Title: Comparative Study on Outcomes of Immediate Postpartum Intrauterine Contraceptive Device Insertions in Vaginal deliveries and Caesarean section
Authors: Mohideen Fathima, Reshmi, J.Chitra
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.20
Abstract
Background: Immediate postpartum intrauterine contraceptive device (IPPIUCD) is an effective reversible contraception to mothers in the postpartum period. Our aim is to do a comparative study on the clinical outcomes of IPPIUCD insertions in vaginal deliveries versus caesarean section.
Methods: This is a retrospective comparative study done in Kanyakumari Govt Medical College Hospital. A total of 502 vaginal and caesarean deliveries with IPPIUCD insertions, over a 4 year period (January 2013-January 2017), was studied and were compared. The outcome was measured in terms of safety (perforation, abnormal uterine bleeding, abnormal vaginal discharge, and infection), efficacy (pregnancy, expulsions, and discontinuations), and incidence of missed IUCD strings. Results were analysed and chi square tests were used for comparison in between the variables.
Results: The rates of overall complications were low. No incidence of perforation or pregnancy was reported. Only in 5.3% cases there were spontaneous expulsions which was significantly higher in vaginal deliveries (p=0.042). The incidence of missed IUCD strings was 8.1%, which was significantly higher in LSCS. (p=0.000).
Conclusion: IPPIUCD is an ideal tool in the battle of family planning and should be encouraged in both vaginal deliveries and caesarean sections. Early follow-up should be encouraged to detect expulsions and address the common problems.
Abbreviations: IUCD: Intrauterine contraceptive device, IPPIUCD: Immediate postpartum IUCD, CuT: Copper-T,LSCS: Lower segment caesarean section
Keywords: IPPIUCD, Intra uterine contraceptive device, Intra cesarean, Post placental, Postpartum contraception.
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