User Acceptance, Safety, and Effectiveness of The Postpartum Intrauterine Contraceptive Device

Authors

  • Momna Khan Momna Khan, Assistant Professor Obs and Gynaecology, Bilawal Medical College CDF Hospital Hyderabad Pakistan Author
  • Ghazala Shaheen Ghazala Shaheen, Registrar Obs and Gynaecology, Tuwaiq Medical Complex Riyadh Saudi Arabia Author
  • Amjid Azam Sirewal Amjid Azam Sirewal, Assistant Professor Community Medicine, Muhammad Medical College/ Ibn-E-Sina University Mirpurkhas Sindh Pakistan Author
  • Sumaira Khoso Sumaira Khoso, LMO, Bolan Medical Complex Hospital Quetta Pakistan Author
  • Bakhtawar Bakhtawar, WMO Obs and Gynaecology, Liaquat University of Medical Health and Science Hyderabad Pakistan. Author
  • Fahmida Naheed Fahmida Naheed, Assistant Professor Obs and Gynaecology, Bolan Medical Complex Hospital Quetta Pakistan. Author

Keywords:

Intrauterine Devices, Birth Control, PPIUCD

Abstract

Background: Reducing the rates of newborn and maternal mortality requires keeping a healthy distance between pregnancies and properly timing them. In addition to reducing poverty and hunger, family planning lowers the risk of 32% of maternal fatalities and 10% of child deaths. There is an increased risk of newborn morbidity and mortality when there are short gestational intervals. Condoms, intrauterine contraceptive devices (IUCD), injectable, oral contraceptive pills (OCPs), sterilization, and other treatments are readily available as short- and long-acting contraceptive methods. The most cost-effective long-term contraceptive alternative is the copper-containing intrauterine contraceptive device, or Cu IUCD. Cu IUCD is a reversible, non-hormonal contraceptive method that is safe to use while nursing and has a long effective life. Objective: To evaluate user acceptance, safety, and effectiveness of the Postpartum intrauterine contraceptive device. Study design: A prospective study Place and Duration This study was conducted in Bilawal Medical College CDF Hospital Hyderabad from October 2022 to October 2023 Methodology: A non-probability consecutive sampling strategy was used in the investigation. Every woman who visited antenatal clinics and was part of the study received counseling regarding several contemporary methods of contraception. A variety of contemporary contraceptive methods were offered to women, including IUCD, tubal ligation, implants, pills, and injectable. Those who opted for intrauterine contraceptive device insertion after giving birth had their choices tracked and documented. These women either had a cesarean delivery or a typical vaginal delivery. Results: A total of 250 patients were involved in this research. The average age of the patients was 27.1 years. Within 10 minutes of delivery of placenta, PPIUCD was inserted. A total of 212 women were multigravida while 38 were primigravida. There were no cases of perforation. Conclusion: Intrauterine devices placed after childbirth have shown to be a dependable, safe, reversible, and longacting means of birth control. 

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References

Rehman M, Akhtar O, Yasmin H, Majid E. Acceptance of Postpartum

Intrauterine Contraceptive Device as a Method of Contraception in a

Tertiary Care Hospital, Karachi. Journal of The Society of

Obstetricians and Gynaecologists of Pakistan. 2022 Jun 8;12(2):91-4.

Ashraf S, Bashir M, Yousaf RT. In A Tertiary Care Hospital, the Use of A

Postpartum Intrauterine Contraceptive Device as A Method of

Contraception. Pakistan Journal of Medical & Health Sciences.

;16(ll):667-.

Faisal M, Naseer O, Khan N, Chaudhary R. Barriers in the use of post

partum intra uterine contraceptive device. J Soc Obstet Gynaecol

Pak. 2016;6(l):22-5.

Nisar N, Dars S, Awan S, Jokhio F. Post-partum intrauterine

contraceptive device: experience from tertiary care hospital in sindh

Province Pakistan. Journal of Liaquat University of Medical &

Health Sciences. 2020 Oct 5;19(03):162-6.

Nalini N, Singh B, Jha S, Singh AV. Acceptance, safety and efficacy of

postpartum intrauterine contraceptive device. Journal of Family

Medicine and Primary Care. 2023 May l;12(5):868-73.

