PPIUCD versus interval IUCD (380a) insertion: a comparative study in a referral hospital of Karnataka, India

Mohan, Hema; Ramappa, Rekha; Sandesh, M; Akash, B K

doi:10.18203/2320-1770.ijrcog20151213

Cited by 3 publications

(5 citation statements)

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“…In present study expulsion rate of Interval IUCD was 1.25% which is comparable with above studies. In Lucksom et al and Mohan H et al expulsion rate of Interval IUCD insertion were 5.95% and 5.0% respectively 10,11. In present study expulsion rate of Interval IUCD insertion was 1.25% which is not comparable with above studies.…”

contrasting

confidence: 74%

“…In present study expulsion rate of Interval IUCD insertion was 1.25% which is not comparable with above studies. In Gupta A et al, Singh U et al, Mohan H et al and Srivastava et al expulsion rate higher in PPIUCD than Interval IUCD insertion group which was comparable with present study 6,7,9,11. While in Lucksom et al expulsion rate was higher in Interval IUCD group than PPIUCD group this was because focus training of doctors in PPIUCD insertion which was not comparable with our study 10.…”

supporting

confidence: 54%

“…9 (p=0.49) but it was not statistically significant. While Mohan et al, Srivastava et al and Singh U et al showed higher continuation rate of PPIUCD groups than interval IUCD group although slight difference existed between the two groups but difference was not statistically significant 6,7,11.…”

mentioning

confidence: 89%

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Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Godhani

Patel

2019

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONAccording to Family Welfare Statistics 2011, Current population of India is 1.21 billion. 5.7% couples are effectively protected by using IUCD as a contraceptive measure. During the year 2010-11, 5.6 million IUCD insertion were reported as against 5.7 million in 2009-10. This shows decrease in acceptance rate of IUCD. Family planning is important not only for population stabilization, but it has been increasingly recognized as central tool to improve maternal and neonatal health.The methods of contraception currently available in India can be broadly divided into two categories, spacing methods and permanent methods. Spacing methodsThese are the reversible methods of contraception to be used by couples who wish to have children in future. These includes• Hormonal methods -oral/injectables • Barrier methods -male/female condoms ABSTRACT Background: Family planning is important not only for population stabilization, but it has been increasingly recognized as central tool to improve maternal and neonatal health. Aim of current study was to compare interval and post partum intrauterine contraceptive device (IUCD) insertion in terms of effectiveness and safety. Methods: This was a prospective observational cohort study, done in the department of Obstetrics and Gynecology, GMERS Medical College, Sola, Ahmedabad, from August 2015 to April 2017 was taken for evaluation. 80 women in each group who were inserted IUCD after delivery and in the interval period were studied. Outcome was measured by expulsion rate, continuation rate, and incidence of dysfunctional uterine bleeding (DUB), Pelvic inflammatory disease (PID), failure rate and effect on puerperium. Results: Expulsion rate in PPIUCD group was 8.75% while in interval IUCD group it was 1.25%. Continuation rate following Postpartum intrauterine contraceptive device (PPIUCD) and interval IUCD insertion was 86.25% and 95% respectively. Incidence of bleeding per vaginum (menorrhagia) was 7.5% in PPIUCD group while 8.75% in interval IUCD group. There was one case 1.25% of PID in interval IUCD group while no case in PPIUCD was noted. Failure rate was nil in both the group. There was no effect on puerperium following PPIUCD insertion group during present study. Conclusions: PPIUCD is an effective and safe spacing method of contraception as compared to interval IUCD insertion. There is no statistically significant change in incidence of expulsion rate, continuation rate and other complications in both the group.

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contrasting

confidence: 74%

supporting

confidence: 54%

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Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Godhani

Patel

2019

Int J Reprod Contracept Obstet Gynecol

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“…The removal rate of CuT380A was higher in postpartum group (7.56%) than interval group (4.37%). In their study, Mohan et al found almost similar cumulative rate of removal in both the groups (6.5 vs. 7%, respectively) [14]. However, higher continuation rate in postpartum group has also been described in literature [5,10].…”

Section: Discussionmentioning

confidence: 68%

“…The two most common reasons for IUCD removal were chronic pelvic pain and irregular BPV in our study. Mohan et al also found bleeding and pain as the most common reasons for postpartum IUCD removal [14]. Srivastava et al reported a higher frequency of irregular bleeding in interval group (17.5%) as compared to post-partum group (4.3%) [15].…”

Section: Discussionmentioning

confidence: 99%

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

Gupta

Sharma

2017

J Obstet Gynecol India

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Assessment of Family Welfare Services with Respect to Couple-years of Protection in a Primary Health Center of Varanasi, Uttar Pradesh

Raj¹,

Chaurasia²,

Singh³

2021

Journal of Public Health and Primary Care

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Introduction: Program for family welfare or planning is one of the earliest health programs running in Independent India. Budget estimate of Family Welfare Schemes in India for the year 2019–2020 is 950 crores. Despite this, irregularities and under performance of various contraceptive services are reported. Objectives: To assess the family welfare services in a primary health center of Varanasi. Methods: Monthly data of family welfare from April 2018 to March 2019 were collected from PHC and analyzed with permission of Medical Officer in Charge, Chiraigaon. Services were assessed in terms of total family welfare OPD females, total counseling (antenatal case/postnatal case), deliveries, and various methods of contraception. The Couple-years of protection for the individual methods of contraception was calculated. Results: About 51% of females attending clinic were counseled, 40% of females delivering in PHC utilized postpartum intrauterine contraceptive device (PPIUCD). Correlation coefficient between females counseled and parameters such as sterilization varies from weak to strong positive. Two new services Depot Medroxy Progesterone Acetate Antara and oral contraceptive pills Chhaya were introduced, but their availability was not regular. Conclusions: Adequate services for family planning were available, but regularity of few was having issue in the year analyzed. More efforts are required to increase PPIUCD use.

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PPIUCD versus interval IUCD (380a) insertion: a comparative study in a referral hospital of Karnataka, India

Cited by 3 publications

References 1 publication

Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

Fetal evaluation of post partum intrauterine contraceptive device versus interval intrauterine contraceptive device insertion

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

Assessment of Family Welfare Services with Respect to Couple-years of Protection in a Primary Health Center of Varanasi, Uttar Pradesh

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