Enhancing contraceptive usage by post placental intrauterine contraceptive device insertion with evaluation of safety efficacy and expulsion.

Abstract: Objectives to assess the safety incidence of perforation pain bleeding foul smelling discharge and expulsion rate at 6 weeks follow up and willingness to continue when CuT380A inserted within 10min of placental expulsion both in vaginal and caesarean delivery Methods: A prospective hospital based study of patients enrolling for vaginal delivery or caesarean delivery at Bapuji Hospital woman and child hospital chitageri General Hospital attached to JJM medical college Davangere during June 2013- June 2014 were conducted and were followed at 6 weeks postpartum for pain bleeding foul smelling discharge and expulsion rates. Results: There were 91 patients for whom PPIUCD were inserted. 40 patients after normal vaginal delivery and 51 after caesarean section. When followed at 6 weeks postpartum 2% came with expulsion after normal vaginal delivery and no expulsion in patients after caesarean section no missing strings after normal vaginal delivery but 52% patients came with missing strings after Caesarean delivery PPIUCD insertion no infection rates and 96% of the patients were willing to continue PPIUCD. Conclusion: Insertion of intrauterine contraceptive device immediately after delivery is safe and effective method of temporary contraception.