound guided detection of position of post partum intra uterine contraceptive device and its relation to complications

2017 ◽  
Vol 6 (9) ◽  
pp. 4035
Author(s):  
Dolly Chawla ◽  
Puja Bharti ◽  
Menka Verma ◽  
Rashmi Khatri
Keyword(s):  
Caesarean Section ◽  
Failure Rate ◽  
Post Partum ◽  
Time Frame ◽  
Reproductive Age ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Normal Delivery ◽  
Intrauterine Contraceptive

Background: Worldwide, Intrauterine Contraceptive Device (IUCD) is one of the most commonly used reversible methods of contraception among married women of reproductive age. It is the second most commonly used forms of contraception, ranking second only to female sterilization. Proper positioning of Copper containing IUCD is of utmost importance for efficacy and safety. The immediate postpartum period, after a birth but prior to discharge from the hospital is an important but under utilized time frame to initiate contraceptives, specially long acting contraceptives such as intrauterine contraceptive device (IUCD). To study the location of Copper IUCD by ultrasound, relationship between position and complaints, failure rate and expulsion rate in post-partum IUCD cases.Methods: The study was prospective, analytical study conducted on 200 women for one year.  IUCD insertion was done in two groups; group A (normal delivery, postplacental) and group B (caesarean section, intracaesarean). On ultrasonography, position and distance of IUCD from fundus of uterus was measured. Outcome measures were expulsion, complication and failure rate upto six months. Informed consent was taken from each participant and ethical justification for the study was sought.Results: Majority of the patients were in age group of 21-25 years. Multigravidae patients had more acceptability of IUCD than primigravidae. More than half of IUCD insertion was done by senior residents (56%). Malpositions were more common in vaginal delivery (62%) than caesarean section (28%). Most common malposition was mid cavity and least common was oblique. Most common complaint was pain abdomen and least common was expulsion.Conclusions: Sonography can be used as an adjunct to clinical examination to examine the position of the IUCD. Ultrasonography done after PPIUCD insertion helps in determining, whether PPIUCDs are placed in normal position or malposition. Malpositioned PPIUCDs have more complications as compared to normally placed IUCDs

scholarly journals Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

2019 ◽  
Vol 8 (8) ◽  
pp. 3285
Author(s):  
Hiral P. Godhani ◽  
Dhaval K. Patel
Keyword(s):  
Failure Rate ◽  
Post Partum ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Continuation Rate ◽  
Expulsion Rate ◽  
Medical College ◽  
Intrauterine Contraceptive ◽  
Observational Cohort ◽  
Population Stabilization

Background: Family planning is important not only for population stabilization, but it has been increasingly recognized as central tool to improve maternal and neonatal health. Aim of current study was to compare interval and post partum intrauterine contraceptive device (IUCD) insertion in terms of effectiveness and safety.Methods: This was a prospective observational cohort study, done in the department of Obstetrics and Gynecology, GMERS Medical College, Sola, Ahmedabad, from August 2015 to April 2017 was taken for evaluation. 80 women in each group who were inserted IUCD after delivery and in the interval period were studied. Outcome was measured by expulsion rate, continuation rate, and incidence of dysfunctional uterine bleeding (DUB), Pelvic inflammatory disease (PID), failure rate and effect on puerperium.Results: Expulsion rate in PPIUCD group was 8.75% while in interval IUCD group it was 1.25%. Continuation rate following Postpartum intrauterine contraceptive device (PPIUCD) and interval IUCD insertion was 86.25% and 95% respectively. Incidence of bleeding per vaginum (menorrhagia) was 7.5% in PPIUCD group while 8.75% in interval IUCD group. There was one case 1.25% of PID in interval IUCD group while no case in PPIUCD was noted. Failure rate was nil in both the group. There was no effect on puerperium following PPIUCD insertion group during present study.Conclusions: PPIUCD is an effective and safe spacing method of contraception as compared to interval IUCD insertion. There is no statistically significant change in incidence of expulsion rate, continuation rate and other complications in both the group.

