Global Journal of Medical Research, E: Gynecology and Obstetrics, Volume 21 Issue 3

Department of Obstetrics & Gynecology, Jhalawar Medical College, Jhalawar over a period of one year from November 2018 to October 2019. Ethical approval for the study was obtained from hospital ethical committee. 203 women delivering in the hospital fulfilling the inclusion criteria were included in the study. Post placental insertion of IUCD CuT 380A was done under sterile conditions and antibiotic coverage to ensure asepsis in the mother. Informed written consent was taken from mother before insertion. Inclusion criteria: All the women with singleton or multiple pregnancy delivering vaginally at Jhalawar medical college were included in the study. Exclusion criteria: Women who did not provide informed consent, history of antepartum hemorrhage, PROM > 18 hours, postpartum hemorrhage, Fever during labour and delivery, anomalous uterus, chorioamnionitis, HIV positive mothers taking ART, patients with previous allergic reaction to IUCD, history of lower genital tract infections or active STD. A questionnaire was used to collect data from the patients, which included socio demographic data, previous contraceptive history and awareness about PPIUCD. All women were advised to come for follow up at 15 days, 6 weeks and 3 months following IUCD insertion. A follow up card was given to all the women containing information regarding type of PPIUCD inserted, insertion date, date of expiry, date of follow up visits, patient’s phone no. During follow up visits, data was collected regarding complaints, willingness to continue Cu T, request for removal, willingness for reinsertion if expelled. Speculum examination was done to see the strings of IUCD and to rule out any local infection of cervix and vagina. III. R esult In this study, majority of the women were aged between 21-25 years (53.7%), most of the women (48.3%) had completed their primary education, 95.1% of women were housewives. Most of the women (69.5%) belonged to rural area. Majority of the women (53.7%) were multipara and most of the women (50.3%) had one living child. Majority of the women (61.6%) had one living male child. The gross cumulative removal, expulsion and continuation rates were 7.9%, 12.8% and 68.9%.There was one case of pregnancy with IUCD in situ and no cases of perforation or other major complications were noted. Table 1: Patient’s particulars Table 2: Awareness of PPIUCD and Literacy Education Awareness of PPIUCD YES (Number) YES (%) NO (Number) NO (%) Illiterate 2 2.22 40 35.39 Primary 29 32.22 69 61.06 Secondary 45 50 3 2.65 Degree /Diploma 14 15.55 1 0.88 Particulars Number Percentage Age Up to 20 yrs. 29 13.8 21-35 yrs. 171 84.7 >35 yrs. 3 1.5 Education Illiterate 42 20.7 Primary 98 48.3 Secondary 48 23.6 Degree/Diploma 15 7.4 Occupation Housewife 193 95.1 Employed 10 4.9 Living area Rural 141 69.5 Urban 62 30.5 Parity Primipara 94 46.3 Multipara 109 53.7 No. of living children 1 101 50.3 >1 102 50.7 Religion Hindu 187 92.1 Muslim 16 7.9 Awareness of IUCD Yes 90 44.3 No 113 55.7 22 Year 2021 Global Journal of Medical Research Volume XXI Issue III Version I ( D ) E © 2021 Global Journals Immediate Postpartum Insertion of Intrauterine Contraceptive Device after Vaginal Delivery: It’s Safety, Efficacy and Expulsion