Post Partum IUCD: Its Acceptability and Clinical Outcomes in Tertiarty Care Maternity Hospital of Kashmir

Postpartum IUCD is a very effective method of contraception that can be offered to the patient immediately after delivery to meet the unmet needs of contraception in postpartum period. The aim of our study was to evaluate the acceptance rates of PPICD-Reasons for acceptance and denials and the clinical outcomes/course which included complications, rates of expulsion and continuation rates at 6 and10 weeks, in those women who got it inserted. Method: A Prospective observational study was conducted at Kashmir?s largest maternity hospital, Lalla Ded hospital. This study was conducted on those women who had received counselling for PPIUCD insertion. In this study, the acceptance rates of PPIUCD insertion, reasons for denial in those who refused, and clinical outcomes in those who accepted PPIUCD were observed at 6 weeks and 10 weeks. Results: Out of 4000 women counselled for contraception only 560 accepted PPIUCD with acceptance rate of 14%. The commonest reason for refusal were fear of side effects, lactational amenorrhea, preference to natural methods (coitus interruptus), and fear of pain. In our study group continuation rates were seen in 92.2%woman. Among complications only expulsion was seen in 3.6% (n=15). Perforation of uterus did not occur in any of the women. No women reported with failure. In our study it was seen the long term action of PPIUCD was the most important motivator for PPIUCD uptake. Conclusion: The concept of PPIUCD is new in the community and there is need to increase the level of awareness by adequate counselling and clarification of myths associated with PPIUCD. It is a safe and effective method of postpartum contraception and can play a pivot role in decreasing the unmet needs of contraception.