Evaluation of Safety, Efficacy and Continuation Rates of Postpartum Intrauterine Contraceptive Device (PPIUCD)

OBJECTIVE To evaluate the safety, efficacy and continuation rates of postpartum intrauterine contraceptive devices (PPIUCD). METHODOLOGY This is a prospective study done at the Department of Obstetrics and Gynaecology, Coimbatore Medical College Hospital from August 2014 to July 2015. After obtaining informed consent, 200 women who fulfilled the inclusion criteria underwent postpartum insertion of Cu T 380A. They were followed up at 6 weeks, 3 months and 6 months postpartum. RESULTS Out of the 200 women who underwent PPIUCD insertion, 41.5 % were post placental, 20.5 % immediate postpartum and 38 % intracaesarian. The gross cumulative expulsion, removal and continuation rates were 5 %, 6 % and 78.5 % respectively. There were no major complications noted. CONCLUSION PPIUCD is a safe, very effective, long acting contraception with few side effects and no major complications.