Assessment of Acceptability, Safety and Efficacy of immediate postpartum Cu-T insertion in a Tertiary care Centre

• Pankhuri Jain,  
• Namrata Saxena,  
• Mamta Thapliyal,*  
• Shikha Agarwal

Abstract

• Background- India is the most populous nation in the world. In India, understanding and awareness of contraceptive methods are insufficient, and the culture is rife with myths. IUCD insertion in the immediate postpartum period is an effective, safe and convenient method of contraception for both cesarean and vaginal births. • Methods: The present study is a prospective study to assess the acceptability, safety and efficacy of Cu-T when inserted within ten minutes of placental expulsion up to 48 hours after delivery both in vaginal delivery or cesarean section and the patients were followed after 6 weeks and again after 6 months for any complications and reason for removal, if any. • Results: 197 patients opted for IUCD insertion. At 6 weeks the majority of patients had no complaints129(70.88%) followed by menstrual complaints27(14.84%). At 6 months most of the patients had no complaints108(75%) while 21 patients had menstrual complaints14.58%. None of the patients had perforation and pregnancy. • Conclusion: Cu-T's is a feasible and acceptable method of contraception. The feasibility of accepting IUCD insertion can increase with antenatal counselling and institutional deliveries. A low expulsion rate was observed in our study. It is better to give this contraceptive option than leave a post-partum woman at risk of another pregnancy within a short interval. Keywords: Placenta, IUCD, Antenatal, Contraception

Keywords

Placenta, IUCD, Antenatal, Contraception