Dr Annappa Shetty


Background: Intrauterine copper T device is used either to space the births or to limit the family size, so as to check the
fertility effectively and safely. This study aims to compare the various IUCD related clinical factors to its acceptability,
safety and efficacy in immediate postpartum vaginal insertion, intracaesarean insertion , delayed postpartum vaginal insertion and interval
insertion at OBG department of Karwar Institute of Medical Sciences , Karwar - a tertiary care hospital.
Methods: It was a retrospective analysis of data for a period of one and half year i.e from 01-02-2016 to 31 -7-2017. The data collected during
this period was analyzed with respect to maternal age, parity, socio-economic status, education and occupation. It was compared between post
partum group and interval group. Data about spontaneous expulsion rate of IUCD, not able to feel the thread , reason for removal of IUCD and
failure rate upto a period of 6 months was collected in these mothers and compared with respect to immediate postpartum insertion, delayed
postpartum vaginal insertion, intra caesarean insertion and interval insertion.
Results: Majority of women in this study were literate belongs to the age group of 21 - 36 years, low /middle socio-economic status , multiparous
and unemployed in both postpartum and interval groups . Spontaneous expulsion rates were 1.96 , 1.26 , 3.95 and 1.58 , proportion of patients
not able to feel the thread were 2.95 , 9.24 , 6.97 and 2.52 % and removal rates were 7.81, 7.98, 8.72 and 4.76 in immediate vaginal insertion,
intracaesarean insertion, delayed postpartum insertion and interval insertion groups respectively.
Conclusion: Copper-T IUCD were more acceptable way of interval method among well educated , literate , young multiparous women . It was
found that immediate post partum period was the safest time for IUCD insertion with maximum continuation rate and less failure . Hence
mothers should be adequately counselled for IUCD insertion in the immediate post partum period.


Intra Uterine Contraconceptive Device - IUCD.Copper-T 380A -- Cu-T 380A

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Population census 2011 – India at glance

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