Abstract

PIP: 300 cases were selected from Medical Termination of Pregnancy Clinic of Eden Hospital, Medical College, Calcutta, India in order to establish the safety and efficacy of immediate post-abortal insertion of 2 different types of IUDs - the Lippes loop and Cu T. The objective of the investigation was to compare 3 groups of cases in immediate post-abortal period, regarding ease of insertion, insertional bleeding, post-menstrual disturbance, continuation of device, and incidence of pregnancy. The cases were grouped as follows: 1) group A - 100 cases in which no IUD was inserted; 2) group B - 100 immediate post-abortal cases where a Lippes loop (27.5 mm size) was inserted; and 3) group C - 100 immediate post-abortal cases where CuT 200 was inserted. Subsequently, the number of cases having bleeding decreased in group A, where IUDs were not inserted. Between groups B and C duration of bleeding markedly decreased in group C. At 7 days and 1 month after discharge, bleeding varied from light to heavy where Lippes loops were inserted. Cu T has a noticeable improvement in this aspect, but there was some incidence of bleeding varying from light to moderate in comparison to Group A. The incidence of abdominal pain in follow-up cases in group B was more at both 7 days and 1 month following the insertion than in groups C and A. There was a definite increase in leucorrhea and pelvic pain in group B in comparison to groups C and A. In group B there was early onset of menstruation in comparison to groups A and C. There was hardly any difference between groups A and C regarding onset of menstruation. There was an increase in incidence of removal of the device in group B in comparison to group C. There was 1 incidence of expulsion and pregnancy in group C; the expulsion rate was 7% and the pregnancy rate was 1% in group B.