A Rare Case of Perforation Following PPIUCD Insertion

Gupta, Vineeta; Kumari, Nidhi; Goswami, Deepti; Maheshwari, Prachi

doi:10.1007/s13224-015-0725-6

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…A study had highlighted that cases with perforation may not be identified at the time of insertion, and are recognised years after and had serious consequences as infection, pain in the abdomen, intestinal obstruction and adhension. 26 In the present study the case identified with perforation was due to secondary (perforation after 4 weeks of insertion being caused by gradual erosion through the myometrium), the study participant on follow-up visit complained of lower abdominal pain, which was diagnosed by trans-vaginal scan and x-ray and then managed appropriately by laparotomy.…”

Section: Page-46mentioning

confidence: 59%

Outcome Of Immediate PPIUCD At Follow Up Visit In Women At A Tertiary Care Hospital In Karachi, Pakistan

Suboohi¹,

Abbasi²,

Pario³

2018

J. Bahria Uni. Med. Dent. Coll.

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Objective: To evaluate the outcome of Immediate Post Partum Intrauterine Contraceptive device (PPIUCD) insertion among married women of reproductive age at a tertiary care Creek General Hospital, Karachi, Pakistan. Study Design: Prospective Interventional study. Methodology: The clinical study was conducted in department of Obstetrics & Gynaecology, Creek General hospital Karachi from August 2015 to July 2016. One hundred and twenty five women were selected for immediate PPIUCD insertion, however the result was analysed for hundred women as twenty five were lost to follow-up. PPIUCD was inserted within 10 minutes of delivery of placenta. Follow up was done at 6 weeks, the primary outcome measures were the clinical outcomes in terms of safety (irregular vaginal bleeding, abnormal vaginal discharge, infection and perforation) and efficacy (un-descended IUCD strings, expulsion, discontinuation and pregnancy). The results were analyzed by SPSS data analysis software (IOBM). Results: Among hundred women in whom PPIUCD was inserted and returned for follow-up, majority (44%) were in age group 26-30 years; around 52% had primary or less education, and considerably high (84%) belonged to the low socio economic status. Moreover, majority (46 %) had 3 or more alive children. Importantly, 73% women had IUCD inserted after vaginal delivery. As safety was evaluated, irregular vaginal bleeding was observed in 15%, abnormal vaginal discharge (20%), infection (11%), abdominal pain (4%) and perforation in only 1% of cases. Finally, in terms of efficacy the undescended IUCD strings were observed in 7%, expulsion incidence (6%), discontinuation requested by (5%) and none of the case ended up in pregnancy. Conclusion: Post partum IUCD insertion immediately following delivery is an effective, safe, and acceptable long-term reversible method available for postpartum contraception.

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Section: Page-46mentioning

confidence: 59%

Outcome Of Immediate PPIUCD At Follow Up Visit In Women At A Tertiary Care Hospital In Karachi, Pakistan

Suboohi¹,

Abbasi²,

Pario³

2018

J. Bahria Uni. Med. Dent. Coll.

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“…There are reports of dislodgment in case of interval IUCD insertion, into small intestines, recto-sigmoid colon, peritoneum, gallbladder, appendix, annexes, iliac vein, and the omentum [3,4]. But abdominal dislodgement of postplacental IUCD is rare only few cases have been reported where the IUCD is found in and around uterine wall [5,6]. This case is unique in its location.…”

Section: Discussionmentioning

confidence: 97%

Translocation of Postplacental Intrauterine Device: A Rare Complication

Mishra

2016

J Obstet Gynecol India

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“…However, there was no reported case of uterine perforation. None of the studies retrieved during the literature review has reported uterine perforation after PPIUCD insertion, except in one case report [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Correlates of post-partum intra-uterine copper-T devices (PPIUCD) acceptance and retention: an observational study from North India

Gupta

Bansal

Shergill

et al. 2023

Contracept Reprod Med

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Background Postpartum intrauterine contraceptives device (PPIUCD) offers an effective means of providing contraceptive services to women in countries with high rates of unmet needs for family planning services. However, scientific literature estimating the long-term retention rates is scarce. We estimate the factors affecting acceptance and retention of PPIUCD and explore the risk factors against PPIUCD Discontinuation at six months”. Material and method : This prospective observational study was conducted between 2018 and 20 at a tertiary care institute in North India. PPIUCD was inserted following a detailed counseling session and consent. The women were followed up for six months. Bivariate analysis was done to depict the association between socio-demographic characteristics and acceptance. Logistic regression, cox regression, and Kaplan Meier analysis were applied to explore factors affecting acceptance and retention of PPIUCD. Results Of the 300 women counseled for PPIUCD, 60% accepted them. The majority of these women were between 25 and 30 years (40.6%), primigravida (61.7%), educated (86.1%), and from urban areas (61.7%). Retention rates at six months were about 65.6%, while 13.9% and 5.6% were either removed or expelled. Women declined PPIUCD due to refusal by spouses, partial knowledge, inclination towards other methods, non-willingness, religious beliefs, and fear of pain and heavy bleeding. Adjusted logistic regression depicted that higher education, housewife status, lower-middle and richest SES, Hinduism, and counseling in early pregnancy promoted acceptance of PPIUCD. The most common reasons for removal were AUB, infection, and family pressure (23.1%). Adjusted hazard ratio depicted religion other than Hinduism, counseling in late stages of pregnancy, and normal vaginal delivery were significant predictors for early removal or expulsion. While education, higher socio-economic status favoured retention. Conclusion PPIUCD is a safe, highly effective, low-cost, long-acting, and feasible method of contraception. Skill enhancement of healthcare personnel for insertion techniques, adequate antenatal counseling, and advocacy of PPIUCD can help increase the acceptance of PPIUCD.

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A Rare Case of Perforation Following PPIUCD Insertion

Cited by 5 publications

References 4 publications

Outcome Of Immediate PPIUCD At Follow Up Visit In Women At A Tertiary Care Hospital In Karachi, Pakistan

Outcome Of Immediate PPIUCD At Follow Up Visit In Women At A Tertiary Care Hospital In Karachi, Pakistan

Translocation of Postplacental Intrauterine Device: A Rare Complication

Correlates of post-partum intra-uterine copper-T devices (PPIUCD) acceptance and retention: an observational study from North India

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