Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 4/2019

01-08-2019 | Contraception | Original Article

Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre

Authors: Rekha Jakhar, Ganesh Singhal

Published in: The Journal of Obstetrics and Gynecology of India | Issue 4/2019

Login to get access

Abstract

Objective

To assess the safety and efficacy of postpartum IUCD in caesarean section patients.

Methods

This prospective observational study included 200 women, who gave informed consent for postpartum intrauterine contraceptive device (PPIUCD) insertion during caesarean section from January 2013 to May 2014. These patients were followed up at 6 weeks and 6 months.

Results

There were no major complaints in either group in post-operative period. At 6-month follow-up in PPIUCD users, 89.5% of patients continued to use this method. 5.5% were lost to follow-up, 2.5% had spontaneous expulsion, and 2.5% removed the IUCD due to various reasons. Eight per cent of patients who wanted removal of IUCD in the second follow-up were counselled to continue, and they did so.

Conclusion

The results of our study suggest that immediate intra-caesarean IUCD insertion appears to be a safe and effective method of contraception. The acceptability of intra-caesarean IUCD was high, and its continuation rate has demonstrated its safety.
Literature
1.
2.
3.
Henderson V, Stumbras K, Caskey R, et al. Understanding factors associated with postpartum visit attendance and contraception choices: listening to low-income postpartum women and health care providers. Matern Child Health J. 2016;20(Suppl 1):132–43.CrossRefPubMedPubMedCentral
4.
5.
Singal S, Bharti R, Dewan R, et al. Clinical outcome of postplacental copper T 380 A insertion in women delivering by caesarean section. J Clin Diagn Res. Serial online 2014 09 (cited:2015 Jan 21) 9 O01.
6.
WHO-Medical Eligibility Criteria WHO Library Cataloguing-in-Publication Data Medical eligibility criteria for contraceptive use—5th ed. Fifth edition 2015.
7.
8.
Afshan A, Asim SS. Immediate postpartum IUCD (PPIUCD): an opportunity not to be missed. ASH & KMDC. 2014;19(1):15.
9.
Ruiz-velasco V, Garcia C, Castro H. Caesarean section IUD insertion. Contracept Deliv Syst. 1982;3(1):21–4.PubMed
10.
Shukla M, Qureshi S, Chandrawati. Post placental intrauterine device insertion—A five year experience at a tertiary care centre in north India Deptt. of Obstetrics & Gyna. KG Medical University, Lucknow. Indian J Med Res. 2012;136(3):432–5.PubMedPubMedCentral
11.
Levi E, Cantillo E, Ades V, et al. Immediate postplacental IUCD insertion at caesarean delivery: a prospective cohort study contraception. 2012;86:102–5.
12.
Celen S, Sucak A, Yildiz Y, et al. Immediate postplacental insertion of an intrauterine contraceptive device during caesarean section. Contraception. 2011;84(3):240–3.CrossRefPubMed
Metadata
Title
Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre
Authors
Rekha Jakhar
Ganesh Singhal
Publication date
01-08-2019
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 4/2019
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-019-01242-2

Other articles of this Issue 4/2019

The Journal of Obstetrics and Gynecology of India 4/2019 Go to the issue

Pictorial Essay

Laparoscopic Management of Post-Cesarean Section Uterocutaneous Fistula

Case Report

Prenatal Diagnosis of Osteogenesis Imperfecta Type III

Original Article

Methylenetetrahydrofolate Reductase Enzyme Level and Antioxidant Activity in Women with Gestational Hypertension and Pre-eclampsia in Lagos, Nigeria

Original Article

Posterior Reversible Encephalopathy Syndrome (PRES): Evolving the Mystery of Eclampsia!

Letter to the Editor

Comment on the Editorial “The Plague of Plagiarism: Prevention and Cure!!!”

Original Article

A Comparative Study of Non-descent Vaginal Hysterectomy and Laparoscopic Hysterectomy