Overview of Immediate Ppiucd Application in Bundelkhand Region

Abstract

To assess the safety, acceptability, efficacy, feasibility and complication of immediate PPIUCD insertion. METHODS: Cu T 380A was used for PPIUCD insertion immediately following delivery of placenta during caesarean section or within 48 hours following childbirth. RESULT: The study was conducted in obstetrics and gynecology department in MLB Medical College Jhansi. The total number of deliveries during the study period was 4695, among these 1941 women were eligible for PPIUCD insertion.423 women accepted PPIUCD insertion(21.77%), while 1518 women (78.23%) declined insertion. In those 100(8.92%) of normal delivery women had a post placental insertion and 27(2.4%) women had post-partum insertion. 296 women had transcaesarean insertion. The PPIUCD inserted women were followed-up at six weeks.274 women's were followed. CONCLUSION: The acceptance of PPIUCD was high in the parturient, who had aged less than 19 years, was primiparous, had last childbirth between 0-2 years. The total 1518 parturient declined the use of PPIUCD. The reason for acceptance of PPIUCD were due to its long term effects; safety and reversibility. Few complications in the form of irregular bleeding, increase duration of bleeding, missed the thread, infection, removal and expulsion were noted.

A study of awareness and factors affecting acceptance of PPIUCD in South-East Rajasthan

“…These findings are similar as results observed by Deshpande et al and Gujju et al 14,17 Present study revealed that there was higher acceptance rate among multipara (69.59%) and those who had a desire for future pregnancy after an interval of more than 2 years (75.64%) this is similar to finding reported by Deshpande et al but in contrary to study conducted by Mishra and by Gautam et al it was seen that there was a higher acceptance in primigravida. 14,18,19 This observation suggests that in present study multi gravida were more receptive to this spacing method of contraception.…”

“…Deshpande et al and Mishra have similar findings. 14,18 Our study reveals that refusal from partner/family member for PPIUCD insertion was most common (72.75%) reason for refusal followed by fear of complications (69.96%) as was found by Sonali Deshpande et al, Mishra and Gautam et al 14,18,19 This suggests that health care provider should understand the importance of couple counselling for contraception decision making. A gender-sensitive approach should be adopted for couples counselling to achieve better compliance and to met unmet need for contraception.…”

Post-placental postpartum intrauterine contraceptive devices insertion: our scenario

“…Such women were counselled easily and had better acceptance as reported in other studies too. 4,6,7 Higher number of Hindu patients could be related to predominance of Hindu population in our area. There was significant difference in parity in the two groups with a clustering of cases at Para2 in Group B as reported in other studies also.…”

“…Acceptance was higher in Caesarean group, similar to other studies. 4 Mean age was comparable in both groups (26.21 years in vaginal & 25.41 years in Caesarean) probably because most females coming to the hospital for delivery belong to the same age group. 5 Higher acceptance in illiterates, less educated cases and cases with low socio-economic status can be related to their willingness for contraceptive use with a fear of failure to return back.…”

PPIUCD: awareness and reasons for non-acceptance

“…Inadequate knowledge about contraceptive methods and incomplete or erroneous information about their use or where to procure them are the main reasons for not accepting family planning. 10 Providing quality contraception methods to women is one of the cornerstones for achieving millennium development goals of improved maternal and child health.…”