Abstract
Worldwide around 115 million women have unmet needs of family planning. Launch of JSSKY by Government of India in 2011 to provide completely free and cashless services to pregnant women in institutional deliveries has led an opportunity for providing postpartum family planning services and an opportunity to overcome the unmet needs. Post partum intrauterine contraception device (PPIUCD) appears an ideal method for limiting and spacing births.
Objectives: The present study was taken to study the clinical outcome, acceptability and safety of PPIUCD in primiparous women who delivered by caesarean section at our health Centre – Maternity and Child Care Hospital (MCCH) Sherbagh Anantnag.
Method and Materials: This study was a prospective observational study carried out at Maternity and Child Care Hospital Anantnag – 200 primiparous women who delivered by caesarian section over a period of six months (June 2016- Dec. 2016) and had PPIUCD insertion and were willing to comply with the study protocol were involved in the study. All these subjects fulfilled the WHO standard Medical criteria for PPIUCD insertion. Follow up visits were scheduled at 1, 3, 6 and 12 months.
Results: A total of 200 women who underwent intra caesarean PPIUCD insertion were followed at 1, 3, 6 and 12 months. Majority of the women (88%) completed one year follow up. The most common complication observed in immediate postoperative period was fever (2.5%) followed by wound infection (1.5%) and UTI in (1%) women. The common adverse events noted during one-year follow up were menstrual complaints, excessive vaginal discharge and persistent pelvic pain. At the end of 1 year follow up there were a total of 10 expulsions, 18 removals leading to a gross cumulative expulsion, removal and continuation rates of 5%, 9% and 88% respectively.
Conclusion: Postplacental insertion of CuT380A is a safe and effective method of reversible contraception with low expulsion, high continuation and satisfaction rates.
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Corresponding Author
Dr Waseem Mushtaq Syed
Department of Surgery, SKIMS, Jammu & Kashmir, India
House no. 02, sector J-2, Irm Lane, Natipora, Srinagar, Jammu and Kashmir
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.246
