Intrauterine Copper Device (CuT380A) as a Contraceptive Method in the Indian Context: Acceptability, Safety and Efficacy Depending on the Timing of Insertion

Gupta, Purnima; Gupta, Manasvi; Sharma, Rachna

doi:10.1007/s13224-017-1079-z

Cited by 6 publications

(6 citation statements)

References 13 publications

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“…Thiery et al reported that more the expertise lower were the expulsions rates, although definition of skill level was not given. 14,15 IUDs in the immediate post-partum period have higher expulsion in when compared to interval insertions. Mostly the women with expulsion use another or same technique for contraception to avoid accidental pregnancy.…”

Section: Discussionmentioning

confidence: 91%

Clinical outcome of post placental IUD CuT380 insertion in terms of expulsion

Shabbir

Usman

Yasmeen³

et al. 2021

Int J Res Med Sci

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Background: Insertion of an intrauterine contraceptive device (IUD) immediately after delivery has been recommended by the World Health Organization (WHO), as one of the safe and effective methods of temporary contraception. In the immediate post delivery period the women are highly motivated and need an effective method for contraception so that the child can be brought up with a relaxed mind without the worry of unintended pregnancy. This approach is more applicable to our country where delivery may be the only time when a healthy woman comes in contact with health care personnel. However, immediate post-partum IUD insertion may have disadvantages as well. The risk of spontaneous expulsion may be unacceptably high.Methods: After taking approval from hospital ethical committee, all women planning vaginal delivery desiring IUD, admitted through OPD and emergency were evaluated in detailed on design Performa Performa include patient’s identity, age, parity, gestational age, no of alive children, outcome and timings of insertion. Informed consent was obtained. With aseptic precautions IUD was inserted with kellys forceps in the uterine cavity up to the fundus, then cervix was examined for thread (that should not be visible at cervix if proper insertion done). The procedure was performed by myself. Patients were followed at 6week by examining the threat of IUD. All the information was recorded by myself. Follow up was done by taking patients contact number.Results: In our study, out of 300 cases, 63.67% (n=191) were between 18-30 years of age while 36.33% (n=109) were between 31-40 years of age, mean+sd was calculated as 29.49+4.62 years, mean gestational age was calculated as 38.53+0.94 weeks, mean parity was calculated as 3.49+1.06 paras. Frequency of expulsion in post placental intra uterine device cuT 380 insertions reveals in 8.67% (n=26).Conclusions: We concluded that the frequency of expulsion in post placental intra uterine device cuT 380 insertions is not significantly higher and appears to be safe and effective method of contraception.

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Section: Discussionmentioning

confidence: 91%

Clinical outcome of post placental IUD CuT380 insertion in terms of expulsion

Shabbir

Usman

Yasmeen³

et al. 2021

Int J Res Med Sci

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“…Pelvic infection was diagnosed if women had cervical, adnexal, or uterine tenderness or purulent discharge with or without fever. 7 postpartum IUCD insertions in a study by Poornima et al 13 Pain abdomen was noted in only one case which could be treated with simple analgesics. This shows that significant abdominal pain is not seen in intra-caesarean IUCD insertion.…”

Section: Discussionmentioning

confidence: 95%

“…In a study by Urmila et al, continuation of PPIUCD was observed in 76.5% cases. 14 The removal rate of CuT380A was higher in the postpartum group (7.56%) than in interval group (4.37%) in a study by Poornima et al 13 Continuation of intra-caesarean PPIUCD for at least 6 months effectively postpones pregnancy by 1 year while use for at least one year reduces pregnancy rate by one third.…”

