PPIUCD- Expanding Horizons in Contraception in Indian Scenario

Abstract

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%.