Acceptability of Post Partum Intrauterine Contraceptive Device among Parturients at a Tertiary Care Centre, Patiala.
Keywords:
PPIUCD, AcceptabilityAbstract
Background : This study examines to describe acceptability of immediate PPIUC Dinsertion in women according to their obstetrics characteristics and future pregnancy desires and to determine the rates of expulsion,pelvic infection, lost strings and displacement following the insertion among the acceptors. Aim: To determine the acceptability of Post-placental and Intra-Caesarean insertion of Intrauterine Contraceptive Device(PPIUCD) among Parturients. Materials & Methods: The study is a reterospective study conducted in the department of Obstetrics and st th Gynaecology at Govt Medical College & Rajindra Hospital Patiala from1 March 2018 to 28 Feb 2019.CuT 380A was inserted after the delivery of placenta in women who delivered in labor room of Rajindra Hospital Patiala and fulfilled the Medical Eligibility Criteria for PPIUCD. They were followed after 6 weeks and thereafter if need be. Results: Out of Total women counseled (4448), 433 Accepted , 4015Declined , 28 could not be contacted, 405 Followed up. Total complications were 65 (Expulsion 17, Excessive and irregular bleeding 7& Pain 20, Stringproblem13), Removal 13,Continuation 375. Conclusions: The PPIUCD is demonstrably safe, effective & reversible method of contraception with minimal side effects. The acceptance and continuation rate is high if done with effective counselling and following proper insertion techniques. Despite low levels of awareness and low acceptability, the continuation rate of PPIUCD was high in our institute.
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