Study on the acceptance, complications and continuation rate of post-partum family planning using the post placental intrauterine contraceptive device among women delivering at a tertiary care hospital

Abstract

Background: Post placental intrauterine contraceptive device use in India showed that most women were satisfied with their choice of immediate insertion of an IUCD and the rates of complications were relatively low. The large proportion of women accepting the method to limit future childbearing indicates the important place post placental IUCD hold. This study was done to evaluate the acceptance of intrauterine contraceptive device as an immediate family planning method following delivery. The complications associated with it were identified and continuation rates were assessed. Methods: Women admitted for delivery in a tertiary care hospital were included in the study. Only women who fulfilled the medical eligibility criteria were included in the study. Results: A total of 4209 women were counseled of which 780 (18.5%) women accepted the method, 3429 declined. Out of the 780 cases, 764 came for follow up, and 16 were lost to follow up, spontaneous expulsion was seen in 2 (0.2%) cases, removal was done on request in 1 case and continuation was seen in 761 (97.56%) women. Conclusions: The Post placental intrauterine contraceptive device is safe to insert immediately after delivery. It has good acceptance with minimal expulsion and very high continuation rates.

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

“…A higher acceptance rate was also observed among multipara (69.59%) and those who had a desire for future pregnancy after an interval of more than 2 years (75.64%). 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.…”

Efficacy and safety of Post-Partum Intrauterine Contraceptive device (PPIUCD) insertion-A prospective study

“…The present study showed that majority of women who accepted PPIUCD had attained secondary education and graduation (51.31%), and only 9% were illiterate; similar recent studies by Kanhere et al (5) and Gujju et al (7) also showed 43% and 32.67% of educated accepting PPIUCD respectively. In the present study insertion of PPIUCD in literate women was high and extremely statistically significant (P<0.0001) as compared to illiterate women.…”

Comparison of clinical outcomes following CuT-380A insertion in postplacental period with interval insertion

“…3 In another study by Gujju et al, the acceptance level of postplacental IUCD was found to be 18.5%. 4 However, the acceptance of postplacental IUCD was much higher (36%) in the study by Kanhere et al 5 After 6 months of follow-up, it was seen that in postplacental group, 4.4% of the women had expulsion of the IUCD whereas in the interval group, 4.1% of women had expulsion. In the study conducted by Lucksom et al, they reported nil expulsion rate in postplacental group versus 5.95% in the interval group.…”