Dr. Prof R. Chauhan, Dr. Sonal Sahni, Dr. Shaily Hanumantaiya


Background: [1,2] India is presently the second most populous country in the world , soon to be on the top.
The modern intrauterine contraceptive device (IUCD) is one of the most cost effective method of
[3,4] contraception with fewer side effects still underused in India.
Aim: To evaluate factors affecting acceptance & continuation of PPIUCD in the Department of Obstetrics and Gynecology ,
N.S.C.B Medical College , Jabalpur.
Methods: Questionnaire based prospective study (March 2016 -17) on all antenatal and post partum patients who fullled the
WHO Medical Eligibility criteria for PPIUCD.
Results: Acceptance was 53.3%, highest amongst 21-30 yrs age group (85.1%),in primi women(66.1%) & in patients counseled
during antenatal period(53.1%).Continuation rate was 77.7%.Most common reason for discontinuation was bleeding .
Conclusions: Antenatal counseling holds most important role. Reassurance & awareness about the safety and efcacy of
PPIUCD should be emphasized.


PPIUCD, Awareness, Contraception.

Full Text:



Demographic and Health Survey ,India. ORC Macro. 2001

World Population Data Sheet , 2003. Population Reference Bureau. www.prb.org

World Population Policies, 2003. United Nations, Population Division, Department of Economic and Social Affairs

Huezo, C.M., Malhotra, U., Slogett, A. and Cleland, J.: Acceptability and continuation of use of contraceptive methods: A multicentre study. In: E.S. Teoh, S.S. Ratman and Sir M. MacNaughton (eds.) Proceedings of the XIIIth World Congress of Gynaecology and Obstetrics, Vol. 1, 11-35, 1993.

Reference Manual for MOs and Nursing Personnel . Retrieved fromhttp://www.nrhmtn.gov.in/modules/IUCD_Reference_Manual_for_MOs_and_Nursing_Personne_-Final-Sept_2013.pdf

Trends in Maternal Mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division . Retrieved from http://www.afro.who.int/sites/default/files/2017-05/trends-in-maternal-mortality-1990-to-2015.pdf

Cleland J et al. 2006. Family planning: The unfinished agenda. The Lancet. 368(9549): 1810–1827

International Institute for Population Sciences (IIPS) and ICF. 2017. National Family Health Survey (NFHS-4), 2015-16: 112 . India. Mumbai: IIPS.

Medical eligibility criteria for contraceptive use, Fifth edition 2015. Available at http://apps.who.int/iris/bitstream/10665/181468/1/97 89241549158_eng.pdf

Doley R, Pegu B. A retrospective study on acceptability and complications of PPIUCD insertion. J Evolution Med. Dent. Sci. 2016;5(31):1631-4.

Mishra S. et al. Evaluation of Safety, Efficacy, and Expulsion of Post-Placental and Intra-Cesarean Insertion of Intrauterine Contraceptive Devices (PPIUCD) J ObstetGynaecol India. 2014;64(5):337–43.[PMC free article] [PubMed]

GunjanGoswami, et al. A Prospective Study to Evaluate Safety, Efficacy and Expulsion Rate of Post Placental Insertion of Intra Uterine Device. Journal of Evolution of Medical and Dental Sciences. 2015;4(56):9770–74.

Katheit G, Agarwal J. Evaluation of post placental intrauterine contraceptive device (PPIUCD) in terms of awareness, acceptance and expulsion in a tertiary care centre. International journal of Reproduction, Contraception Obstetrics and Gynaecology 2013;2(4):539-43.

Maluchuru S, Aruna V, Prabhavathi N. Post partum intrauterine device insertion-2 years experience at tertiary care center in Guntur medical college/govt general hospital, Guntur. Journal of dental and medical sciences 2015;14(3):56-61

Vilvapriya S, Veeraragavan K. Long term clinical outcome of intra caesarean intrauterine contraceptive device insertion. Int J Reprod Contracept Obstet Gynecol 2017;6:1894-9.

RajniGautam, K. N. Arya, S. Kharakwal, Sudhir Singh, Monika Trivedi. overview of Immediate PPIUCD application in Bundelkhand Region. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 36, August 18; Page: 9518-9526,DOI: 10.14260/jemds/2014/3230.

Sudha CP, Priyanka HK, Nagaiah D. A study to evaluate safety and efficacy of immediate postpartum postplacental IUCD insertion. Int J ReprodContraceptObstetGynecol 2017;6:2284-8.

Deshpande S, Gadappa S, Yelikar K, Wanjare N, Andurkar S. Awareness, acceptability and clinical outcome of post-placental insertion of intrauterine contraceptive device in Marathwada region, India: Indian J ObstetrGynecol Res. 2017;4(1):77-82.

Mrs.Suchitra A. Rati A Study to Assess the Factors Affecting Acceptance of Intrauterine Device (IUD) Among Rural Women of Hirebagewadi, Belgaum.” e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 3, Issue 2 Ver. V (Mar-Apr. 2014), PP 37-52 www.iosrjournals.org

Jairaj, Sangeetha, and Sridhar Dayyala. “A Cross Sectional Study on Acceptability and Safety of IUCD among Postpartum Mothers at Tertiary Care Hospital, Telangana.” Journal of Clinical and Diagnostic Research : JCDR 10.1 (2016): LC01–LC04. PMC.

Zeroi et al The Relationship between Prenatal care and subsequent Modern Contraceptive use Bolivia , Egypt and Thailand . (Afr J Reprod Health 2001; 5[2]: 68-82)

Saliman, M. H. (1999) Impact of antenatal counselling on couple knowledge and proctice of contraception in Mansoura, Egypt, East Mediteranean health journal, 5(5),1002- 1013.

Duong, D. V., Lec, A.H., and Binns, C.W. (2005) Contraception within six month postpartum in rural Vietnam; Implication on Family Planning and maternity services. European journal of contraception and reproductive health care, 10(2), 111-118.

Eroglu, K. Akkuzu, G. Vural, G. Dilbaz, B., Akin, A. Complications of IUD insertion in immediate postplacental/ Early postpartum period with interval period: 1 year follow up contraception, 2006 Nov;74(5):376-81. Epub 2006 Sep 15.


  • There are currently no refbacks.