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 Acceptance, safety and complications of postpartum intra uterine contraceptive device: a prospective study in tertiary care hospital

2019 ◽  
Vol 8 (5) ◽  
pp. 1916
Author(s):  
Rekha Jain ◽  
Manisha Sharma ◽  
Shruti Gupta
Keyword(s):  
Side Effects ◽  
Retention Rate ◽  
Post Partum ◽  
Tertiary Care ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Intrauterine Contraceptive ◽  
Reversible Method

Background: Intrauterine contraceptive device is a long acting, effective and reversible method of contraception. It can be inserted post placental during vaginal or LSCS delivery and within 48 hours of delivery.  This study evaluates the acceptance, safety, side effects and complications associated with immediate post-partum intrauterine contraceptive device (PPIUCD) insertion.Methods: The study was conducted at Hindu Rao Hospital and NDMC Medical College, Delhi for a period of 18 months. Patients admitted and delivered at Hindu Rao Hospital were counseled for PPIUCD, CuT 380 A / CuT 375 insertions and it was inserted within 10 minutes of delivery of placenta during vaginal delivery or LSCS or within 48 hours of delivery. Patients were followed at 6 weeks and then between 6 to 12 months of delivery for continuation, side effects or any complications.Results: After counseling 1253 (9.8%) patients agreed for PPIUCD insertion out of which 650 patients came for follow up. 46% women came for routine follow up while 54.06% came with one or the other complications. Missed thread was most common complications, followed by bleeding P/V and pain abdomen. Expulsion in 5.5% and CuT failure was seen in 0.92% women only. Removal of IUCD was done in 94 patients for one or other reasons. There was retention of PPIUCD in 84.5% while removal was done in 14.5% during period of 6 months to one year follow up. Missed thread was main cause of anxiety among acceptors.Conclusions: Immediate PPIUCD is safe and effective method of contraception with a high retention rate. Though acceptance in initial months was less but it gradually increased over time with increasing awareness, counseling of patients and training of health personnel.

scholarly journals Evaluation of factors associated with acceptance of post-partum intrauterine contraceptive device in a tertiary care hospital

2019 ◽  
Vol 2 (2) ◽  
pp. 52-57
Author(s):  
Humera Naeem ◽  
Kiran Jabeen ◽  
Kholood Janjua
Keyword(s):  
Unplanned Pregnancy ◽  
Post Partum ◽  
Tertiary Care ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Factors Associated ◽  
Unintended Pregnancies ◽  
Intrauterine Contraceptive ◽  
Long Acting

Objective: The post-partum intrauterine contraceptive device (PPIUCD) is a highly effective, long acting, reversible, economical and easily accessible family planning method. The aim of the study was to estimate the proportion of pregnant women aware of immediate post-partum intrauterine contraceptive device and to analyze the factors associated with acceptance. Methodology: This is a cross sectional study in which 300 pregnant were selected who were visiting the antenatal clinics and admitted in early labor in labor ward. Their awareness and acceptance for PPIUCD was assessed through a structured questionnaire. Factors associated with acceptance were analyzed and the reasons for acceptance or refusal were determined. Results: In this study the awareness of PPIUCD was found to be 46% and the acceptance rate of PPIUCD was 18%. The major reason for refusal was that women don’t think they need contraception immediately after delivery and secondly, they need to talk to their partners for the decision. Most common reasons for acceptance of PPIUCD was that it is long acting and reversible. Gravidity (p= 0.006), parity (p< 0.001), unplanned pregnancy (p= 0.002) and inter pregnancy interval (p= 0.004) were the factors significantly influencing the acceptance of PPIUCD. Conclusion: This study revealed that awareness regarding PPIUCD is increasing in women but acceptance is still poor. It was due to misconception that no contraception is needed in postpartum period. Provision of adequate knowledge regarding convenience and effectiveness of post-partum contraception in preventing unintended pregnancies can play vital role to increase its acceptance.

scholarly journals A prospective study of safety, efficacy and acceptability of postpartum insertion of intrauterine contraceptive device in a tertiary care hospital in Maharashtra, India

2020 ◽  
Vol 9 (7) ◽  
pp. 3037
Author(s):  
Nandkishor B. Gaikwad ◽  
Poornima M. ◽  
Atul Lipare
Keyword(s):  
Tertiary Care ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Age Group ◽  
Expulsion Rate ◽  
Intrauterine Contraceptive ◽  
Reversible Method ◽  
Post Placental ◽  
Long Acting

Background: IUCD (intrauterine contraceptive device) to prevent pregnancy are among the oldest method of contraception. The modern IUCD are highly effective, safe private, long acting and rapidly reversible contraceptive method. Aims and objective of this study was to study the acceptability and safety of postpartum intrauterine contraceptive device (PPIUCD) in postpartum period and to assess the feasibility, safety, efficacy and expulsion rate of IUCD.Methods: A prospective observational study was conducted at tertiary care teaching hospital in Maharashtra from January 2018 to October 2018 and patients were followed up to a period of one-year post IUCD insertion.Results: Majority of patients in this study were in age group 21 to 26 years of age (58.7%) and the least number were in the age group more than 30 years (3.3%). This study showed that majority of patients were primigravida (44%) and the lowest number belonged to gravida 6 (0.3%). Regarding timing of IUCD insertion 73% were done intra caesarean, 22.3% were done post placental and 4.7% were done within 48 hours of delivery. In this study authors found that 4% of patients had per vaginal discharge, 5% had missing IUCD thread and 2% of patients had IUCD expulsion. It was found in this study that 98% of patients continued to use IUCD and only 2% discontinued the usage.Conclusions: From the study authors came to conclusion that PPIUCD insertion is a safe, feasible, effective and reversible method of contraception.

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.

ACCEPTANCE, COMPLICATION, EXPULSION AND FAILURE RATE OF POSTPARTUM IUCD IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 44-46
Author(s):  
Sumit Ranjan Pramanick ◽  
Saumen Mandal ◽  
Bharat Chandra Mandi ◽  
Debarshi Jana
Keyword(s):  
Family Planning ◽  
Population Policy ◽  
Post Partum ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Expulsion Rate ◽  
Study Results ◽  
The World

Introduction: 1 India's population has crossed one billion in the year 2000. In recent censes of 2011 it has reached 121 crores and it is estimated to 2 reach a gure of1.53 billion by 2050, making it the most populous country in the world . India is the rst country in the world to adopt an ofcial population policy and launch ofcial family planning programme way back in 1952, which remains the mainstay of family planning efforts. Aims and objectives: 1. To nd out the proportion of accepting the Post-Partum Intrauterine Contraceptive Device (PPIUCD) insertion among eligible women delivering at SSKM hospital. 2. To assess the complications of post placental &intra caesarean PPIUCD if any among these acceptors. 3. To determine the spontaneous expulsion rate of this contraceptive device. Materials and methods: All Adult ANC women attending SSKM hospital at Gynae OPD and as well as admitted in hospital wards or Labour Room who will full the inclusion criteria during data collection period. Conclusion: The study results, it can be concluded that PPIUCD in the eld of PPFP is a promising approach. Whatever may be the mode of delivery, PPIUCD is safe and efcacious in terms of safety and efcacy.

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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