Acceptance, Follow-up and Outcome of Postpartum Intrauterine Contraceptive Device in C section and Normal delivery | [Pakistan Journal of Medical and Health Sciences • 2020]

Author(s):

1. Fatima Sharif Khan: PE Military Hospital Rawalpindi, Pakistan

2. Saira Nazeer: Pak International Medical College Peshawar, Pakistan

3. Nighat Afridi: Combined Military Hospital Peshawar, Pakistan

4. Noorul Amina: Qazi Hussain Ahmad Medical Complex/ Nowshera Medical College Nowshera, Pakistan

5. Sadia Kanwal: Al Nafees Medical College and Hospital Isra University Islamabad, Pakistan

6. Sumaira Khan: Combined Military Hospital Mardan, Pakistan

Abstract:

Objective: To determine frequency of acceptance, follow up and outcome (safety and efficacy) of postpartum intrauterine contraceptive device in C section and vaginal delivery. Study Design: Randomized clinical trial Place and Duration of Study: Department of Gynecology & Obstetrics at CMH Peshawar from 1st June 2019 to 29th February 2020. Methodology: One hundred fifty two women were included and were randomly divided into two groups; Group A underwent vaginal delivery while Group B underwent C-section. CuT-380A intrauterine contraceptive device was used in both groups. Patients were followed after 12 weeks. Results: Mean age of women was 29.9±5.2 years. Acceptance of postpartum intrauterine contraceptive device was 13.8% in women underwent vaginal delivery and 11.2% in women underwent C-section delivery. There was no significant difference in follow up of both groups. Vaginal delivery group had more pregnancy and discontinuance after postpartum intrauterine contraceptive device insertion as compare to C-section (p=0.05 & p= 0.04 respectively). C-section group had more expulsions as compared to women undergone vaginal delivery (p=0.05). An insignificant difference in perforation, unusual vaginal discharge, infection and irregular bleeding was found in both group (p>0.005) Conclusion: Postpartum intrauterine contraceptive devices are safe, effective and convenient contraceptive intervention in both vaginal and C-section deliveries. Postpartum intrauterine contraceptive device should be inserted by trained and skilled clinicians for reducing complications associated with insertion.

Page(s): 1177-1179

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 14, Issue: 4, Year: 2020

Keywords:

Csection , Postpartum intrauterine contraceptive device PPIUCD , Vaginal delivery

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