Clinical outcomes of early postplacental insertion of intrauterine contraceptive devices

Çelen, Şevki; Möröy, P.; Sucak, Ayhan; Aktulay, Ayla; Danışman, Nuri

doi:10.1016/j.contraception.2003.12.004

Cited by 169 publications

(161 citation statements)

References 12 publications

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“…On the other hand, excessive discharge per vaginum (38.4%) was the chief complaint in interval IUCD group and it was seen in 20.9% women in interval group whereas Celen S et al reported cumulative rates of bleeding equal to 11.4% and 8.2% respectively in PPIUCD and interval IUCD group. 7 9.8% women in PPIUCD and 5.55% women in interval group complaint of missing strings. After doing per speculum examination and USG for localization of IUCD, expulsion was confirmed in 20 women of PPIUCD and 2 women of interval IUCD group.…”

Section: Discussionmentioning

confidence: 99%

Changing trends in intrauterine contraceptive device: from interval intrauterine contraceptive device to postpartum intrauterine contraceptive device: a prospective observational study in a tertiary care hospital in eastern Uttar Pradesh

Tyagi

Aditya

Srivastava

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONThe current outburst of Indian population (1.21 billion as per 2011 census) is because of the lack of awareness and acceptance of contraception in the post-partum period. Curbing this alarming rise in population is an area of immediate concern for the health policy makers. In India, around 65% of women in the first year postpartum have an unmet need for family planning.1 Postpartum family planning services are ideal way to reposit family planning back in India. PPIUCD is one of the most effective, long term and reversible family planning method. PPIUCD can reduce the number of unintended pregnancies and abortion related complications. The objective of the study was to know the acceptance rates of post-partum IUCD, to know the reasons for discontinuation of PPIUCD in follow up period, to study the side effects and complications of PPIUCD and to compare PPIUCD with interval IUCD with respect to above. METHODSThe present study was carried among 526 women in obstetrics and gynaecology department of Nehru hospital ABSTRACT Background:The current outburst of Indian population (1.21 billion as per census 2011) is because of the lack of awareness and acceptance of contraception in the immediate postpartum period. Postpartum intrauterine contraceptive device (PPIUCD) insertion can do wonders and curb this unmet need of family planning if good counselling and proper insertion techniques are followed. Methods: The present study was carried among 526 women in the department of obstetrics and gynaecology of Nehru Hospital in BRD medical college Gorakhpur, India. Intrauterine contraceptive device (IUCD) was inserted in 424 women in PPIUCD group and in 102 women in interval IUCD group after taking proper consent and following the WHO medical eligibility criteria for contraceptive use (MEC). Follow-up was done at 6 weeks and 6 months. Results: The acceptance rate of PPIUCD was 30.34% as compared to 18% in interval IUCD group (p-value <0.05). The chief reason for declining the use of IUCD was fear of excessive pain and bleeding (26.3%). Long term reversible method (32%) was the main reason given for accepting IUCD. There was no perforation or any other major complication at the time of insertion in both the groups. Rate of expulsion was 5.7% in PPIUCD and 2.22% in interval IUCD group p-value (>0.05). Conclusions: PPIUCD is a safe, effective, feasible and reversible method of contraception. It should be made a part of family health care programmes in India.

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Section: Discussionmentioning

confidence: 99%

Changing trends in intrauterine contraceptive device: from interval intrauterine contraceptive device to postpartum intrauterine contraceptive device: a prospective observational study in a tertiary care hospital in eastern Uttar Pradesh

Tyagi

Aditya

Srivastava

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…However few side effects like bleeding, abdominal pain, perforation and expulsion are also reported. Major concern being higher risk of expulsion which is about 8-15% [1][2][3] in postpartum cases.…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

Gutgutia

Rani

Prateek

et al. 2015

Int J Reprod Contracept Obstet Gynecol

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“…Studies published in the nineties and early 2000 reported rates of about 9-13%. [14][15][16] However, lower expulsion rates have been reported more recently with improvements in insertion technique. [17,18] In our study, total expulsion rate was 5.12% and total removal rate was 10.35% over the five years.92% reported satisfaction at the six-week follow-up visit.…”

Section: Resultsmentioning

confidence: 99%

PPIUCD- Expanding Horizons in Contraception in Indian Scenario

2017

Int. J. Curr. Res. Med. Sci.

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Interest in Postpartum Intrauterine Contraceptive Device (PPIUCD) has increased over the recent time. It has been recognized as a promising tool in answering the unmet need for contraception. In this five year study we observed 10.6% insertions out of more than 16000 deliveries, with increasing insertions over the years. Time of counseling for the acceptors was early labor (93.04%), antenatal period (4.75%) and post-partum period (2.20%). Technique of insertions was PPIUCD forceps (73.91%), Manual (16.64%) and Sponge-holding forceps (9.45%). Timing of insertions was intra-cesarean (50.03%), post-placental (47.30%) and immediate (2.67%). Follow up was available in 59.19% cases, via clinic visits (53.08%) and telephonic calls (46.91%).Expulsion rates varied from 2.66 to 6.85%. Removal rate varied from 8.90 to 35.00%.

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Clinical outcomes of early postplacental insertion of intrauterine contraceptive devices

Cited by 169 publications

References 12 publications

Changing trends in intrauterine contraceptive device: from interval intrauterine contraceptive device to postpartum intrauterine contraceptive device: a prospective observational study in a tertiary care hospital in eastern Uttar Pradesh

Changing trends in intrauterine contraceptive device: from interval intrauterine contraceptive device to postpartum intrauterine contraceptive device: a prospective observational study in a tertiary care hospital in eastern Uttar Pradesh

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

PPIUCD- Expanding Horizons in Contraception in Indian Scenario

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