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AIMS Medical Science

2020, Volume 7, Issue 4: 328-336. doi: 10.3934/medsci.2020022
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Research article

Study of outcome of Intrauterine Contraceptive device (CuT-380A) insertion immediately after vaginal delivery

  • Department of Obstetrics and Gynecology, Agartala Government Medical College, Agartala, Tripura University (A Central University), Suryamaninagar, Tripura, India
  • Received: 14 August 2020 Accepted: 23 November 2020 Published: 07 December 2020

  • Introduction  Closely spaced pregnancies are associated with adverse outcomes both for mother and foetus. The recommendations based on the results of technical consultants for healthy timing & spacing of pregnancies (HTSP) are that after a live birth, a woman should wait at least 24 months but not more than 5 years before attempting the next pregnancy to reduce the health risks and better outcome for the mother & baby. Here, our study was to see the effects of IUCD (CuT-380A) insertion immediately after vaginal delivery for spacing.
    Methods  This study was done at Agartala Government Medical College (AGMC) and GBP Hospital for one & half years (Jan'16–June'17). Antenatal mother of term pregnancy were counselled. They were recruited from Gynae OPD & emergency and evaluated for different outcomes at 6th, 12th& 18th months in terms of different complications.
    Results  Total of 200 women of term period of gestation (POG) where counselled and 55 women participated in this study. Common complications were expulsion of IUCD 5 (9.1%) at 6th month & bleeding per vagina 3 (5.5%) at one year. Expulsion of IUCD at one & half year was 5 (9.1%) and infection 1 (1.8%). 23 (42.6%) subjects continued with IUCD.
    Conclusion  Major complications are low here, but still outcomes in terms of different parameters are not encouraging. Health workers at different levels can overcome this gap to improve the outcome. All our efforts should be made to enhance the field activities in making people aware about PPIUCD.

    Citation: Dhruba Prasad Paul, Jayanta Ray, Sharmistha Sarkar. Study of outcome of Intrauterine Contraceptive device (CuT-380A) insertion immediately after vaginal delivery[J]. AIMS Medical Science, 2020, 7(4): 328-336. doi: 10.3934/medsci.2020022

    Related Papers:

  • Introduction  Closely spaced pregnancies are associated with adverse outcomes both for mother and foetus. The recommendations based on the results of technical consultants for healthy timing & spacing of pregnancies (HTSP) are that after a live birth, a woman should wait at least 24 months but not more than 5 years before attempting the next pregnancy to reduce the health risks and better outcome for the mother & baby. Here, our study was to see the effects of IUCD (CuT-380A) insertion immediately after vaginal delivery for spacing.
    Methods  This study was done at Agartala Government Medical College (AGMC) and GBP Hospital for one & half years (Jan'16–June'17). Antenatal mother of term pregnancy were counselled. They were recruited from Gynae OPD & emergency and evaluated for different outcomes at 6th, 12th& 18th months in terms of different complications.
    Results  Total of 200 women of term period of gestation (POG) where counselled and 55 women participated in this study. Common complications were expulsion of IUCD 5 (9.1%) at 6th month & bleeding per vagina 3 (5.5%) at one year. Expulsion of IUCD at one & half year was 5 (9.1%) and infection 1 (1.8%). 23 (42.6%) subjects continued with IUCD.
    Conclusion  Major complications are low here, but still outcomes in terms of different parameters are not encouraging. Health workers at different levels can overcome this gap to improve the outcome. All our efforts should be made to enhance the field activities in making people aware about PPIUCD.


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    Acknowledgments


    We would like to thank our colleagues and hospital staffs who provided expertise that greatly assisted the research and would also like to thank the participants in our research, who have willingly shared their precious time during the process.

    Conflict of interest


    All authors declare no conflicts of interest in this article.

    [1]  Post-Partum IUCD reference manual. New Delhi Family Planning Division, Ministry of Health and family Welfare, Government of India (2010) .Available from: https://nhm.gujarat.gov.in/Portal/SSP/manual_1_ppiucd-reference-manual.pdf.
    [2] Konar H (2016)  DC Dutta's Textbook of Gynaecology Jaypee publication, 92-97.
    [3] Mishra S (2014) Evaluation of safety, efficacy and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices. J Obstet Gynecol India 64: 337-343.
    [4]  IUCD reference Manual for Medical Officers, Family Planning Division, Ministry of Health and family welfare, Govt of India (2013) .1-20. Available from: https://nhm.gujarat.gov.in/images/pdf/IUCD_Reference_Manual_Nursing_Personnel.pdf.
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    [8] Sukla M, Sabuhi Qureshi C (2012) Post-placental intrauterine device insertion: a five year experience at a tertiary care centre in north India. Indian J Med Res 136: 432-435.
    [9] Deshpande S, Gadappa S, Yelikar K, et al. (2017) Awareness, acceptability and clinical outcome of post-placental insertion of intrauterine contraceptive device in Marathwada region, India. Indian J Obstetr Gynecol Res 4: 77-82.
    [10] Gupta A, Verma A, Chauhan J (2013) Evaluation of PPIUCD versus interval IUCD (380A) insertion in a teaching hospital of Western U.P.. Int J Reprod Contracept Obstet Gynecol 2: 204-208.
    [11] Ranjana VA, Chawla I (2017) A follow up study of postpartum intrauterine device insertion in a tertiary health centre. Int J Reprod Contracept Obstet Gynecol 6: 2800-2805.
    [12] Chi IC, Wilkens L, Roger S (1985) Expulsions in immediate postpartum insertions of Lippes Loop D and Copper T IUDs and their counterpart delta devices—An epidemiological analysis. Contraception 32: 119-134.
    [13] Mohamed SA, Kamel MA, Shaaban OM, et al. (2003) Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. Med Princ Pract 12: 170-175.
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