Online ISSN: 2515-8260

Keywords : Contraception

A cross sectional study on acceptability, safety and evaluation of post-vaginal delivery and intra-cesarean insertion of PPIUCD at tertiary Centre

Dr. Prathibha SD, Dr. Shreya Mallesh, Dr. Anitha N, Dr. Santosh S Basarakod, Dr. Ullas Mahesh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 5, Pages 400-406

Introduction: India is world’s second most populated country with nearly 20.7% of the Indian population have unmet needs for family planning with 65% in the first year of postpartum period. Postpartum period is the ideal time of family planning studies as spacing less than two years of child birth can lead to obstetric complications and maternal mortality. Hence practice of contraception is mandatory.
In this study we have emphasised Cu375insertion which has the advantage of high motivation, safety and convenience for both patients and the service provider. Here we conducted a pilot clinical study comparing intra-caesarean Cu375 insertion and post-placental insertion following vaginal deliveries.
Materials and Methods: A systematic study with 60 patients in each group recruited clients randomly based on acceptance and mode of delivery. Group A intra-caesarean insertion and Group B post- placental insertion following vaginal deliveries. The cases were followed up at 6weeks and 6months post-insertion with a set of parameters. Here we look for Missed strings, Expulsion and Infection rate as the primary outcome measures. Complications as the secondary outcome measures.
Results: Infection rate is found to be higher in Group B(5%) than Group B at 6th week. At 6th month, infection is higher in Group B (1.8%) than Group A(0.9%) p=0.617. Missed strings are found to be higher in intra-caesarean than interval method both at 6th week and 6th month follow up. Expulsion rate is found to be higher in Group B(3.3%) than Group B(1.67%) p=0.5 at 6th week. At 6th month there is no IUCD expulsion in Group A (0%) than in Group B where there is (1.9%) expulsion p=0.497. Uterine perforation noted among 3.35% in group A compared to 1.67% in group B. There is no complications or contraceptive failures in both groups during the study period. On statistical analysis, it is found that there is no significant difference in infection and expulsion rate between the groups. For missed strings there is a significant difference between the groups with more missed strings in intra-caesarean method.
Conclusion: To conclude that, intra-caesarean method is equally effective as interval
method without any added complications for contraception in caesarean deliveries, with added advantage of high motivation, good compliance and safety and easy for provider to deliver the services.


Dr. Shivangi verma, Dr. Vijay Y. Kalyankar, Dr. Nisha Jha, Dr. Rajat Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2473-2483

Abortion is the most common adverse outcome of pregnancy. Out of 42 million MTPs each year globally, 20 million are done unsafe. Post abortion care (PAC) includes emergency treatment for complications related to spontaneous or induced abortions. It is necessary to create contraceptive awareness and to educate women regarding various modern contraceptives thereby decreasing unmet needs of family planning; hence, this clinical study is being conducted at our tertiary care centre.

A Study of Preferred Contraception Following Labour in Multipara in a Tertiary Hospital

Nilofer, Suryapalli Vipanchi, Yalamanchili Sneha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1795-1800

Background: India is world’s 2nd largest populated country. It is first to introduce
family planning services. IUCD is most effective, safe, long acting and do not interfere
with coitus. Immediately or within 72 hours after delivery of placenta in a health care
facility is convenient for those who are in outreach area, where family planning facilities
are less available. Aim & Objective: To determine choice of contraception preferred by
multiparous women following vaginal birth in a tertiary hospital in Andhra Pradesh,
Materials and Methods: It is a retrospective observational study. Sample includes 321
multiparous women who underwent vaginal delivery at a tertiary care hospital,
Dr.PSIMS&RF, vijayawada during April, 2020 to March 2021. This study determines
the ‘informed choice’ of contraception opted by couples who have atleast 2 live children
after vaginal delivery.
Results: In this study, we observe that a majority of multiparous couples after vaginal
delivery prefer LAM (59.5%) followed by female permanent sterilisation (30.84%). Of
those undergoing female sterilisation 4.23% are 18-19yr; 83.89% are 20-25yr. Inspite of
progress in reproductive health and family planning in India, early marriages and early
pregnancies are still in a rising trend. There is increased need for contraceptive use at
an early age. Prevalence of female sterilization was 39%. In the present study,
prevalence of male sterilization was 1.2%.
Conclusion: All antenatal, must be counselled for better alternate contraceptive options
from the antenatal period. Health education should be directed to couples rather than
to women only. Since, there are more of young married couples, more spacing methods
and alternate contraceptive methods should be promoted rather than sterilisation


