Author(s):
1. Uzma Gul:
PAF Hospital, Shahbaz, Jacobabad/National University of Medical Sciences (NUMS) Pakistan
2. Sunarays Akhtar:
PAF Hospital, Shahbaz, Jacobabad/National University of Medical Sciences (NUMS) Pakistan
Abstract:
Objective: To compare intra caesarian placement of intrauterine contraceptive device with interval placement at 6 weeks in terms of device expulsion and continued use at 6 months postpartum. Study Design: Quasi experimental study. Place and Duration of Study: Obstetrics and Gynecology department, Combined Military Hospital Jhelum, from Oct 2017 to Oct 2018. Methodology: One hundred and four pregnant women aged 20 to 40 years old, planned for an elective caesarian delivery and who opted for an intrauterine contraceptive device were included. They were randomly divided into two equal groups using lottery method. Women were told about their assigned timing of device placement well before their surgery. Group A had device placed during caesarian section while group B (serving as controls) had insertion after 6 weeks. Copper T 380 A was provided free of charge to all participants. Women were seen after 6 weeks, 3 months and 6 months. Both groups were analyzed and compared in terms of device expulsion and continued use at 6 months postpartum. Results: The device was placed successfully in 48 women in group A and 35 women in group B (p 0.001). There was no statistically significant difference in device expulsion rates between the two groups (p 0.37). After 6 months significantly higher proportion of women in the intracaesarian group were continuing to use the intrauterine contraceptive device as compared to the interval group (p? 0.05). Conclusion: Intracaesarian placement of intrauterine contraceptive device leads to statistically significant higher continuation rates as compared to conventional interval placement with no statistically significant difference in expulsion rates.
Page(s):
1776-1781
DOI:
DOI not available
Published:
Journal: Pakistan Armed Forces Medical Journal, Volume: 70, Issue: 6, Year: 2020
Keywords:
Contraception
,
Postpartum period
,
Intrauterine devices
References:
References are not available for this document.
Citations
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