Acceptance of Post Partum Intra - Uterine Contraceptive Device ( Ppiucd ) Among Women Attending Gauhati Medical College and Hospital ( GMCH ) for Delivery Between January 2011 to December 2014 and Their Follow Up

Abstract

ABSTRACT:To study the acceptance level of PPIUCD among women attending GMCH for delivery between January 2011 to December 2014 in relation to age, parity and mode of delivery and their complaints during follow up visit. STUDY DESIGN: Retrospective study. METHOD: In this study data of women admitted for delivery between January 2011 to December 2014 in labour room and data of women attending the postpartum OPD for PPIUCD follow up during the same period were analyzed. RESULTS: Acceptance of PPIUCD showed an increasing trend, acceptance was more among multipara and acceptance was more among clients undergoing caesarean section. 32% of the acceptors were in the age group of 26-30 years. The follow up of clients was less than 50% of the total acceptors in the four years study period. The main complaints at follow up were pain and bleeding which were dealt mainly by reassurance. The main causes of removal were for want of next child and secondly for dissatisfaction with PPIUCD. CONCLUSION: The acceptance of PPIUCD was high in this study. The PPIUCD was demonstrably safe having no serious complication reported after insertion or during follow up and low rates of expulsion. The method may be particularly beneficial in our setting where women do not come for post natal contraception counseling and usage.

Knowledge attitude practice and acceptance of postpartum intrauterine devices among postpartal women in a tertiary care center

“…9 In a study by Borthakur, Shobhasmita, et al, 32% of the acceptors were in the age group of 26-30 years and 39.32% among multipara. 10 Majority studies found similar results to current study this is because IUCD is temporary method that is the reason for acceptance among primi parous women. Thus during antenatal visits, women can be counselled regarding PPIUCD insertion during the immediate post placental period.…”

Evaluation of safety, efficacy, acceptance and expulsion of post placental intrauterine contraceptive device in a tertiary care centre

“…Borthakur S et al found more than 50% acceptors among patients undergoing caesarean section. 7 Similarly results were shown in other studies, Gautam R et al (LSCS: 36.09%, NVD: 11.33%) and Jairaj S et al Telangana (LSCS: 43.9%, NVD: 6.3%). 5,8 Among patients delivering vaginally higher acceptance was seen with postplacental insertion (45.9%) whereas in the group receiving insertion within first 48 hours was only (3.5%) showing that acceptability is higher if insertion is done within 10 minutes of delivery of placenta.This is similar to study by Goswami et al, who showed that acceptance and complications are lesser with insertion done within first 15 minutes.…”

A Retrospective Study on Acceptability and Complications of Ppiucd Insertion

“…Studies by Grimes et al [11] and Borthakur S et al [12] GMCH Assam also found higher acceptance among multipara. Goswami G et al [13] also found higher acceptance (48%) among multipara, whereas Maluchuru S et al [10] Mishra S. [9] Gautam R et al [14] and Vidyarama R et al [15] found a higher acceptance in primipara which were 15.42%, 13.76%, 71.91% and 15.47% respectively.…”

“…This was similar to observations by Gautam R et al [14] (LSCS-36.09%, NVD-11.33%) and Jairaj S et al [16] Telangana (LSCS-43.9%, NVD-6.3%). Borthakur S et al [12] found more than 50% acceptors among patients undergoing caesarean section. In our study, missing thread was the most common complication (15.12%).…”