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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 1/2016

01-02-2016 | Original Article

A Prospective Study to Evaluate Vaginal Insertion and Intra-Cesarean Insertion of Post-Partum Intrauterine Contraceptive Device

Authors: Abhijit Halder, M. S. Sowmya, Abhimannyu Gayen, Popli Bhattacharya, Sanjay Mukherjee, Siddhartha Datta

Published in: The Journal of Obstetrics and Gynecology of India | Issue 1/2016

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Abstract

Objectives

Evaluation and comparison of safety and efficacy of vaginal and intra-cesarean insertion of Post-Partum Intrauterine Contraceptive device (PPIUCD).

Methods

An interventional prospective study conducted in the Department of Obstetrics and Gynaecology at NRS Medical College, Kolkata. PPIUCD were inserted in 263 mothers in 1-year study period. Among them, first 100 mothers who delivered vaginally and the first 100 who underwent cesarean section were regarded as study groups and were followed up for 1 year.

Results

Both modes of PPIUCD insertion were found to have very low rates of expulsion, vaginal bleeding, infection, missing strings, and also effective as contraceptive. Expulsion rate was 4 % in the vaginal group and 2 % in intra-cesarean group. Strings of PPIUCD were less visible after cesarean insertion than vaginal insertion (p = 0.028).

Conclusion

PPIUCD is an appealing approach and may become the best choice as post-partum contraception after vaginal as well as cesarean delivery.
Literature
1.
Post-partum IUCD reference manual; Family Planning Division. Ministry of health and family welfare. Gov India. 2010;1:2.
2.
Mohamed SA, Kamel MA, Shaaban OM, et al. Acceptability for the use of postpartum intrauterine contraceptive devices: assiut experience. Med Princ Pract. 2003;12:170–5.CrossRefPubMed
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Celen S, Möröy P, Sucak A, et al. Clinical outcomes of early postplacental insertion of intrauterine contraceptive devices. Contraception. 2004;69:279–82.CrossRefPubMed
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Celen S, Sucak A, Yildiz Y, et al. Immediate post-placental insertion of an intrauterine contraceptive device during cesarean section. Contraception. 2011;84:240–3.CrossRefPubMed
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Letti Muller AS, Lopes Ramos JG, Martins-Costa SH, et al. Transvaginal ultrasonographic assessment of the expulsion rate of intrauterine devices inserted in the immediate postpartum period: a pilot study. Contraception. 2005;72:192–5.CrossRefPubMed
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Kapp N, Curtis K. Intrauterine device insertion during the postpartum period: a systematic review. Contraception. 2009;80:327–36.CrossRefPubMed
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Welkovic S, Costa LO, Faúndes A, et al. Post-partum bleeding and infection after post-placental IUD insertion. Contraception. 2001;63:155–8.CrossRefPubMed
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Nelson AL, Chen S, Eden R. Intraoperative placement of the copper T-380 intrauterine devices in women undergoing elective cesarean delivery: a pilot study. Contraception. 2009;80:81–3.CrossRefPubMed
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Levi E, Cantillo E, Ades V, et al. Immediate postplacental IUD insertion at cesarean delivery: a prospective cohort study. Contraception. 2012;86:102–5.CrossRefPubMed
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Grimes DA, Lopez LM, Schulz KF, et al. Immediate post-partum insertion of intrauterine devices, Cochrane Database Syst Rev. 2010; 12: CD003036.
Metadata
Title
A Prospective Study to Evaluate Vaginal Insertion and Intra-Cesarean Insertion of Post-Partum Intrauterine Contraceptive Device
Authors
Abhijit Halder
M. S. Sowmya
Abhimannyu Gayen
Popli Bhattacharya
Sanjay Mukherjee
Siddhartha Datta
Publication date
01-02-2016
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 1/2016
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-014-0640-2

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