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A Prospective Study to Evaluate Vaginal Insertion and Intra-Cesarean Insertion of Post-Partum Intrauterine Contraceptive Device

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Abstract

Objectives

Evaluation and comparison of safety and efficacy of vaginal and intra-cesarean insertion of Post-Partum Intrauterine Contraceptive device (PPIUCD).

Methods

An interventional prospective study conducted in the Department of Obstetrics and Gynaecology at NRS Medical College, Kolkata. PPIUCD were inserted in 263 mothers in 1-year study period. Among them, first 100 mothers who delivered vaginally and the first 100 who underwent cesarean section were regarded as study groups and were followed up for 1 year.

Results

Both modes of PPIUCD insertion were found to have very low rates of expulsion, vaginal bleeding, infection, missing strings, and also effective as contraceptive. Expulsion rate was 4 % in the vaginal group and 2 % in intra-cesarean group. Strings of PPIUCD were less visible after cesarean insertion than vaginal insertion (p = 0.028).

Conclusion

PPIUCD is an appealing approach and may become the best choice as post-partum contraception after vaginal as well as cesarean delivery.

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Acknowledgments

The authors thank Dr. Deepanjan Ray, Department of Community Medicine, All India institute of Hygiene and Public Health for help and advice, Prof. Manju Bhattacharya, Principal, NRSMCH for permitting to carry out this study, and most importantly the clients to let us conduct this study.

Compliance with ethical requirements and Conflict of interest

No conflict of interest is declared. Informed consent was taken from all the patients involved in this study. Animal studies not applicable.

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Correspondence to Abhijit Halder.

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Halder, A., Sowmya, M.S., Gayen, A. et al. A Prospective Study to Evaluate Vaginal Insertion and Intra-Cesarean Insertion of Post-Partum Intrauterine Contraceptive Device. J Obstet Gynecol India 66, 35–41 (2016). https://doi.org/10.1007/s13224-014-0640-2

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  • DOI: https://doi.org/10.1007/s13224-014-0640-2

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