Section: Discussionmentioning

confidence: 95%

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Gillella¹,

Kothapally²,

Bhashyakarla³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONProviding quality contraceptive services to women is essential for achieving maternal and child health. Unwanted and untimed pregnancies result in adverse outcomes for mother and child. Short birth intervals are associated with adverse perinatal and maternal outcomes. 27% of births occur within 24 months after a previous birth and 34% occur between 24 and 35 months. 1More than 50% of non-breastfeeding women ovulate and more than 50% are sexually active by 6 weeks postpartum. 2 In India, 65% of women have an unmet need for family planning in the first year postpartum. 3 ABSTRACT Background: Providing quality contraceptive services to women is essential for achieving maternal and child health. Objective of this study was to evaluate the efficacy of intra-caesarean insertion of copper IUCDs as postpartum contraception. To study the side effects of intra caesarean copper device. To study the continuation rates of intracaesarean copper IUCDs. To study the acceptability of intra-caesarean copper IUCD as immediate postpartum contraceptive. Methods: The prospective study was undertaken at Bhaskar medical college and general hospital, Yenkepally, Moinabad, Telangana, between January 2016 and March 2018 after ethical committee clearance. About 60 pregnant women were enrolled into the study after an informed written consent regarding the procedure, benefits and complications and the need for follow up for at least one year. Copper T 380A/multiload copper 375 was inserted into the uterine cavity after delivery of the placenta and membranes during caesarean section. Patients were followed up at 6 weeks, 6 months and one-year intervals for any complaints, visibility of threads and for ultrasound examination for position of copper IUCDs in the uterus. Data analysis was done using Microsoft excel 2016. Results: Nearly 48.33% continued intra-caesarean copper IUCDs for more than 1 year. 70% did not have any complaints. 86.67% came for more than one follow-up visit. 47% had copper IUD threads visible by one year. No case of perforation either during insertion or during continuation was noted. None conceived with copper IUCD in situ. Removal of copper IUCD was also easy and none required hysteroscopic removal. Conclusions: Intra-caesarean copper IUCD insertion is a safe and effective long acting reversible contraceptive method in the postpartum period.

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“…Safe and effective contraception is part of quality contraceptive treatment for all women of reproductive age [ 8 ]. Copper IUCDs are an efficient technique for limiting fertility as it is a non-hormonal, safe, quickly reversible, low-cost, very successful, long-lasting (Copper T 380A (CuT380A) has a life span of 10 years) method of contraception.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Acceptance of Intrauterine Contraceptive Devices (IUCD) Among Married Women of Reproductive Age in Odisha, India

Mukherjee¹,

Swain²

2023

Cureus

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Introduction: The Copper-T (Cu T-380 A), an intrauterine contraceptive device (IUCD), is widely available and is a highly effective, safe, long-term, and reversible method of contraception. Despite this fact, there is low utilization of IUCDs in India. Hence, this study focused on determining the rate of acceptability of IUCDs, identifying barriers to acceptance of IUCDs, and finding out the cause of IUCD discontinuation. Methods: A hospital-based cross-sectional study was conducted among 720 married women in the Khordha district, Odisha, India, via a questionnaire and a structured interview schedule. A systematic random sampling method was applied to select the participants. A multivariate logistic regression test was used to determine the factors associated with the acceptance of IUCDs. Results: This study revealed that only 20.97% of the potential users were currently using IUCDs, 73.75% had never used n IUCD as a contraceptive, and 20.1% of women had discontinued it. Multiple socio-demographic, obstetrical, and family planning behaviours and a lack of awareness were identified to be linked to IUCD acceptability. Fear of adverse effects, family members' objections, availability of other modern contraceptive methods, husband's disagreement, and lack of awareness about the benefits of IUCDs were the most stated reasons for refusal of IUCDs. The most common reason for discontinuing an IUCD was the desire for another child. Conclusion: The rate of acceptability of IUCDs was quite low in Odisha as compared to other parts of India and, therefore, this study recommends imparting counselling on effective methods of family planning to increase the acceptance of IUCD use.

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Intrauterine Copper Device (CuT380A) as a Contraceptive Method in the Indian Context: Acceptability, Safety and Efficacy Depending on the Timing of Insertion

Cited by 6 publications

References 13 publications

Clinical outcome of post placental IUD CuT380 insertion in terms of expulsion

Clinical outcome of post placental IUD CuT380 insertion in terms of expulsion

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Barriers and Acceptance of Intrauterine Contraceptive Devices (IUCD) Among Married Women of Reproductive Age in Odisha, India

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