IMMEDIATE POSTPARTUM IUCD INSSRTION A SAFE CONTRACEPTION OPTION

Background: Policy maker are trying to control the fast increasing population.. In order to do this they are continuously working for some effective long term contraceptive methods so that population growth could be controlled. PPIUCD insertion is a step toward achieve this goal.

Objectives: To determine the frequency of complications following PPIUCD insertion among women undergoing C- Section  6 months follow ups.

Material and Methods: This was a descriptive case series study conducted on 200 cases. After taking ethical clearance from hospital ethical committee, the study was conducted in  Gynecological Unit III of Services Hospital Lahore. Informed consent was taken from all patients. Detailed history was taken followed by counseling for immediate postpartum IUCD insertion. IUCD was inserted during intra caesarean section. The complication which expulsion, pelvic infection and displacement following PPIUCD insertion among the acceptors by 6 months follow up was observed. All cases of Caesarian Section and IUCD insertion were done by the researcher herself.

Results: There were total 200 women who were enrolled in this study with a mean age of 26.87±4.13 years. Gestational age at the time of enrollment was 38.51±0.99 weeks.  Majority of the female were passed through one cesarean section 91(45.5%) and lesser were passed through three cesarean section 27(13.5%). Expulsion of PPIUCD was noted in 178989%) of cases and persistent in 22(11%) of cases.  Displacement of IUCD was fund to be present in 53(28.5%) of cases and did not noted in 147(73.5%) of cases.  98(49%) were presented with pelvic infection and 102(51%) had no infection.

Conclusion: There is high rate f expulsion after six month of immediate insertion of PPIUCD in the females who were subjected cesareans section.

Key Words: Cesarean section,PP IUCD, Contraceptive device.