EVALUATION OF POST PARTUM INTRA CESAREAN AND VAGINAL INSERTION OF INTRAUTERINE CONTRACEPTIVE DEVICE

2021 ◽  
pp. 65-66
Author(s):  
Anita Pathak
Keyword(s):  
Vaginal Bleeding ◽  
Post Partum ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Cesarean Birth ◽  
Intrauterine Contraceptive ◽  
Safety Effect ◽  
Low Rate

To evaluate the efcacy and long-term safety effect of post partum intrauterine contraceptive device after vaginal and cesarean birth in NMCH, Patna over a period of 12months. Atotal of 300 women who opted for PPIUCD, whether delivered vaginally or by cesarean were enrolled into study at NMCH, Dept. of Obst & Gynae, Patna. Both modes of PPIUCD Insertion were found to have very low rate of expulsion, vaginal bleeding, missing strings and also effective as contraceptive. Strings of PPIUCD were less visible after cesarean insertion than vaginal insertion. Expulsion rate was 5% in vaginal group and 2% in intra-cesarean group. PPIUCD is an appealing approach and may become the best choice as post partum contraception after vaginal as well as cesarean delivery.

scholarly journals A Correlation Study to assess the Knowledge and Attitude regarding Post-Partum Intrauterine Contraceptive Device (PPIUCD) among Women admitted in Antenatal and Post- Natal wards: An Institutional Study. (Preprint)

2020 ◽  
Author(s):  
Deepika K ◽  
Shatrughan Pareek
Keyword(s):  
Family Income ◽  
Post Partum ◽  
Sampling Technique ◽  
Correlation Study ◽  
Demographic Variables ◽  
Reproductive Age ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Knowledge And Attitude

BACKGROUND India is 2ed most populous country in the world. Intrauterine contraceptive device (IUCD) is very effective, reversible and economical family planning method. In India acceptance rate of IUCD is very low, only 3% women in reproductive age group are using IUCD. OBJECTIVE Present study was conducted with aim to assess the knowledge and attitude regarding postpartum intrauterine contraceptive device (PPIUCD) among women. METHODS A descriptive approach with non-experimental research design was used for the study. The subjects were 180 women selected by non-probability convenience sampling technique. The study was conducted among the women admitted in antenatal and post-natal wards at Doon Medical College Female Hospital Dehradun, Uttarakhand. RESULTS The study showed that women were having 54.44% (98) average knowledge about PPIUCD, 21.11 %( 38) were having poor knowledge, 23.33% (42) were having no knowledge and only 1.11 %( 2) were having good knowledge about it. The study revealed that favourable and unfavourable attitude towards PPIUCD of women were 43.33% and 56.67% respectively. The present study communicated that there was no correlation (-0.113) between knowledge and attitude towards PPIUCD among women. The finding suggested that, women had average knowledge and unfavourable attitude towards postpartum intrauterine contraceptive device. Chi square value showed that demographic variables like age, family income and education status were having association with the level knowledge regarding post-partum intrauterine contraceptive device. No association was found between attitude and selected demographic variables. CONCLUSIONS Findings stress the need for teaching programmes, which in turn may enhance the knowledge and attitude of women regarding post-partum intrauterine contraceptive device. It will also helpful in improving the health status of women. It may reduce the maternal morbidity and mortality.

scholarly journals ACCEPTANCE, COMPLICATIONS, EXPULSION AND FAILURE RATE OF POSTPARTUM INTRAUTERINE CONTRACEPTIVE DEVICE IN A TERTIARY CARE HOSPITAL

2020 ◽  
pp. 8-10
Author(s):  
Biswajit Ghosh ◽  
Bharat Chandra Mandi ◽  
Dipa Mullick ◽  
Chaitali DattaRoy ◽  
Debarshi Jana
Keyword(s):  
Longitudinal Design ◽  
Post Partum ◽  
Tertiary Care ◽  
Fertility Transition ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Expulsion Rate ◽  
Gynecology And Obstetrics ◽  
Intrauterine Contraceptive

