European Journal of Molecular & Clinical Medicine

Abstract

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.