Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes
Joint Authors
Hooda, Reetu
Mann, Sonika
Nanda, Smiti
Gupta, Anjali
More, Hemant
Bhutani, Jaikrit
Source
International Journal of Reproductive Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Immediate postpartum intrauterine contraceptive device (IPPIUCD) is a lucrative postpartum family planning method which provides effective reversible contraception to women in the delivery setting.
Our aim was to study the clinical outcomes of IPPIUCD insertions and compare them as a factor of route of insertion (vaginal versus caesarean).
Methods.
This is a retrospective analytical study done in a tertiary care teaching institute.
A Cohort of 593 vaginal and caesarean deliveries with IPPIUCD insertions, over a two-year period, was studied and compared for follow-up results.
Outcome measures were safety (perforation, irregular bleeding, unusual vaginal discharge, and infection), efficacy (pregnancy, expulsions, and discontinuations), and incidence of undescended IUCD strings.
Descriptives were calculated for various outcomes and chi square tests were used for comparison in between categorical variables.
Results.
Overall complication rates were low.
No case of perforation or pregnancy was reported.
Spontaneous expulsions were present in 5.3% cases and were significantly higher in vaginal insertions ( p = 0.042 ).
The incidence of undescended strings was high (38%), with highly significant difference between both groups ( p = 0.000 ).
Conclusion.
IPPIUCD is a strong weapon in the family planning armoury and should be encouraged in both vaginal and caesarean deliveries.
Early follow-up should be encouraged to detect expulsions and tackle common problems.
American Psychological Association (APA)
Hooda, Reetu& Mann, Sonika& Nanda, Smiti& Gupta, Anjali& More, Hemant& Bhutani, Jaikrit. 2016. Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes. International Journal of Reproductive Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1107069
Modern Language Association (MLA)
Hooda, Reetu…[et al.]. Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes. International Journal of Reproductive Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1107069
American Medical Association (AMA)
Hooda, Reetu& Mann, Sonika& Nanda, Smiti& Gupta, Anjali& More, Hemant& Bhutani, Jaikrit. Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes. International Journal of Reproductive Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1107069
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1107069