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India | Obstetrics and Gynecology | Volume 12 Issue 4, April 2023 | Pages: 1505 - 1509
A Clinical Analysis on Intra-Uterine Contraceptive Devices in Patients Undergoing Caesarean Sections
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
How to Cite?: Dr. Junmani Rabha, Dr. Kavya S Kumar, Dr. Dayanand Saikia, "A Clinical Analysis on Intra-Uterine Contraceptive Devices in Patients Undergoing Caesarean Sections", Volume 12 Issue 4, April 2023, International Journal of Science and Research (IJSR), Pages: 1505-1509, https://www.ijsr.net/getabstract.php?paperid=SR23417222342, DOI: https://dx.doi.org/10.21275/SR23417222342