Dr. Bhakti kalyankar, Dr. Vijay kalyankar, Dr Shrinivas Gadappa, Dr Saleha kausar, Dr Harshita S .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2613-2621

Aim of study: To study the acceptance rates of intra-caesarean Post placental Intrauterine contraceptive device insertion and to assess the safety , efficacy , expulsion rates , continuation rates and complications related to intra-caesarean PPIUCD insertion
INTRODUCTION : This study examines the factors responsible for accepting the intra-caesarean PPIUCD insertion and evaluates the safety,  efficacy,  expulsion and continuation rates of intra-caesarean PPIUCD insertion.
Material & Methods: This  Prospective observation study was conducted in at Depatment of Obstetrics and Gynecology Goverment Medical College Aurangabad tertiary care hospital conducted from November 2019 to October 2021. In present study we have enrolled 332 cases during two years. Women fulfilling the inclusion criteria underwent postpartum insertion of IUCD.
Observation & Results: There were no major complaints in either group in Post operative period . At 6 months follow up in PPIUCD users, 3.91% had spontaneous expulsion and 4.21% removed copper T due to various reasons , 95.05% continued to use this method . There were no complications like perforation of uterus, intrauterine pregnancy with copper T, extra uterine pregnancy and infection.
Conclusion: The intra-caesarean PPIUCD insertion was found safe with low rates of expulsion, minimal bleeding tendencies, negligible rate of infection. PPIUCD looks promising as a first choice contraceptive in the eligible ones as a long term, reversible contraceptive in the control of health care , coitus independent,  no interference with breastfeeding and without any systemic side effects.


AmalsaeedAmer saleh, Sana Ali barnawi, Funoon Omer Alansari, Nadeentalal khayame, ‏Afnan Adnan Abdullah Bukhari‏, ‏Ohoud Mohammed Alzahrani, ‏Ghadamohammad fallata Hanan Faisal Rashed Alharbi, ‏Maha Abdullah Alsharif, AishahAeyd Albarqi, Hadeel Khalid Hamed Alshanbari

European Journal of Molecular & Clinical Medicine, 2019, Volume 6, Issue 1, Pages 513-522

     Contraception is an effective mean of Family Planning (FP) and fertility control, promotes maternal and child health. It is interesting to explore the perception and use of contraceptives among Saudi women. The usage of contraceptive has  a significant part in reducing fertility and control of population, which in turn is important for the development of the nation. Despite the advancements in current methods of contraception, unintended pregnancies are still widespread in the Kingdom of Saudi Arabia which adversely impacts the well-being and health of women and their families. Unintended pregnancies pose a major challenge to the reproductive health of young adults in developing countries. students are an important high-risk group in any society and emergency contraceptives can prevent unintended pregnancies and its consequences in this high risk group, contraception is unique among medical interventions in the breadth of its positive outcomes. An effective means of Family Planning (FP) and fertility control promotes maternal and child health.
Aim of the study: The study aimed to assessment the level of knowledge of emergency contraception among married women attending antenatal clinics, Makkah (2019).
Methods: cross sectional descriptive study has be conducted using saudi women who fulfilling the inclusion criteria, used to randomly select women from Primary Health Care Centers (PHCCs) in Makkah in Saudi Arabia . using a well-structured pretested questionnaire composed of four main parts to collect the data. Our total participants were (200).
Results: the majority of the participants answer the correct timing of emergency contraceptive pill (Within 5 days) were (86.0%)while IUD (Within 5 days) were (77.0%) while Total Knowledge regarding emergency contraceptive the majority of participants answer yes were (88.0%), regarding the ever using emergency contraception the majority of participants answer no were (75.0%).
Conclusion: In the light of the above results, there is an urgent need to improve the knowledge of Saudi women in age of fertility towards the use of modern contraceptives, low utilization was notices mainly due to religious concerns. Awareness programmers should be organized by the management on emergency contraception and other modern contraceptive methods.