A Study to Compare the Efficacy, Safety&Outcome of Immediate Postpartum Intrauterine Contraceptive Device (PPIUCD) With That of Delayed Insertion

Background Worldwide around 115 million women have unmet needs of family planning. Increasing rates of institutional deliveries create opportunities for providing quality postpartum family planning services thus helps to overcome the unmet needs. PPIUCD appears an ideal method for limiting& spacing births. Objective The present study was undertaken to assess the efficacy, safety& outcome of Postpartum Intrauterine Contraceptive Device (PPIUCD) insertion& to compare it with delayed insertion at Jawaharlal Nehru Medical College& Hospital (J. N. M. C. H. ), Aligarh, U. P. Methods A prospective study done after getting approval from the Ethical Committee of the institution. Results A total of 168 clients were included in the study (94 in immediate post partum group& 74 in the delayed insertion group). Among these 10.63 %, 6.02 %& 5.19 % in the immediate insertion group (GROUP-I) and 16.22 %, 13.11 %, 11.54 % in the delayed insertion group (GROUP-II) went lost to follow up at 6 weeks, 3 months& 6 months respectively. There were 1.2 % expulsions in GROUP-I& 1.6 % in GROUP-II. There were no perforations. Overall the side effect profile was better in GROUP-I when compared to GROUP-II. There was no case of failure. Continuation rates after 6 months of follow up were 73.4 % in GROUP-I and 59.5 % in GROUP-II. Conclusion Immediate post partum IUCD insertion is an effective, safe and even better means of contraception when compared with that of delayed insertion.