Authors:Pradeep M R, Bharathi P
Abstract
Number of caesarean delivery and its complications are in rising trends in past and present decade. Proper spacing between births is essential to decrease maternal and neonatal morbidity and mortality. Intra-caesarean insertion of Intrauterine contraceptive device (IUCD) plays an important role in preventing pregnancy maintaining birth spacing The aim of this study is to find out a safe and temporary method of contraception during post-partum period in women undergoing caesarean delivery. This study is undertaken to evaluate the acceptance of intra- caesarean insertion of IUCD as a temporary method of contraception, its safety and complications during follow up. A prospective hospital based study was conducted in the department of Obstetrics and Gynaecology, at Chamarajanagara institute of medical sciences (CIMS) , Chamarajanagara from Jan 2017 to Aug 2018 Counselling of women for PPIUCD (Postpartum Intra Uterine Contraceptive Device) insertion, was done during Antenatal period and before caesarean delivery. Details of the patient and PPIUCD insertion were entered in the proforma. Follow-up of the patients was done at six weeks. Study was analysed by appropriate statistical analysis. Total of 1492 pregnant women counselled for PPIUCD during ANC and during caesarean delivery. Among those 912(61.1%) accepted PPIUCD. Majority women who accepted PPIUCD were in the age group of 20- 30 years (58.4%). Majority of Primi gravida accepted PPIUCD (89.9%). Most common complaints encountered during follow up were missing strings (19.4%). Intra-caesarean insertion of PPIUCD is accepted more in primi parous women as compared to multiparous women. Side effects are less. It appears to be safe as well as effective temporary method of contraception after caesarean delivery. Repeated and effective counselling of pregnant women, family members and ASHA (accredited social health activist) workers is needed for high acceptance rate.
Keywords
Postpartum Intra Uterine Contraceptive Device Contraception, Intracaesarean insertion, Accredited social health activist
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