Evaluation Of Post-Partum IUCD (PPIUCD) Versus Interval IUCD (380A) Insertion
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 1, Pages 2612-2617
Abstract
Background: This study compares PPIUCD and interval IUCD, two forms of contraception that can be used throughout the postpartum period to provide long-term and effective contraception.Methods: The 300 study participants were split into two groups i.e. 150 women in the postpartum group; intrapartum or within 10 minutes; caesarean section; or within 48 hours of delivery and after six weeks of birth or postmenstrual; interval group 150. The experiment employed Cu T 380A. Between 48 hours and 6 weeks after delivery, chorioaminionitis, PROM >18 hours, unresolved PPH, and puerperal sepsis were contraindications for PPIUCD. All of them were monitored for six months.
Results: The continuation rate in the interval group was 81.81% at 6 months, compared to 88.23% in the postpartum group. 15.33% of cases after PPIUCD and 19.33% of cases following interval IUCD experienced complications. When compared to interval insertions, the expulsion rate in PPIUCD was significantly greater (6.96% v/s 2.2%; p value < 0.05). In both groups, the removal rate of IUCD was practically identical (4% in PPIUCD v/s 6.0% in interval).
Conclusions: PPIUCD, regardless of the route of delivery, is a postpartum contraceptive strategy that is efficient, safe, practical, affordable, and long-lasting.
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