STUDY ON AWARENESS, ACCEPTABILITY & CLINICAL OUTCOME OF POST PARTUM - IUCD INSERTION IN A TERTIARY CARE HOSPITAL OF NORTH INDIA

Dr. Rekha Sharma, Dr. Suman Gupta, Dr. Shabnam Rizvi

Abstract


Background: Post partum period is ideal time for family planning counselling. Accessibility to health care facility is
more during this period in our country. IUCD to prevent pregnancy is a highly effective, safe, long acting, coitus
independent & reversible method of contraception with very low side effects.
Objectives: This study was conducted to evaluate the awareness, acceptance, safety, efcacy, complications and expulsion rate of Post-partum
Intrauterine Contraceptive Device (PP-IUCD) insertion among pregnant women in a tertiary care centre.
Material and Methods: This was a prospective study was carried out in the department of Obstetrics and Gynaecology, Career Institute of
Medical Sciences from November 2014 to October 2016 (ie.2years). Women delivering in the hospital and fullling inclusion criteria were
included in the study after obtaining informed consent. The study protocol was approved by the ethics committee of the medical college.
Results: Out of 1820 women, only 108 (5.9%) were aware about PP-IUCD and they received information from the IEC material displayed in the
antenatal clinic. Out of these 108 women, 70 women (64.8%) agreed with PP-IUCD insertion. Out of 1712 unaware women, 930 (54.3%) agreed
with PP-IUCD. Agreement with PP-IUCD insertion was higher in women who were aware about the PP-IUCD. Overall acceptability was found
in 1000 (55%) patients. Out of the 1000 (55%) women who accepted the PP-IUCD insertion, only 573 (31.4%) women underwent PP-IUCD
insertion. After PPIUCD insertion, 67.2% of women had an uneventful course and 32.8% women had complications. Not a single woman
suffered from perforation, or any other life-threatening complication.
Conclusion: The acceptance of PP-IUCD was high in present study and it is comparably more than other studies done globally. Awareness of
PP-IUCD among these women was very poor despite high acceptance. The PP-IUCD was also demonstrably safe, having no reported incidence
of perforation with low rates of expulsion, pelvic infection, and few lost strings.


Keywords


PP-IUCD, Contraception, Pelvic Infection, Perforation

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References


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