Dr. Savita Kamble, Dr. Tejaswini Kale (Pingle)


Pregnancies which occur too frequently have adverse impact on health of mother as well as the child. The postpartum period is the most convenient
time for health care provider and the mother for Cu T insertion as in this period the pregnancy is ruled out and the procedure requires less time and
can be done in same hospital visit. Majority of women conceive in lactationalamenorrhea due to lack of awareness about contraception and land up
with unwanted pregnancy. This leads to morbidity & mortality related to abortion as women usually come in second trimester fortermination. This
study is an attempt to establish PPIUCD as a safe and effective method of contraception which helps to increase interpregnancy interval. In our
study 25% of patients at 6 weeks and 16% at 6 months had minor complications as pain and bleeding.Removal rate and expulsion rate were 5%
and2.5% respectively. Continuation rate was 91.89%.Postpartum Intrauterine Contraceptive Device is a safe and effective method of contraceptive
with less complication.


postpartum IUCD, Kelly's forceps

Full Text:



Postpartum IUCD Reference Manual. New Delhi:Family Planning Division Ministry of Health and Family Welfare;2010 Nov p1.

Jeffrey MS, Deller B, Ruparelia C, AsifR,TredwellS.The PPIUCD- An Overview. In: Fowler RC,editor,PPIUCD services. A Reference Manual for providers 1steditionBaltimore:JHPIEGO Corporation:2010 Nov p 7-11.

Muthal- Rathore A. Immediate postpartum insertion of intra uterine devices: RHL commentary (last revised: 2010 Sep. The WHO Reproductive Health Library: Geneva: World Health Organization.

Medical eligibility criteria for contraceptive use 4thedition;Department of Reproductive health and Research, World Health Organization :.2010 p65.

Shaamash AH, SayedGH,Hussein MM. A comparative study of levenogstel releasing system Mirena versus the Copper T 380 intrauterine device during lactation: breast feeding performance, infant growth , infant development.Contraception,2005:72(55):346-51

Special Bulletin on Maternal Mortality in India 2010-12.Available from

Fauveau V. Strategies for reducing maternal mortality. The Lancet.2006;368(9553)2121-2.

Morrison C, Waszak c, Katz K, DiabateF , Mate EM. Clinical outcomes of two early postpartum IUD insertion programme in Africa Contraception.1996 Jan;53(1): 17-21.


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