Translocation of Postplacental Intrauterine Device: A Rare Complication

Excerpt

Unmet need for spacing as well as limiting methods of contraception is quite high in developing countries. The reasons for non-use of contraception are many, including lack of awareness, non-availability of accessible family planning services, and limitations on women’s mobility due mostly to cultural or geographical factors. During postpartum period no woman would like to be pregnant again. Delivery in an institution offers a unique opportunity to avail their need for contraception. PPIUCD allows women to obtain safe, long-acting, highly effective contraception with little discomfort and fewer side effects that to while within the facility. The popularity of the intrauterine device (IUD) and its use in the immediate postpartum period in countries like China, Egypt, and Mexico and now in India reflects safety and efficacy of this approach. Complications of immediate and intra-cesarean insertion of IUCD such as infection, bleeding, and pain are minimal, expulsion rate is little high, but overall continuation rate is encouraging. Use of interval intrauterine contraception can rarely result in uterine perforation. Perforation most often occurs during insertion, but might not be detected until sometime later. Perforation with PPIUCD was not reported till recent times. We report a case of removal of postplacental intrauterine contraceptive device (IUCD) translocated into the peritoneal cavity. …