COMPARISON OF ACCEPTANCE, SAFETY AND EXPULSION OF IUCD INSERTION IN POST-PLACENTAL PERIOD VERSUS IMMEDIATE POSTPARTUM PERIOD IN A TERTIARY CARE CENTER

Background: The study was conducted to compare post-placental intrauterine contraceptive device insertion with immediate post partum IUCD in terms of acceptance, safety and expulsion in vaginal deliveries. Methods: This was a prospective longitudinal study. 397 willing women were inserted PPIUCD out of which 305 were in post placental period while 92 in immediate post partum period. Outcomes were studied at 6 weeks. Results: 76.8% of PPIUCD insertions were post placental whereas only 23.17% were in the immediate postpartum period. 83.38% of clients returned for follow-up whereas 16.12% of clients were lost during the study. In the post placental group,89.5% of women retained their IUCD after 6 weeks of insertions, while in the immediate postpartum IUCD insertion group only 34.14% retained the IUCD at follow-up visit.(p