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Erschienen in:
07.06.2019 | Original Article
Safety and Efficacy of Intra-caesarean IUCD: A Prospective Study at a Tertiary Care Centre
Erschienen in: The Journal of Obstetrics and Gynecology of India | Ausgabe 4/2019
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Objective
To assess the safety and efficacy of postpartum IUCD in caesarean section patients.
Methods
This prospective observational study included 200 women, who gave informed consent for postpartum intrauterine contraceptive device (PPIUCD) insertion during caesarean section from January 2013 to May 2014. These patients were followed up at 6 weeks and 6 months.
Results
There were no major complaints in either group in post-operative period. At 6-month follow-up in PPIUCD users, 89.5% of patients continued to use this method. 5.5% were lost to follow-up, 2.5% had spontaneous expulsion, and 2.5% removed the IUCD due to various reasons. Eight per cent of patients who wanted removal of IUCD in the second follow-up were counselled to continue, and they did so.
Conclusion
The results of our study suggest that immediate intra-caesarean IUCD insertion appears to be a safe and effective method of contraception. The acceptability of intra-caesarean IUCD was high, and its continuation rate has demonstrated its safety.