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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 4, April 2023

A Clinical Analysis on Intra-Uterine Contraceptive Devices in Patients Undergoing Caesarean Sections

Dr. Junmani Rabha | Dr. Kavya S Kumar | Dr. Dayanand Saikia

Abstract: Background: Provision of IUCD in the immediate postpartum period offers effective &safe method for spacing & limiting births. Due to the fear of perforation &infection, most health care providers are reluctant in IUCD insertion. Initiating IUCD use during caesarean has the added advantage of eliminating a 6week postpartum waiting period. This study evaluates the safety, efficacy, expulsion, continuation & complication of postpartum IUCD. Methods and Materials: it was a hospital based prospective observational study on patients who have accepted IUCD devices following caesarean section at term with haemoglobin 9g % along with written informed consent for a study period of 6 months & followed up for 3 months. Results: Majority of the PPIUCD Insertion were in the age group 20-29 years with maximum acceptance among multiparous mostly in emergency LSCS. During follow up, patients had complications out of which bleeding is the most common. Highest rate of expulsion (6.9%) was seen between 2 weeks to 6 weeks with continuation rate 79.31% & failure rate 0%. Conclusion: Our study found a good acceptance of PPIUCD among patients undergoing emergency caesarean section. Intra caesarean IUCD insertion in multiparous women is safe and effective, with low expulsion& high continuation rates.

Keywords: intrauterine contraceptive device, caesarean section, expulsion, complication, removal

Edition: Volume 12 Issue 4, April 2023,

Pages: 1505 - 1509