Publication:

Study of acceptance of intra caesarean IUCD as method of contraception

Background Worldwide around 115 million women have unmet needs of family planning. Increasing rates of institutional deliveries create opportunities for providing quality postpartum family planning services thus helps to overcome the unmet needs. PPIUCD appears an ideal method for limiting and spacing births. The present study was a prospective study, undertaken to assess the efficacy, safety and outcome of Postpartum Intrauterine Contraceptive Device (PPIUCD) in cesarean case.

Methods A prospective study was done on 50 patients undergoing cesarean section for various indications after getting approval from the Ethical Committee of the institution This study was conducted at CMCH hospital Bhopal, India from August 2016 to July 2017. Women were counseled and those who fulfilled the medical eligibility were provided the PPIUCD services. IUCD was placed after delivery of placenta in case of caesarean section. These clients were followed at 6 weeks, 3 months and 6 months interval.

Results Total acceptance rate in our study was 44%. Majority belonged to age group of 21-30 years (76%) with mean age of 25.5 years, 54% were para 2, 94% of clients were literate, 86% urban and only 70% of the clients were familiar with the intracaesarean IUCD, 54.5% cases returned for follow-up while 18.2% of cases were lost to follow-up and expulsion was the main problem (27.3).

Conclusions Intracaesarean IUCD seems to be a safe long acting highly effective, easily accessible, reversible and cost effective contraceptive method for most postpartum women specially lactating women.