A study on safety, complications and expulsion rates of immediate post placental insertion of IUCD

Abstract

The current national strategy in India is for increasing IUCD uptake. The available target to cover withPPIUCD as a method of contraception has expanded in the recent past; since there is a 10 fold increase inwomen delivering in hospitals due to maternity benefit scheme. On reviewing the literature little Indiandata and few studies were found regarding post placental insertion of IUCD. The copper T was insertedwith all aseptic precautions within 10 minutes of placental expulsion with Kelly’s forceps. Strings cut to
the level of the cervix (In Cu T 375 where thread is long, compared to Cu T 380 A). Proper placement inthe uterine cavity was confirmed by ultrasound at 6 weeks Post placental delivery insertion of PPIUCD.Study observed that; in majority of patients i.e. 75 (75.0%) Cu T thread was noted and in 22 (22.0%) ofpatients Cu T thread was not seen on per speculum examination. Expulsion was seen in 4% of patients,one patient expelled on POD 2, one patient expelled on POD 18 and two patients expelled at 6 weeks. Inexpelled patients there were 3 Multipara’s and 1 primipara. Pelvic pain was seen in 8 (8.0%) patientscaesarean 4, vaginal 4 and perforation was not seen in of the patients