RESUMO
Objective: to compare the outcome of Caesarean Section with and without post placental Intrauterine Contraceptive Device [IUCD] insertion in terms of frequency of bleeding and wound infection
Study Design: randomized controlled trial
Place and Duration: Department of Obstetrics and Gynaecology, Allied Hospital, Faisalabad from 1[st] January 2013 to 30[th] June, 2013
Methodology: three hundred and two pregnant women admitted for elective emergency caesarean section, willing to use intrauterine contraceptive device as a method for temporary contraception were randomly divided into two groups A and B. Group A had intrauterine contraceptive device inserted after delivery of placenta and membranes. Group B did not have intrauterine device inserted. In post-operative period both groups were evaluated for heavy lochia or abdominal wound infection on day 3 and day 7
Results: in the experimental group [A] ten patients [6.6%] and in control group [B] 8 patients [5.3%] had wound infection. P value calculated as 0.627 which shows no statistical difference in 2 groups. Regarding heavy lochia in group A 4 patients [2.6%] and in group B 2 patients [1.3%] had heavy lochia. P value calculated as 0.410 which was statistically not significant
Conclusion: there is no significant difference in outcome of caesarean section with and without post placental IUCD insertion