Published October 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article147.pdf
Journal article Open

To Assess the Acceptability, Safety, Efficacy, Continuation Rate and Rate of Expulsion of PPIUCD Insertion

Authors/Creators

  • 1. Senior Resident, Dept. of Obstetrics and Gynaecology, BMGMC, Shahdol, M.P.
  • 2. OBG Consultant, OBG Consultant, Bihan Nursing Home, Shakti

Description

Background & Methods: The aim of the study is to assess the acceptability, safety, efficacy, continuation rate and rate of expulsion of PPIUCD insertion. After taking informed consent.In vaginal delivery. Bimanual exam was performed to evaluate the cervix and the uterus after the delivery of the placenta and ensured empty cavity with contracted uterus and evaluation of postpartum hemorrhage. Results: Out of 255 patients, 230 (90.19%) came for 1st followup, 25 (9.8%) patients lost followup during 1st followup at 6 week. Out of 230 patients 19 (8.26%) patients excluded from study due to removal of PPIUCD after 1st followup at 6 weeks and 1 (0.4%) patient excluded from study after 1st follouwp due to expulsion of PPIUCD. During 2nd followup at 6 months, out of 210 patients, 180 (86%) patients came for 2nd followup at 6 months. 30 (14.3%) patients lost to followup during 2nd followup. Out of 180 patients, 15 (8.3%) patients excluded from study due to removal of PPIUCD after 2nd followup and 1(0.5%) excluded from study after 2nd followup due to expulsion of PPIUCD. Conclusion: PPIUCD is one of the best contraceptive method because it is easy to apply, cheap and easily available and patients are highly motivated at postpartum period though expulsion rate was 1% still the result can be improved the motivating the women by periodic checkup of IUCD. Acceptance rate is poor. It can be improved by motivating the patient during antenatal period and counselling. This could be attributed to the fact that many women were unaware and to be informed about the benefits of PPIUCD only when they were admitted for delivery. Also the refusal of family members for PPIUD usage adds the burdens of refusing contraception.

 

 

 

Abstract (English)

Background & Methods: The aim of the study is to assess the acceptability, safety, efficacy, continuation rate and rate of expulsion of PPIUCD insertion. After taking informed consent.In vaginal delivery. Bimanual exam was performed to evaluate the cervix and the uterus after the delivery of the placenta and ensured empty cavity with contracted uterus and evaluation of postpartum hemorrhage. Results: Out of 255 patients, 230 (90.19%) came for 1st followup, 25 (9.8%) patients lost followup during 1st followup at 6 week. Out of 230 patients 19 (8.26%) patients excluded from study due to removal of PPIUCD after 1st followup at 6 weeks and 1 (0.4%) patient excluded from study after 1st follouwp due to expulsion of PPIUCD. During 2nd followup at 6 months, out of 210 patients, 180 (86%) patients came for 2nd followup at 6 months. 30 (14.3%) patients lost to followup during 2nd followup. Out of 180 patients, 15 (8.3%) patients excluded from study due to removal of PPIUCD after 2nd followup and 1(0.5%) excluded from study after 2nd followup due to expulsion of PPIUCD. Conclusion: PPIUCD is one of the best contraceptive method because it is easy to apply, cheap and easily available and patients are highly motivated at postpartum period though expulsion rate was 1% still the result can be improved the motivating the women by periodic checkup of IUCD. Acceptance rate is poor. It can be improved by motivating the patient during antenatal period and counselling. This could be attributed to the fact that many women were unaware and to be informed about the benefits of PPIUCD only when they were admitted for delivery. Also the refusal of family members for PPIUD usage adds the burdens of refusing contraception.

 

 

 

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Additional details

Identifiers

URL
https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article147.pdf

Dates

Accepted
2023-10-26

Software

Repository URL
https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article147.pdf
Development Status
Active

References

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