Study of Postpartum IUCD(PPIUCD) Insertions in Tertiary Health Care centre, Odisha.

Dr Sneha Sethy; Dr Chintamani Mahanta

Volume : VI, Issue : IX, September - 2017

Study of Postpartum IUCD(PPIUCD) Insertions in Tertiary Health Care centre, Odisha.

Dr Sneha Sethy, Dr Chintamani Mahanta

Abstract :

Objective:

In India there is an unmet need for contraception. Intrauterine device is a long acting reversible method. Post partum period is ideal time for family planning counseling. Accessibility to health care facility is more during this period in our country. In view of repeated pregnancies with less gap between pregnancies, the present study was undertaken to determine efficacy, safety and complications of postpartum IUCD(PPIUCD) insertions in tertiary health care centre in Odisha where total fertility rate(TFR) and unmet need for contraception is high.

Method :

This is a prospective study carried out at Veer Surendra Sai Medical College and Hospital,Burla,Odisha from October,2013 to October,2015.Women who fulfilled inclusion and exclusion criteria underwent PPIUCD insertion after vaginal and caesarean deliveries after proper counseling these women were advised to follow up after 6 weeks & 6 months in OBGY OPD No.4.

Result:

Total number of cases of 2546 PPIUCD insertions were done during this period and number of cases that reported for follow up was 1540.Therefore 1006 cases were lost during follow up. Out of these 24.22% were post placental,12% were immediate Post Partum while majority 63.78% were intra caesarean. No major complication was observed .Most common complaints were that of heavy menstrual bleeding(21.5%),missing thread(18.32%).Spontaneous expulsion observed was 4.74% while reported infection cases was 4.22%.

Conclusion:

PPIUCD is a strong weapon in family planning armoury. It is a cost effective and safe method of contraception which if implemented properly can help meet the unmet meet for contraception to a large extent.