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Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre

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Abstract

Objective

To assess the safety and efficacy of postpartum IUCD in caesarean section patients.

Methods

This prospective observational study included 200 women, who gave informed consent for postpartum intrauterine contraceptive device (PPIUCD) insertion during caesarean section from January 2013 to May 2014. These patients were followed up at 6 weeks and 6 months.

Results

There were no major complaints in either group in post-operative period. At 6-month follow-up in PPIUCD users, 89.5% of patients continued to use this method. 5.5% were lost to follow-up, 2.5% had spontaneous expulsion, and 2.5% removed the IUCD due to various reasons. Eight per cent of patients who wanted removal of IUCD in the second follow-up were counselled to continue, and they did so.

Conclusion

The results of our study suggest that immediate intra-caesarean IUCD insertion appears to be a safe and effective method of contraception. The acceptability of intra-caesarean IUCD was high, and its continuation rate has demonstrated its safety.

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Disclosure

There is no financial assistance from anywhere else except the supply of IUCD and gloves from government national programme.

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Authors and Affiliations

  1. Department of Gynaecology and Obstetrics, Dr. S. N. Medical College, Jodhpur, India

    Rekha Jakhar & Ganesh Singhal

  2. House No. E-22/13, Umaid Hospital Campus, Jodhpur, India

    Rekha Jakhar

Authors
  1. Rekha Jakhar
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  2. Ganesh Singhal
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Corresponding author

Correspondence to Rekha Jakhar.

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Conflict of interest

There is no conflict of interest.

Ethical Approval

Approval of the study was obtained from the ethical committee of the medical college.

Informed Consent

Informed written consent was received from all the participants.

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Dr. Rekha Jakhar MBBS, MS (Gynecology & Obstetrics) is a Professor of Gynecology & Obstetrics in Dr. S. N. Medical College, Jodhpur. Ganesh Singhal MBBS is a Resident Gynecology & Obstetrics in Dr. S. N. Medical College, Jodhpur.

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Jakhar, R., Singhal, G. Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre. J Obstet Gynecol India 69, 325–329 (2019). https://doi.org/10.1007/s13224-019-01242-2

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  • DOI: https://doi.org/10.1007/s13224-019-01242-2

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