A Study of Immediate Postpartum Iucd Insertion in Vaginal vs Caesarean Deliveries

Abstract

BACKGROUND Immediate postpartum IUCD insertion is an effective, safe and reversible method of family planning, which provides contraception to women before discharge from the delivery settings. The objective of this study was to evaluate the complications, safety, efficacy and continuation rate of the two routes of insertion (vaginal and caesarean deliveries). MATERIALS AND METHODS This is a descriptive comparative study done at Govt. Dist. Hospital, Kathua, J and K. Cu T Multiload 375 was inserted after obtaining written consent. 75 women from each group, i.e. vaginal and caesarean delivery groups were studied and compared for a period of 6 months. RESULTS 57.33% of women from vaginal group and 60% of women from caesarean group had no complaints. Overall, 12% of women had menstrual disturbances. Expulsion rate was higher in vaginal group (9.33%) and rate of missing strings was higher in caesarean group (17.33%) with removal of Cu T in 10.6% and 17.3% in vaginal and caesarean group respectively. CONCLUSION Both routes of insertion of Cu T, i.e. vaginal and caesarean were found to be safe and effective with good continuation rate (74.66% in vaginal delivery and 88% in caesarean delivery).