Title: Evaluation of Post-Placental and Intra-Cesarean Insertion of Copper-T 380A as a Method of Contraception
Authors: Renu Jain, Jyoti Bindal
DOI: https://dx.doi.org/10.18535/jmscr/v6i6.146
Abstract
Background: Increasing rates of institutional deliveries create opportunities for providing quality postpartum family planning services. PPIUCD appears an ideal method for limiting and spacing births. The objective of present study was to evaluate the acceptance, safety and efficacy of postplacental and intracesarean Cu- T 380 A IUCD insertion as a method of contraception.
Material and Methods: 360 women admitted for delivery in the department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior (M.P.), fulfilling the inclusion criteria were counseled for PPIUCD insertion. Cu T 380 A was inserted within 10 minutes of delivery of placenta in 164 women who had no contraindications for PPIUCD. The women were followed up at 6 weeks and 6 months after delivery. Acceptability and outcome in terms of side effects, removal and expulsion were noted and analyzed.
Result: Out of 360 women who were counseled, 164 (45.55%) women accepted the PPIUCD insertion. 54.26% women had post-placental and 45.73% women had intra-caesarean PPIUCD insertion. Majority of women who accepted insertion were in age group 20-24 years and were primipara. Expulsion rate was 3.95%. Cu-T was removed in 14 women. Missing strings was the most common complication and was the most common reason for removal. There were no cases of uterine perforation and pregnancy.
Conclusion: Post-placental and intra-cesarean insertion of Cu-T 380 A is an effective, safe, long term and convenient method of contraception for limiting and spacing births.
Keywords: PPIUCD (Postpartum intrauterine contraceptive device), acceptance, expulsion.
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