Efficacy, Acceptability and Two-Year Continuation Rate of Intrauterine Contraceptive Device Following Surgical or Medical Termination of First Trimester Pregnancy

During labour endogenous prostaglandins are involved in the process of softening the cervix. Gemeprost, an analogue of prostaglandin E1, is used as a vaginal pessary (Cervagem - May & Baker) to soften and dilate the cervix before vacuum aspiration of first-trimester pregnancy.1 It can now also be used for medical termination of pregnancy in the mid-trimester.

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Clinical outcome of post-abortion intrauterine contraceptive device insertion

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20202298 ◽

2020 ◽

Vol 9 (6) ◽

pp. 2288

Author(s):

Rupali Dewan ◽

Priyanka Rani

Keyword(s):

Cohort Study ◽

Clinical Outcome ◽

Intrauterine Contraceptive Device ◽

New Delhi ◽

Contraceptive Device ◽

Continuation Rate ◽

Indian Literature ◽

Satisfaction Rate ◽

Intrauterine Contraceptive ◽

Post Abortion

Background: Clinical outcome of post abortion IUCD varies according to type of abortion, method of abortion and period of abortion. There is paucity of Indian literature regarding factor affecting clinical outcome of post-abortal intrauterine contraceptive device insertion. This study was conducted to evaluate clinical outcome of post abortion intrauterine contraceptive in terms of acceptability, safety and continuation rate.Methods: A prospective cohort study where 112 patients over period of 18 months (November 2017 to April 2019) were included in study done at VMMC and Safdarjung Hospital, New Delhi, India.Results: Total 112 patients recruited. Their age ranges from 26-30 years. Mean age of women were 28.11±4.51 years. Majority of women who underwent IUCD insertion were para2. Regardless of type of IUCD, the most common side effects associated with copper wearing IUCD were change in amount of menstrual flow. Two cases of PID after CuT380A insertion and one case of PID after cu375. No perforation occurred. Continuation rate were 86.79%. Satisfaction rate were 82.14%.Conclusions: There is higher rate of continuation and satisfaction among women who had undergone immediate post abortion OUCD insertion. Early insertion of IUCD after abortion is safe, effective and well tolerated by women. Clinical outcome of post abortion is not affected by type of copper containing IUCD i.e., Cu380A and Cu375.

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193552 ◽

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.

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Study on the acceptance, complications and continuation rate of post-partum family planning using the post placental intrauterine contraceptive device among women delivering at a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.5455/2320-1770.ijrcog20150420 ◽

2015 ◽

Vol 4 (2) ◽

pp. 388

Author(s):

Rajya Gujju ◽

Usha Prasad ◽

Uma Prasad

Keyword(s):

Family Planning ◽

Tertiary Care Hospital ◽

Post Partum ◽

Tertiary Care ◽

Intrauterine Contraceptive Device ◽

Contraceptive Device ◽

Care Hospital ◽

Continuation Rate ◽

Intrauterine Contraceptive ◽

Post Placental

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A Comparative Study of Manual vs Instrumental Intracesarean Postpartum Intrauterine Contraceptive Device

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1451 ◽

2017 ◽

Vol 9 (1) ◽

pp. 25-28

Author(s):

Parneet Kaur ◽

Khushpreet Kaur ◽

Beant Singh ◽

Manjit K Mohi ◽

N Chakheni

Keyword(s):

Side Effects ◽

Comparative Study ◽

Intrauterine Contraceptive Device ◽

Contraceptive Device ◽

Continuation Rate ◽

Postpartum Contraception ◽

Group I ◽

Intrauterine Contraceptive ◽

Group Ii

ABSTRACT Aims and objectives The main objective of the study was to compare the two different methods of intracesarean insertion of postpartum intrauterine contraceptive device (PPIUCD), i.e., manual vs instrumental, and to study the effectiveness, safety, and continuation rate of intracesarean PPIUCD as a contraceptive method. Materials and methods A total of 100 subjects undergoing lower (uterine) segment cesarean section (LSCS) were enrolled for the study. In group I (n = 50), Cu-T 380A was inserted manually and in group II (n = 50), Cu-T 380A was inserted with a PPIUCD forceps. After checking for the inclusion and exclusion criteria and proper counseling, written consent was obtained and subjects were enrolled for the study. All the subjects were followed up for 3 months either clinically or telephonically. All the complaints, side effects, complications, and findings of both the groups were compared and analyzed. Results The continuation rate after the period of follow-up was 94% in group I and 92% in group II. There was only one case (2%) of expulsion in group II. A total of 3 (6%) subjects in group I and 3 (6%) of the subjects in group II got PPIUCD removed for various reasons. There was no case of infection, perforation, or contraceptive failure. Conclusion Intracesarean PPIUCD is an effective method of postpartum contraception and both the methods (manual and instrumental) are equally effective with minimum side effects and complications and good acceptability by the clients. How to cite this article Chakheni N, Kaur P, Kaur K, Singh B, Mohi MK. A Comparative Study of Manual vs Instrumental Intracesarean Postpartum Intrauterine Contraceptive Device. J South Asian Feder Obst Gynae 2017;9(1):25-28.

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