Evaluation of PPIUCD V/S Interval IUCD in terms of awareness and acceptance

Dr. Shilpa Gupta; Dr. Dirgha Pamnani; Dr. Ajesh Desai

Volume : V, Issue : VIII, August - 2016

Evaluation of PPIUCD V/S Interval IUCD in terms of awareness and acceptance

Dr. Shilpa Gupta, Dr. Dirgha Pamnani, Dr. Ajesh Desai

Abstract :

Background: The study was conducted to comparatively evaluate PPIUCD insertion and Interval IUCD in terms of awareness and acceptance in relation to Age, Parity, Religion, Literacy and Residence. The study was also intended to assess the complications in the two groups. Method: During this prospective longitudinal Study, a total of 1842 patients delivered vaginally as well as by cesarean who were fit for PPIUCD insertion. All of them were counseled for PPIUCD. 232 women accepted it. Another 50 patients willing for interval IUCD insertion were also followed up. Outcomes were studied at 15 days and 6 weeks. Result: Women were highly aware of interval IUCD as compared to PPIUCD and the difference was significant. In contrast, the acceptance rate of PPIUCD was higher as compared to interval IUCD after counseling among the antenatal patients. Acceptance rate was higher among the age group of 21 to 25 years, 2nd para, women of Hindu religion, literate and urban women. Expulsion rate was higher in PPIUCD inserted vaginally than trans–cesarean. The overall continuation rate was 87.93% among the PPIUCD users at 6 weeks. Conclusion: Immediate post partum insertion of IUCD is a safe, convenient, cost –effective plus a reversible and long acting method of contraception.