A DESCRIPTIVE CASE SERIES TO ASSESS THE FREQUENCY OF COMPLICATION AMONG PREGNANT WOMEN UNDERGOING IUCD INSERTION AFTER POST PARTUM

Background: Policies are being formed to control the increasing rate of population. This is possibly planned through various long-term and effective contraceptive methods. In order to achieve the goal of population control, PPIUCD insertion is first strategy to control the population.

Objectives: We aimed to assess the PPIUCD insertion associated frequency of complications in the pregnant women who were possibly going to experience C-Section in their six-month routine follow-up.

Material and Methods: This was a descriptive case series study conducted on 200 cases at Allied Hospital, Faisalabad from February to November 2017. We took a detailed information about the history of the patients through counselling sessions for an IUCD insertion after an immediate postpartum. Insertion of IUCD was made in the course of the intra-caesarean section. We also observed IUCD displacement, pelvic infection and expulsion as associated complications in the follow-up of six months. Researcher himself completed all the procedures of IUCD insertion and Caesarian Section.

Results: Our research included a total of two hundred pregnant cases with a mean age factor as (26.87 ± 4.13) years; whereas, the gestational age was (38.51 ± 0.99) weeks.  Ninety-one females (45.5%) passed through first onset of CS; whereas, twenty-seven females (13.5%) in the third onset of CS. PPIUCD expulsion was reported in 178 females (98.9%); whereas, 21 persistent cases (11%). IUCD displacement was present in 53 patients (28.5%); whereas, IUCD displacement was absent among 147 patients (73.5%).  Pelvic Infection was reported among 98 patients (49%); whereas, it was not reported among 102 patients (51%).

Conclusion: Researcher concluded that a high expulsion rate was reported after 6 months of PPIUCD insertion in the women who experienced Cesarean Section (CS).

Keyword: PP IUCD, Cesarean section (CS) and Contraceptive Device.