EVALUATION OF ACCEPTANCE, SAFETY AND EXPULSION OF POSTPLANCENTAL INTRAUTERINE CONTRACEPTIVE DEVICES (PPIUCD)

Dr Vandana Patidar, Dr Susheela Khoiwal

Abstract


Introduction: Currently in India, 65% of women in the first year postpartum have an unmet need for family planning, so the critical period need to be focussed, hence the ministry of health and family welfare, Government of India introduced PPIUCD services in 2010.

Objectives: To determine the rates of expulsion, pelvic infection, lost strings, and displacement following PPIUCD insertion among the acceptors by 6weeks.

Material And Methods: The cervix and vaginal walls were cleaned twice with gauze soaked in povide one iodine solution with speculum in place. The IUCD was removed from the insertion sleeve and grasped with the modified Kelley forceps using no-touch technique. Intrauterine contraceptive device with forceps was moved upward until it can be felt at the fundus. Uterus was stabilized until forceps removal was complete. The cervical os was then gently inspected for the strings.

Results: The acceptance of PPIUCD was high in the present study. Awareness of the PPIUCD among these women was very poor despite high acceptance. Majority of the women never heard about the PPIUCD before admission to labor room. Parturient who had a short duration from their last child birth (less than 2 years) had greater acceptance of the PPIUCD.

Conclusion: Inserting CuT 380 A by 10 min after placental delivery is safe and effective, has high retention rate. The expulsion rate was not high, and further can be reduced with practice. The PPIUCD was demonstrably safe, incidence of with low rates of expulsion, pelvic infection, and few lost strings.


Keywords


postpartum, POSTPLANCENTAL INTRAUTERINE CONTRACEPTIVE DEVICES (PPIUCD), Government of India

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References


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