Background: Sixty five percent women in first year postpartum period have unmet need for family planning, but only 26% are using any contraceptive. Almost 61% of births have average birth to birth interval of less than the recommended 36 months. After the inception of Postpartum IUCD program in 2009; CuT380 A is being provided to women soon after birth in government setting. It has the advantage of being effective, long acting, reversible and safe during breast feeding.

Method: Present study was undertaken to assess the rates of acceptance, complications, removal and expulsion at 6 week follow up.

Results: Study included 25,076 parturients delivered in the 2 year period out of which 1120 accepted PPIUCD (4.47%). Acceptance rate in vaginal delivery was 38.48% (28.40% postplacental & 10.08% Immediate postpartum) and 61.52 in Intra caesarian insertion. Amongst acceptors 30.44% were primipara and 69.55% were multipara. 38.31% reported for follow up, 7.68% contacted on phone and 54.01% were lost to follow up. Out of total 515 (45.99%) patients who were followed up: 85.44% had no complaints 6.99% had irregular bleeding PV, 4.66% had pain abdomen, 1.16 had vaginal discharge, 1.74% had missing threads. Removal rate at 6 weeks was 9.19% and continuation rate 89.73%. Out of 103 removals maximum (34.95%) were for irregular bleeding followed by social reasons 24.27%. There was no case of perforation.

Conclusion: PPIUCD is effective and safe contraception option for Indian Women. Better counseling may result in lesser removals and higher continuation rates.

Keywords: PPIUCD, Cotraception, CuT380 A.

1. Govt of India (2012). Census 2011, Provisional Population Report Office of the Registrar General and Census Commissioner India, Ministry of Home Affairs, March 31^st, 2011.
2. Rutstein S. Further Evidence of the Effects of Preceding Birth Intervals on Neonatal, Infant and Under-Five-Years Mortality and Nutritional Status in Developing Countries. Evidence from the Demographic and Health Surveys. DHS Working Papers No. 41. Macro International, 2008.(Pubmed)
3. International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005-06, India, Key Findings. Mumbai, IIPS, 2007. Accessed at http://www.measuredhs.com/pubs/pdf/SR/28.pdf on march 14, 2013.
4. Hostynek JJ; Maibach Copper hypersensitivity: dermatologic aspects. Dermatol Ther 2004;17(4):328-33
5. Postpartum IUCD reference manual by MOHFW, of India, 2010.
6. Borda M. Family Planning Needs during the Extended Postpartum Period in India. Access Family Planning Initiative Brief, 2009. Accessed at http://www.accesstohealth.org/toolres/pdfs/India Analysis.pdf. on march 14, 2013.
7. USAID/ACCESS, India, 2009

Dr Anjali Jasawat

Address:- 5/18 Malviya Nagar, Jaipur 302017, India

Telephone No. 9530005743, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.