Evaluation of Ppiucd Insertion as a Method of Contraception in India

Aim: To evaluate and compare safety and efficacy of PPIUCD in two groups of patients: vaginal insertion group after normal delivery and intra cesarean insertion group. Methods: A prospective study carried out in the Department of Obstetrics and Gynecology at a tertiary care center. After counseling with patients and her relatives during antepartum period, IUCD insertion was done in 1438 patients. In 417 patients IUCD was inserted vaginally. In 1021 patients IUCD was inserted while cesarean section. All these patients were followed up after 6 weeks and after 6 months interval regularly. All the complications were recorded and studied. Incidence, clinical outcome & missing threads were analyzed. Results: Both the methods of PPIUCD insertion were safe and efficacious. Out of 1438 women ,1340 cases had follow up as per the protocol. Fifty eight cases who lost for follow up and 40 cases who had spontaneous expulsion, were excluded from study. There were missing strings in 363 cases at 6 weeks examination and in 338 cases at 6 months follow up examination. Ultrasonography of pelvis establishes IUCD location in uterine cavity. Neither perforation nor pregnancy with PPIUCD was found in present study. They have low rates of abdominal pain, pelvic infection, heavy menstruation and lost strings. Conclusion: PPIUCD is an appealing approach and may become a choice of post-partumcontraception. It is safe and effective method of reversible contraception.Missing strings after PPIUCD insertion is a common problem encountered during follow up examination. Every user must be followed up and provider must take better aftercare in forms of follow up and management of complication if needed.