Acceptability And Efficacy Of Intracaesarean Iucd

ABSTRACT

Introduction: The present study was done to determine acceptability of intra-operative placement of IUCD among women undergoing caesarean section and to observe its efficacy. Materials & Methods: A descriptive cohort study was conducted with 100 women undergoing caesarean section. Routine hematological, urine investigation and USG was done for all cases. The IUCD was introduced through the uterine incision during caesarean section and placed at the rd nd th uterine fundus. The participants were asked to return for scheduled follow up visits at 3 Post-op day, 2 week & 6 week or earlier in case of any adverse event like pelvic pain, foul smelling vaginal discharge or excessive bleeding. Data was analyzed using SPSS ver 20.0. Results: Total 100 patients were counseled for IUCD out of which 40 patients accepted insertion of intracesarean PPIUCD. Majority of the patients (58%) who accepted intracesarean PPIUCD were in the age group of ≤20-25 years (p>0.05). A significant association was observed between acceptance of IUCD with education, employment and parity. Out of 40 females, 36 (90%) were fully satisfied after 6 weeks. It was observed none of the patients with Intracesarean IUCD conceived in 1 year follow up. Conclusion: Intra-operative placement of IUCD is an effective method of contraception with low expulsion rate and high continuation rate. Hence it is highly recommended as an effective method of postpartum contraception in developing countries