scholarly journals Efficacy and satisfaction rate in postpartum intrauterine contraceptive device insertion: A prospective study

2021 ◽  
Vol 5 (6) ◽  
pp. 43-45
Author(s):  
Dr. Uma B Deshmukh ◽  
Dr. Sangeeta Tengli
Keyword(s):  
Prospective Study ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Satisfaction Rate ◽  
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 Clinical outcome of post-abortion intrauterine contraceptive device insertion

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.

scholarly journals Displaced intrauterine contraceptive device: a prospective study at tertiary level hospital of Uttarakhand, India

2018 ◽  
Vol 7 (4) ◽  
pp. 1617
Author(s):  
Nidhi Kumari ◽  
Vineeta Gupta ◽  
Priyanka Chaudhari ◽  
Shweta Nimonkar ◽  
Archna Tandon
Keyword(s):  
Prospective Study ◽  
Broad Ligament ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
And Migration ◽  
A Prospective Study ◽  
Level Hospital ◽  
Rule Out

Background: The IUCD is a common method used for contraception. It is associated with complications like bleeding, perforation and migration to neighbouring organs as broad ligament, urinary bladder or omentum.Methods: A prospective study was carried out at SGRRIM and HS, Dehradun over a period of two years between January 2014 to December 2015. A total of 38 patients with a diagnosis of displaced IUCD were included for their detailed demographic profile, presenting complaints, required diagnostic and therapeutic modalities.Results: Ultrasound emerged as the preferred method to locate the displaced device. Majority of displaced IUCD were intrauterine (86.9%) and Hysteroscopy guided removal was the preferred method of removal regarding technique, safety, and cost and recovery time.Conclusions: Responsibility of care provider does not end at insertion of IUCD. Follow up is equally important. Every case of missing IUCD must be investigated carefully to rule out the possibility of uterine perforation.

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 Study of acceptance of intra caesarean IUCD as method of contraception

2017 ◽  
Vol 6 (11) ◽  
pp. 5033
Author(s):  
Deepti Gupta ◽  
Swati Sharma ◽  
Anjali Kanhere ◽  
Ishrat Jahan
Keyword(s):  
Family Planning ◽  
Prospective Study ◽  
Unmet Needs ◽  
Cost Effective ◽  
Contraceptive Device ◽  
Postpartum Family Planning ◽  
Intrauterine Contraceptive ◽  
Long Acting ◽  
A Prospective Study

Background: Worldwide around 115 million women have unmet needs of family planning. Increasing rates of institutional deliveries create opportunities for providing quality postpartum family planning services thus helps to overcome the unmet needs. PPIUCD appears an ideal method for limiting and spacing births. The present study was a prospective study, undertaken to assess the efficacy, safety and outcome of Postpartum Intrauterine Contraceptive Device (PPIUCD) in cesarean case.Methods: A prospective study was done on 50 patients undergoing cesarean section for various indications after getting approval from the Ethical Committee of the institution This study was conducted at CMCH hospital Bhopal, India from August 2016 to July 2017. Women were counseled and those who fulfilled the medical eligibility were provided the PPIUCD services. IUCD was placed after delivery of placenta in case of caesarean section. These clients were followed at 6 weeks, 3 months and 6 months interval.Results: Total acceptance rate in our study was 44%. Majority belonged to age group of 21-30 years (76%) with mean age of 25.5 years, 54% were para 2, 94% of clients were literate, 86% urban and only 70% of the clients were familiar with the intracaesarean IUCD, 54.5% cases returned for follow-up while 18.2% of cases were lost to follow-up and expulsion was the main problem (27.3).Conclusions: Intracaesarean IUCD seems to be a safe long acting highly effective, easily accessible, reversible and cost effective contraceptive method for most postpartum women specially lactating women.

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