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.