Evaluation of Safety and Efficacy of Postpartum Intrauterine Contraceptive Devices (PPIUCD) in Vaginal and Caesarean Section Deliveries: A Hospital Based Study

Agarwal, R.C.; Singh, Shubhra

doi:10.4103/mamcjms.mamcjms_53_20

Cited by 3 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, removal/discontinuation rate for group A (PPIUCD) was 8.66% whereas group B (interval) was 10.66% (p=0.752), similarly reported byAgarwal et al (2022) [12].In our study, in group A, out of total 13 maximum, 6 (46.15%) had bleeding PV followed by 3 (23.08%) social reason whereas minimum 2 (15.38%) due to pain abdomen and vaginal discharge. In group B, out of total 16 discontinuation, maximum 10 (62.50%) subject had bleeding PV followed by pain abdomen (18.75%) whereas minimum 1 (6.25%) had opted for permanent sterilization.…”

supporting

confidence: 89%

“…Common causes of PPIUCD removal were social.In our study, 88.67% subject in group A and 88% in group B were satisfied with IUCD use and the difference between the two groups was found statistically insignificant (p=1.000). Satisfaction rate for group A (PPIUCD) was 88.66% whereas group B (interval) was 88%, similarly reported byAgarwal et al (2022) [12] andBano et al (2020) [10].…”

supporting

confidence: 78%

See 1 more Smart Citation

Comparison of Satisfaction and Outcome of Ppiucd and Interval Iucd at a Tertiary Care Center in Western Rajasthan

Bharia,

Jakhar,

Choudhary

et al. 2023

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objectives: A prospective study is to compare satisfaction and outcome of post-placental intrauterine device (PPIUCD) and interval intrauterine device (IUCD) at a tertiary care center in western Rajasthan. Methods: This is an observational study on 150 women of reproductive age group (19–45 years) who had been inserted with copper-T 380A in postpartum period and within 6 weeks of delivery between July 21 and June 22, done at department of Obstetrics and Gynaecology, Dr. S. N. Medical College, Jodhpur, Rajasthan, India. Women were categorized into Group A (postpartum IUCD) and Group B (interval IUCD). In Group A, the Cu-T-380-A was inserted intrauterine in postpartum period. In group B, CuT-380-A was inserted after 4–6 weeks of delivery by withdrawal technique. Results: The risk of other complications such as bleeding, pain in lower abdomen, and infection is relatively high in interval IUCD insertion as compared to PPIUCD insertion (p>0.05). The removal rate for bleeding and/or pain was found to be lower in PPIUCD group. Expulsion rate for group A (PPIUCD) was 6% and 2.66% in group B (p=0.257). Of total 13 removal, in group A, maximum 9 (69.23%) were removed at 6 months and 4 (30.77%) were removed at 6 weeks. Of total 16 removal, in group B, 13 (81.25%) were removed at 6 months and 3 (18.75%) were removed at 6 weeks. (0.752). Satisfaction rate for group A (PPIUCD) was 88.67% and 88% in group B. Conclusion: PPIUCD insertion is equally effective and safe method of contraception as interval IUCD insertion with lower incidence of side effects.

show abstract

supporting

confidence: 89%

supporting

confidence: 78%

Comparison of Satisfaction and Outcome of Ppiucd and Interval Iucd at a Tertiary Care Center in Western Rajasthan

Bharia,

Jakhar,

Choudhary

et al. 2023

Asian J Pharm Clin Res

View full text Add to dashboard Cite

show abstract

“…This finding was similar to previous studies. 5,6,11,15 The study had 1.48% and 1.22% of clients as lost to follow-up at 6 weeks and 6 months respectively which is less than other studies. 7,16 More than 90% of clients had their thread in situ on examination on follow up which is comparable to finding of Gnanasekar 7 and Agarwal and Singh.…”

Section: Discussionmentioning

confidence: 65%

“…11 This study revealed that 3.24% and 2.47% of clients had missing thread on examination on follow up which is similar to the study conducted by Pandher et al, 15 while other studies had more missing threads present study. 6,7,11 About 6% of clients requested IUCD removal on follow up which was less than study done by Gnanasekar 7 , Ranjana et al, 9 and Rani et al 17 Major causes of requesting for removal were irregular bleeding and pain abdomen on follow up which were similar to studies done by Madhuri and Sreelakshmi 6 , Gnanasekar 7 and Ranjana et al 9 Study found continuation rate of 91.91% and 85.30% on follow-up which is comparable to findings revealed in studies done by Madhuri and Sreelakshmi 6…”

Section: Discussionmentioning

confidence: 99%

Review of PPIUCD at tertiary care centre in Southern Rajasthan

2021

View full text Add to dashboard Cite

Background: This study was conducted to observe the acceptance rate and safety for PPIUCD as PPIUCD was used as contraceptive method under family welfare program in this institute. Aims and Objectives: To see pattern of acceptance and safety of PPIUCD among women admitted for childbirth. Materials and Methods: A prospective, preformed semi-structured questionnaire-based observational study was conducted between September 2012 and August 2020 in the Government Medical College Kota. CuT380A was used as PPIUCD for insertion. WHO medical eligibility criteria were met along with inclusion and exclusion criteria. After counseling and consent, PPIUCD was inserted post-placentaly and during LSCS. Acceptance rate was calculated along with safety profile. Results: In the present study majority of patients were in the age group of 21–30 years. 44.26% women were second para. 96.35% insertions were uneventful during the study. The most common reason for acceptance and refusal of PPIUCD was reversibility and for refusal was fear of complications, respectively. The acceptance was increasing over the years. On follow-up majority of clients had no complaints. Among those who had complaints, irregular bleeding was most common. Major cause of requesting for removal was irregular bleeding. Continuation rate was found to be 91.91% and 85.30% at 6 weeks and 6 months, respectively. Conclusion: PPIUCD is a safe and effective method of contraception. Acceptance rate is increasing over the years and which can further increase with antenatal, intra natal and postnatal counseling along with counseling of husband/family attendants and management of side effects.

show abstract

Does change in the shape of intrauterine contraceptive device Cu 375 and Cu T 380A affect the expulsion after post-partum insertion – a prospective randomized control trial

Nitesh

Sharma

Shekhar

et al. 2023

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

Evaluation of Safety and Efficacy of Postpartum Intrauterine Contraceptive Devices (PPIUCD) in Vaginal and Caesarean Section Deliveries: A Hospital Based Study

Cited by 3 publications

References 8 publications

Comparison of Satisfaction and Outcome of Ppiucd and Interval Iucd at a Tertiary Care Center in Western Rajasthan

Comparison of Satisfaction and Outcome of Ppiucd and Interval Iucd at a Tertiary Care Center in Western Rajasthan

Review of PPIUCD at tertiary care centre in Southern Rajasthan

Does change in the shape of intrauterine contraceptive device Cu 375 and Cu T 380A affect the expulsion after post-partum insertion – a prospective randomized control trial

Contact Info

Product

Resources

About