Publication:

A comparative study of clinical outcomes of post placental insertion versus interval insertion of Copper T 380A intrauterine device

Background The objective of this study was to study the safety and efficacy of PPIUCD insertion and to compare it with interval insertion.

Methods A prospective study was conducted enrolling 100 women as study group (PPIUCD) and 100 as control group (interval CuT insertion). All women were followed up for 6 months and clinical outcomes were measured in terms of safety, efficacy, effect on menstrual cycles and continuation rates. Chi square test was used to detect differences in the rate of clinical outcomes, and P <0.05 was considered statistically significant.

Results Spontaneous expulsions were more in study group, but the difference was not significant. Number of women having missing thread was significantly higher in study group. Total number of CuT removals and incidence of pelvic infection were significantly higher in controls. Number of women complaining of menorrhagia were more in control group and continuation rate at 6 months was higher in study group, but this difference was not statistically significant. No case of pregnancy or perforation occurred in either group.

Conclusions PPIUCD is an effective, safe, convenient, low cost and long term method of post-partum contraception.