Publication:

Comparison of post placental IUD with interval IUD

Background Generally IUD is being used as an interval method of contraception in our set up. This study was planned to compare the safety and efficacy of immediate post placental IUD and compare it with interval insertion in term of acceptance.

Methods This was a prospective cohort study of 150 cases of reproductive age group women wanting to use temporary method of contraception. The cases were divided in three groups-Gp1-Post Placental insertion following normal vaginal delivery, Gp2-post placental insertion intra ceserean, Gp3 -Interval IUD. All were called for follow up at 6wks, 3mths and 6mths after insertion. Statistical analysis was done by Chi-square test and Fisher’s exact test.

Results Various sociodemographic factors were comparable between these 3 groups. IUCD expulsion rate was highest in post vaginal delivery group(12%) as compared to intraceserean (0%) & interval CuT(6%) which was statistically significant (p-0.037).where as other complications like excessive bleeding ,pain ,infection ,medical removal in post placental CuT were almost similar to that of interval CuT with no statistical significance (p-0.972). Neither pregnancy nor perforation reported in any of the groups.

Conclusion Among the post placental group of insertion, intraceserean IUD was having nil expulsion rate.