International Journal of Clinical Obstetrics and Gynaecology

Author(s): Minakeshi Rana, Surinder Kumar Atri, Veena Chib and Neelam Kumari

Abstract: Background: PPIUCD is not commonly used in developing countries because of lack of awareness, social taboos and fear of complications of IUCD devices. Low acceptance of immediate PPIUCD usage results in high unmet needs and low utilization of the contraceptive method. Therefore we planned this study to see the acceptability and safety of PPIUCD in our local population. Material & Methods: A cross sectional, prospective study was conducted on 2540 women attending antenatal clinic at District hospital Samba, Jammu; Jammu and Kashmir from March 2016 to February 2018. All women attending antenatal clinic and in labour room were counseled for immediate PPIUCD and after written consent were included in the study. All these women were called for follow up visit after 6 weeks of insertion of PPIUCD. Results: A total of 2540 women were counseled for PPIUCD during their antenatal visits in third trimester and in early labour. Out of which 811 (31.9%) PP IUCD insertions were done. Most common age group was 26 – 30 year. Most of PPIUCD insertions were done in vaginal deliveries i.e. 678(83.6%) out of 811 and intracesarean PPIUCD insertions were only 133(16.40%) out of 811. Most of the women were either Para 2 or Para 1. 396 (48.82%) women came for follow-up after 6 weeks. There was no case of uterine perforation or any unplanned pregnancy. Unusual vaginal discharge were reported by 76(19.19%) women at follow-up. In 32 women IUCD was removed because of heavy menstrual loss, PID and personal reasons. IUCD strings were not seen on per vaginum examination in 40(10.10%) cases. All women with undescended strings underwent ultrasonographic confirmation of intrauterine placement of the device and women were assured for continuation of PPIUCD. Conclusion: To achieve the goal of Health Services for all, all women should have access to family planning services. If family planning services are provided to all women then only we will be able to decrease maternal and infant mortality. Acceptance of PPIUCD as method of contraception is low, though PPIUCD is an effective, safe, rapidly reversible and convenient contraceptive method. PPIUCD should be encouraged considering the advantages that come along, although there is a relatively higher incidence of expulsions

DOI: https://doi.org/10.33545/gynae.2019.v3.i1c.405

Pages: 169-173 | 2354 Views | 1133 Downloads

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