INTRODUCTION Contraception is one of the proximate determinants of fertility and the most important predictor of fertility transition. Contraceptive use helps couples and individuals realize their basic right to decide freely and responsibly if, when and how many children to have. The growing use of contraceptive methods has resulted in not only improvements in health-related outcomes such as reduced maternal mortality and infant mortality, but also improvements in schooling and economic outcomes, especially for girls and women. AIMS & OBJECTIVES Find out the proportion of accepting the Post-Partum Intrauterine Contraceptive Device (PPIUCD) insertion among eligible women delivering at SSKM hospital. The complications of post placental &intra caesarean PPIUCD if any among these acceptors. Determine the spontaneous expulsion rate of this contraceptive device. MATERIALS AND METHODS Descriptive study with a longitudinal design. The present study was a hospital based study conducted at the department of Gynecology and Obstetrics department of the Institute of Post graduate Medical Education and Research (IPGMER) and SSKM. The study was conducted for a period of 18 months between April 2017 To September 2018. All 243 pregnant eligible women who delivered either by normal vaginal or instrumental delivery or caesarean section during the data collection period. RESULTS The above table shows that most of the participants enrolled in the study were in the age group of 21 - 25 years (39.9%), had completed secondary education (32.0%) and were housewives (74.2%), of urban residence (63.5%). About half of the participants were Muslim (49.4%), 47.2% were Hindus while 3.4% were Christians. SUMMARY AND CONCLUSIONS It can be concluded that PPIUCD is a promising new approach. Cu T 380A inserted in the post-partum period is both convenient and safe. The advantage of single visit insertion can be utilised to expand the usage of IUCD to meet the unmet needs of contraception.

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 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.

scholarly journals Determinants of Intrauterine Contraceptive Device Use Among the Women of Urban Areas of Nepal

2014 ◽  
Vol 8 (2) ◽  
pp. 16-20 ◽  
Author(s):  
R Joshi ◽  
S Bhattarai ◽  
K Simkhada ◽  
S Thapa
Keyword(s):  
Urban Areas ◽  
Occupational Status ◽  
Group Living ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Intrauterine Contraceptive

Aims: This study aimed to identify the determinants of Intrauterine Contraceptive Device (IUCD) use among the married women of reproductive age group living in urban areas of Nepal. Methods: This study was an analytical cross-sectional study which aimed to compare different factors between 110 IUCD users and 110 non-users. Both groups were selected randomlyand interviewed by using semi-structured questionnaire. Chi-square test was used to detect the difference between two groups and corresponding odds ratios with 95% confidence intervals were also computed. Results: When the IUCD users were compared to non-users, religion, occupational status of women, occupational status of the husbands, total number of children, sources of information about IUCD, having wrong beliefs about IUCD, availability of IUCD services, reproductive intention and spousal communication were significantly associated with the use of IUCD.The main reason for using IUCD was due to the effectiveness for longer duration and for not using IUCD was due to the feeling of no need. Conclusions: Wrong beliefs about the device discouraged women from using IUCD, hence, awareness programs are strongly recommended.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 16-20 DOI: http://dx.doi.org/10.3126/njog.v8i2.9760

scholarly journals Postplacental insertion of IUCD Cu T 380A at transcesarean section does not influence bleeding and infection at puerperial period

2018 ◽  
Vol 26 (2) ◽  
pp. 61
Author(s):  
Menik Utami ◽  
Baksono Winardi
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Clinical Sign ◽  
Prospective Cohort ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
The Difference

Objective: To determine the difference of the puerperial bleeding and puerperial infection women who had intrauterine contraceptive device (IUCD) T380A insertion at caesarean section compare with women who had caesarean section without IUCD insertion.Materials and Methods: This study was an observasional analytic prospective cohort. Participants allocated to 2 groups : IUCD inserted during cesarean and cesarean with no device inserted. Subject research monitoring at 10 and 40 day of puerperial period.Results: Puerperial bleeding of group with IUCD insertion is 99,309+32,845 ml and group without IUCD is 88,010+30,824 ml, with the analysis test got p=0,085 (p>0,05) means no difference between two groups.Level hemoglobin at post cesarean section (day-0), 10 and 40 day, proportion increasing severity of anemia and duration of lochia rubra were analized and got p>0,05, no difference between two groups. Duration of puerperial bleeding period, median group with IUCD 40 days (25-50) and group without IUCD 30 days (26-45), with analized test got p<0,05. Duration of puerperial bleeding were significantly difference. Proportion of clinical sign puerperial infection 3 (6,4%) of group with IUCD and 2 (4,1%) of group without IUCD, with analized test got p=0,614 (p>0,05), no difference between two groups. Level of leucocyte at post cesarean section (day-0), 10 and 40 day, the difference both two groups was not significant (p>0,05). In this research the difference puerperial bleeding and proportion puerperial infection between two groups (women who had IUCD T380A insertion at caesarean section compare with women who had caesarean section without IUCD insertion) was no significant.Conclusion: Insertion IUCD Cu T 380A postplacental at caesarean section is safety.

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