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

Table 3: Reason for acceptance Reason Number Percent Long term 50 24.6 Safe 6 2.9 Reversible 138 67.9 Fewer clinical visits 9 4.4 Table 4: PPIUCD acceptance in relation with sex of child Number Percent Women having male child 125 61.6 Women having no male child 78 38.4 Table 5: Reason for Removal of Cu T Reason 15 Days 6 Weeks 3 Months Abdominal pain 2 5 0 Heavy menstrual bleeding 0 1 1 Psychosocial causes 2 1 2 For permanent sterilization 0 1 1 Table 6: Complications during follow up Complications 15 Days n= 182 6 weeks n=155 3 months n=144 No complaints 162 (89.0%) 135 (87.1%) 129 (89.6%) Heavy menstrual bleeding 0 6 (3.9%) 13 (9.0%) Abdominal pain 4 (2.2%) 9 (5.8%) 3 (2.1%) Missing strings 0 7 (4.5%) 2 (1.4%) Expulsion Complete 23 (12.6%) 3 (1.9%) 0 Partial 0 0 0 White discharge 0 0 1 (0.7%) Pregnancy 0 0 1 (0.7%) Table 7: Continuation rates with/without complications Problem Total cases Removal of Cu T Continuation of Cu T Heavy menstrual bleeding 19 2 17 Abdominal Pain 16 7 9 Missing strings 9 0 9 Expulsion 26 26 White discharge 1 0 1 Pregnancy 1 1 No complication 110 6 104 IV. D iscussion The postpartum period is potentially an ideal time to begin contraception as women are more strongly motivated to do so at this time, which also has the advantage of being convenient for both women and health-care providers. IUCD insertion in postpartum period provides a good opportunity to achieve long term contraception with minimal discomfort to woman. The intrauterine devices provide reversible long lasting and effective method of birth control. 15,16,17 In this study, majority of the women 108 (53.7%) were aged between 21-25 years. This is similar to a study conducted by Singal et al which found mean age of PPIUCD insertion to be 23.12+/-2.42 years. 18 This shows that PPIUCD usage as a method of contraception is more among young females rather than among teenage pregnancies. The education status of the study group was analysed to understand the role of education in PPIUCD acceptors. Majority of women had some form of education. This shows that women who had some formal education were willing to accept PPIUCD. 23 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