Early complications of trans caesarean Insertion of intrauterine contraceptive device – a prospective study

Abstract

Introduction: The practice of contraception is as old as human existence. Although medical history has documented the desire to control fertility since ancient times, safe and effective contraception did not exist.Aims: To study the early complications of trans caesarean insertion of intrauterine contraceptive device.Materials and methods :All the patients of age group 18-40 years undergoing elective and emergency caesarean section, fulfilling the inclusion criteria , at government general hospital , Nizamabad , Telangana from January 2019 to November 2019 will be included in the study.Results: 106 patients selected for caesarean section were counseled for Intrauterine device o fwhich106 clients accepted and were taken up for intra operative cu T placement. IUCD was inserted in 100 subjects.6 subjects could not meet criteria for insertion. Indication for taking up for caesarean section being CPD, Malpresentation , non-reassuring fetal status and previous Caesarean section. 34% were primigravidae and 66%were multigravidae. Conclusion:Family planning is a key intervention in reducing maternal, newborn and child mortality and morbidity through preventing unintended pregnancies, as well as optimizing spacing. The PPIUCD is a good option as a contraceptive method to address the unmet need of family planning in postpartum women.