Evaluation of safety and expulsion rates in post placental intrauterine device insertion: a comparative study

Abstract

Background:Comparative evaluation of safety and expulsion rates in post placental IUCD and interval IUCD Methods:The study included 203 patients delivered in SMGS Hospital Jammu who were divided into Group A (Post placental insertion) and Group B (Interval insertion).Patients with Hb>or=8mg/dl,no ongoing infections, age18-40 years were included in the study after counselling in antenatal,early labour or postnatal period. All patients were followed up for 6 months.Results:The cumulative expulsion at 6 months was almost same in both the groups (11% v/s 9%) and was more in vaginal delivery as compared to caesarean delivery.Number of removal was also almost similar in both the groups (18% v/s 21%). The most common cause for removal in group A was partial expulsion and in group B was missing thread.The continuation rates were comparable in both the groups at 6 wks and 6months with rates of 92% and 86.9% in group A and 88% and 88.6% in group B respectively.No statistical difference was observed between the total complications in both the groups at 6 wks (p=0.54) and 6 months (p=0.29) Conclusion:In the present study, we came to the conclusion that postpartum insertion of IUCD is safe, effective, feasible and reversible method of contraception. PPIUCD should be recommended for routine use as the primary means of contraception in family planning programmes.