Objective: this study was conducted to evaluate the safety, efficiency and feasibility of IUD insertion immediately after expulsion of placenta, in women delivering vaginally or by caesarean section.
Study Design: descriptive Case Study
Place and Duration of the Study: Sindh Government Qatar Hospital, Karachi from March 2011 to February 2012.
Methodology: this prospective study was carried out at Sindh Government Qatar Hospital from March 2011 to February 2012. The women included in this study had multiload insertion immediately after delivery of placenta in vaginal or caesarean delivery. Women with pre-labour rupture of membranes > 18 hours, chorioamnionitis, continuous PPH, anaemia, obstructed labour and distorted uterine cavity due to fibroid or congenital anomaly were excluded. Included women were followed up at 1 week, 6 weeks and 6 months after delivery.
Results: a total of 150 women were included in this study. Out of them 64% had vaginal delivery and 36% patients delivered by Lower Segment Caesarean Section (LSCS). There was no case of uterine perforation. The cumulative expulsion rate at the end of 6 months was 8%.
Conclusion: immediate postpartum insertion of IUCD appeared safe and effective. Advantages include high motivation, assurance that women are not pregnant and convenience.
Early follow up is important in identifying spontaneous IUCD expulsion.
Key Words: immediate post placental, IUCD (multiload), Contraception.
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