Post-placental Intrauterine Contraceptive Device at Cesarean Section

Robina  Ali; Samina  Kausar; Adeela  Akram

doi:10.29054/apmc/2015.314

Robina Ali Professor & Head of Gynae & Obst Unit-II PMC / DHQ Hospital, Faisalabad
Samina Kausar Assistant Professor, Gynae & Obst Unit-II PMC / DHQ Hospital, Faisalabad
Adeela Akram Senior Registrar, Gynae & Obst Unit-II DHQ Hospital, Faisalabad

DOI: https://doi.org/10.29054/apmc/2015.314

Keywords: Contraception, intrauterine device, casarean section, expulsion, ontinuation

Abstract

Objective: The objective of this study is to determine the efficacy of immediate post placental insertion of intrauterine contraceptive device (PPIUCD) at cesarean section in terms of expulsion and continuation. Study design: Descriptive case study. Place and Duration of Study: Department of obstetrics and gynecology, PMC and affiliated hospitals Faisalabad from 06/12/2012 to 05/06/2013. Material & Methods: A total of 146 patients were included in my study. The copper Intrauterine contraceptive device (IUD) was placed at the time of cesarean section immediately after the delivery of placenta. Final outcome was observed at the end of six months at follow up visit and efficacy was labeled as per operational definition. Results: Mean age of patients was 26.6+_4.5 years. Out of 146 patients, 98 (67.1%) patients were Para 1-3 and 48 (32.9%) were Para 4-6. At the end of six months expulsion of IUD were seen in 18 (12.3%) patients and 123 (84.2%) patients were willing to continue this method of contraception. Conclusion: Immediate transe-caesarean section PPIUCD is a safe, effective and acceptable method of contraception and should be offered to women undergoing cesarean section who are desirous of contraception.