Abstract: Background: Insertion of an intrauterine contraceptive device (IUD) immediately after delivery has been recommended by the WHO, as one of the safe and effective methods of temporary contraception. Hence; the present study was conducted for assessing the efficacy of post placental and intra-cesarean insertion of intrauterine contraceptive devices.
Materials & methods: A total of 500 women were enrolled in the present study that delivered at community health centre, Lopoje, Amritsar and were counseled for PPIUCD. Post-placental insertion was done and CuT 375 A was used. All the procedures were commenced under the hands of skilled and experienced gynecologists. Regular follow-up was done. Presence of any complication was recorded. All the results were recorded in Microsoft excel sheet and were analyzed by SPSS software.
Results: Mean age of the subjects was found to be 17.9 years. Desire of pregnancy within one to two years was found to be present in 7.2 percent of the patients. Reasons of acceptance were “No remembrance once inserted” in 32.8 percent of the cases, while it was due to safety reasons in 15.2 percent of the cases. Expulsion occurred within a week in 0.8 percent of the cases, while it occurred within one week to one month in 5.4 percent of the cases.
Conclusion: Post placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD) has a high rate of acceptance and is associated with lower incidence of complications. Even though it has higher safety index, still awareness of PPIUCD is very low among general female population.
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