European Journal of Molecular & Clinical Medicine

Abstract

Background: Only 26% of women are using any method of family planning in the first year
postpartum. Studies indicates that unmet need for family planning in postpartum period is as
65% (USAID ACCCESS 2009). Recent studies estimate that prevention of unplanned and
unwanted pregnancies could help avert 20 – 35% of maternal deaths and as many as 20% of
infant deaths. Use of temporary contraceptives in our country is limited to 10.2% and that of
intrauterine contraceptive device (IUCD) is only1.8%. Post-Partum IUCD (PPIUCD) was
thus introduced in the National Family Planning Programme, India in 2009-10.
Methods: This is a Retrospective study conducted in department of obstetrics and
Gynaecology, Mandya Institute of Medical Sciences, Mandya. All deliveries during time
period from April 2018 to March 2021 were included in the study. Women accepting
PPIUCD were analysed with respect to age, parity, educational status, complaints (during the
follow up visits) and timing of insertion.
Results: Out of total 31,212 deliveries between April 2018 to March 2021.19,662. delivered
vaginally, 11,550 delivered by C section. 702 (2.24%) accepted PPIUCD as a method of
contraception. Intra cesarean insertion were 567 cases, Post placental insertion were 108
cases and immediate postpartum insertion 27 cases. 54% of users were of age group 20 -
25yrs, 53.8% were Primipara. Most common complication reported was bleeding PV in about
5. 9% and 6.4% discontinued PPIUCD due to sexual interference [2.99%] as the commonest
reason.
Conclusion: Less acceptance of PPIUCD services in our hospital reminds us to optimize
PPIUCD services by counseling pregnant women right from ANC visits. Education and
counseling can plays major role in acceptance and IUCD continuation rate. Obstetricians and
nursing staff should play a major role to dispel myths and misconceptions prevalent with
IUCDs.