Acceptability of PPIUCD versus Interval IUCD Insertion

Background-Post Partum IUCD has the benefits of providing highly effective contraception immediately after delivery, particularly where women have limited access to healthcare and have the unmet need of family planning. Aims and Objective- To study acceptibility of PPIUCD and to compare with Interval IUCD insertion. Material and Methods- A Prospective observational study was carried out in the Department of Obstetrics and Gynaecology, J. N. M. C. H, A. M. U. , Aligarh. Participants were divided into two major groups. PPIUCD within 10 minutes of delivery of the placenta (Group I) and Interval IUCD any time after 6 weeks of delivery (Group II). Group I and Group II was compared for verbal acceptance, actual insertion, reason for acceptance and reason for refusal. Results- A total of 3, 250 clients were counseled for IUCD insertion, 2, 490 clients were counseled for insertion of PPIUCD and 760 clients were counseled for Interval IUCD. Acceptance rate was less in PPIUCD insertion (36.1 % v/s 60.5 %) but actual insertion was more in PPIUCD insertion (58.8 % v/s 32.6 %) and the difference was significant. Most common reason for acceptance by clients in both group was long term use. The reason for refusal in both group was mainly fear of side effects. Out of the total clients who got IUCD insertion 64.6 % did not know about IUCD before hand. Conclusion- Although the acceptance was low in PPIUCD insertion group but the maximum clients who accepted actually got it inserted. In Interval group were acceptance was high but the percentage of actual insertion was very low.