Intra Cesarean – Intra Uterine Contraceptive Device 380 A Insertion: 3 years Experience at a Tertiary Care Center

Background: In India, 65% of women in the first year of post-partum period have an unmet need for family planning. Hence contraception needs to be practiced in this critical period. Aim: The present study was planned to evaluate the efficacy, safety, and compliance of intra Cesarean IUD insertions. Materials and methods: This was a prospective study for 3 years. Women recruited had CuT-380A insertion immediately after delivery of the placenta during Elective /Emergency Cesarean section. Women having unresolved post-partum hemorrhage (PPH), pre-labor rupture of membranes of (PROM) >18 hrs, fever >38 ˚C, congenital uterine malformation and fibroid uterus distorting the cavity were excluded from the study. The women were followed up with 3 visits at 4- 6 weeks, 3 months and 1 year. Results: Total women counseled were 4141, accepted no was 2850, declined no was 1291, consented but not inserted in 109 as criteria was not met. Lost to follow up 46, followed up 2850, complications (Expulsion 6, IUCD in situ with pregnancy 1, Bleeding 33, String problem 363, Removal 28, Continuation 2745). Conclusion: Immediate post –placental IUCD insertion provides highly effective contraception to the woman at the time of discharge itself. The government needs to develop strategies to increase public awareness of the PPIUCD through different media sources.