Sultana R, Badar N, Usmani SS, Hafeez M. Womens Experience with

Postpartum Intrauterine Contraceptive Devke. Journal of The Sodety of

Obstetricians and Gynaecobgists of Pakistan. 2022 Sep 4;12(3):267-71.

Thota S, Nasreen MU, Ramadevi S, Himasree M. Study of acceptability

for the use of postpartum intrauterine contraceptive device among

women attending government general hospital, Guntur. New

Indian J OBGYN. 2022;8.

Taneja N, Gupta S, Kaur K. A retrospective study of post-partum intrauterine

contraceptive devices in a government maternity home of Delhi Int J

Reprod Contracept Obstet Gynecol 2020 Dec 1; 9:4932-6.

Fatima S, Rehman A, Ahmed Z, Sajid MM, Habiba U, Rehman A.

Postpartum Insertion of Intrauterine Contraceptive Device: A Safe

And Effective Contraception. Journal of Ayub Medical College

Abbottabad-Pakistan. 2022 Oct 2;34.

Jain R, Sharma M, Gupta S. Acceptance, safety and complications of

postpartum intra uterine contraceptive device: a prospective study in

tertiary care hospital. International Journal of Reproduction,

Contraception, Obstetrics and Gynecology. 2019 May 1;8(5):1916-21.

Anjum Afshan SSA. Immediate Postpartum IUCD insertion: An

opportunity not to be missed. Annals AbbasiShaheed Hospital and

Karachi Medical and Dental College. 2013 June 2014;19(l):5.

Eroglu K, Akkuzu G, Vural G, Dilbaz B, Akin A, Taskin L, et al.

Comparison of efficacy and complications of IUD insertion in

immediate postplacental/early postpartum period with interval

period: 1 year follow-up. Contraception. 2006 Nov;74(5):376-81.

PubMed PMID: 17046378.

Shukla M, Qureshi S, Chandrawati. Post-placental intrauterine device

insertion--a five-year experience at a tertiary care centre in north

India. The Indian journal ofmedical research. 2012 Sep;136(3):432-

PubMed PMID: 23041736. Pubmed Central PMCID: 3510889.

SZ Bhutta IB, Bano K. Insertion of intrauterine contraceptive device at

cesarean section. JCPSP. 2011;21(9):4. 2011.

Singal S, Bharti R, Dewan R, Divya, Dabral A, Batra A, et al. Clinical

Outcome of Postplacental Copper T 380A Insertion in Women

Delivering by Caesarean Section. Journal of clinical and diagnostic

research:JCDR. 2014 Sep;8(9): OC01-4. PubMed PMID: 25386484.

Pubmed Central PMCID: 4225936.

Studies Niop. Pakistan Demographic and Health Survey Islamabad:

National institute of population studies; 2017-2018. Available from:

Pakistan Demographic and Health Survey 2017- 18 [FR354]

(dhsprogram.com).

Balsarkar GD, Nayak A. Postpartum IUCD: Rediscovering a Languishing

Innovation. Journal of obstetrics and gynaecology of India. 2015

Jul;65(4):218-20. PubMed PMID: 26243985. Pubmed Central

PMCID: 4518011.

Ortiz ME, Croxatto HB, Bardin CW. Mechanisms of action of

intrauterine devices. Obstetrical & gynecological survey. 1996

Dec;51(12 Suppl): S42-51. PubMed PMID: 8972502.

Kaneshiro B, AebyT. Long-term safety,efficacy, and patient acceptability

of the intrauterine Copper T-380A contraceptive device.

International journal of women's health. 2010 Aug 09; 2:211-20.

PubMed PMID: 21072313. Pubmed Central PMCID: 2971735.

Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family

planning: the unfinished agenda. Lancet. 2006 Nov

;368(9549):1810-27. PubMed PMID: 17113431.

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Published

2023-04-30

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How to Cite

Khan, M., Shaheen, G., Azam Sirewal, A., Khoso, S., Bakhtawar, & Naheed, F. (2023). User Acceptance, Safety, and Effectiveness of The Postpartum Intrauterine Contraceptive Device. History of Medicine, 9(2). http://13.200.237.241/HOM/index.php/medicine/article/view/657