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Women's Experience with Postpartum Intrauterine Contraceptive Device
Author(s):
1. Rashida Sultana: Azra Naheed Medical College, Lahore, Pakistan
2. Nazia Badar: Azra Naheed Medical College, Lahore, Pakistan
3. Saima Saeed Usmani: Lahore General Hospital, Lahore, Pakistan
4. Maimoona Hafeez: Sharif Medical & Dental College, Lahore, Pakistan
Abstract:
Objective: To evaluate women's experience in terms of safety and satisfaction of women using postpartum intrauterine contraceptive device. Methodology: This descriptive study was carried out in a tertiary care hospital over a period of 5 years. Pregnant women of all age groups and parity, whether delivered vaginally or via caesarean section, that fulfilled inclusion criteria and gave consent for postpartum IUCD insertion were included in the study. Patients were counseled during the antenatal and intrapartum period. Study participants were followed till six weeks postpartum. Data was analyzed using SPSS version 23. Qualitative variables were calculated using percent, while quantitative variables used the mean and standard deviation. Results: The total number of women who opted for postpartum IUCD insertion was 366. In 222(60.7%) cases IUCD was inserted during caesarean section while in 144(39.3%) IUCD was inserted after vaginal delivery. More than half of study participants i.e. 197(53.8%) did not have any subjective complaint. Most common side effect reported by study participants are menstrual irregularity in 30.1 %( 110) women, lower abdominal cramps in 11.2 %( 41), lower genital tract infection in 1.6 %( 6) women. Three hundred and twenty (87.4%) study participants are satisfied with PPIUCD as contraceptive method; want to continue as well as willing to suggest its use to their relatives and friends. While 12.6% (46) discontinued within 6 weeks of follow up. In the current study, reasons of discontinuation of PPIUCD were vaginal bleeding in 40(87%) and expulsion of PPIUCD in 6 (13%) cases. Conclusion: Postpartum IUCD is a safe method of long-term contraception with high satisfaction rate.
Page(s): 267-271
DOI: DOI not available
Published: Journal: Journal of Society of Obstetricians and gynaecologists of Pakistan, Volume: 12, Issue: 3, Year: 2022
Keywords:
Postpartum , Contraception , PPIUCD , IUCD
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