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. 2023 Jun;73(3):254-261.
doi: 10.1007/s13224-022-01738-4. Epub 2023 Feb 2.

A Prospective Multi-centric Study of Acceptance, Insertion and Follow-Up of Postpartum Insertions of IUCD

Shobha N Gudi  1 , Jyoti Sachdeva  2 , Renu Manchanda  3 , Mrinalini Mani  4 , Shailja Rani Ranjan Sinha  5 , Sushma Sinha  6 , Poonam Shivkumar  7 , Reena J Wani  8 , Nishi Garg  9 , Sanjivani Wanjari  10 , Bharati Sharma  11 , Pramila Yadav  8 , Neha Gangane  10
Affiliations

A Prospective Multi-centric Study of Acceptance, Insertion and Follow-Up of Postpartum Insertions of IUCD

Shobha N Gudi et al. J Obstet Gynaecol India. 2023 Jun.

Abstract

Purpose of the study: The unmet need for contraception in the postpartum period is a major challenge in our country. Unintended pregnancies are highest in the first year after birth, and postpartum IUCD insertion is an effective way to counter this problem. This study was planned to build up data for acceptance and follow-up of postpartum IUCD insertions.

Methods: The present study has included data of PPIUCD insertions and follow-up from seven institutions over a period of 6 months. The case recruitment lasted for 3 months, including only those who had PPIUCD insertions in this period, and they were followed up for a period of 6 months. The follow-up of patients was at 6 weeks and 6 months. All issues were addressed including side effects, expulsions, myths surrounding the device, etc., along with routine postnatal care.

Results and conclusion: There were 5227 deliveries and 1895 insertions. The acceptance rate was 36%, and a follow-up at 6 weeks and 6 months showed up an expulsion rate of approximately 4% and a removal rate of 5%. Overall, at the end of 6 months we have a continuation rate of 90%. This shows that a dedicated approach to postpartum contraception will definitely bring down incidence of unintended pregnancies.

Keywords: Contraception; Intra caesarean insertion; LARC; PPIUCD; Post partum contraception; Post placental insertion.

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Conflict of interest statement

Conflict of interestNone declared.Ethical ApprovalThe study was approved by the Institutional Ethics Committee of each hospital. The authors are committed to and have fulfilled all the guidelines mentioned in the Helsinki Declaration for scientific research on clinical subjects, and we stand by it in all future references and citations for this article. The authors have no potential conflicts of interest to disclose. This research involved human participants and no animals. Informed consent was taken from all participants from all patients involved in the study.

Figures

Fig. 1
Fig. 1
Refusal and acceptance of PPIUCD
See this image and copyright information in PMC

References

    1. Cleland J, Bernstein S, Ezeh A, et al. Family planning: the unfinished agenda. Lancet. 2006;368:1810–27. doi: 10.1016/S0140-6736(06)69480-4. - DOI - PubMed
    1. Okonofua F. Abortion and maternal mortality in developing world. J Obstet Gynecol Can. 2006;28:974–9. doi: 10.1016/S1701-2163(16)32307-6. - DOI - PubMed
    1. Orji EO, Onwudiegwu U. Prevalence and determinants of contraceptive practice in a defined Nigerian population. J Obstet Gynaecol. 2002;22:540–3. doi: 10.1080/0144361021000003126. - DOI - PubMed
    1. Nelson A. Intrauterine contraceptive. J Obstet Gynecol. 2008;6:219–24.
    1. Ashok S, John S, Jayanti MT. The KAP-gap in Nepal: reasons for non-use of contraception among couples with an unmet need for family planning. Asia Pac Popul J. 2000;6:25–38. - PubMed

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