OVERVIEW OF IMMEDIATE PPIUCD APPLICATION IN BUNDELKHAND REGION

Abstract

To assess the safety, acceptability, efficacy, feasibility and complication of immediate PPIUCD insertion. METHODS: Cu T 380A was used for PPIUCD insertion immediately following delivery of placenta during caesarean section or within 48 hours following childbirth. RESULT: The study was conducted in obstetrics and gynecology department in MLB Medical College Jhansi. The total number of deliveries during the study period was 4695, among these 1941 women were eligible for PPIUCD insertion.423 women accepted PPIUCD insertion(21.77%), while 1518 women (78.23%) declined insertion. In those 100(8.92%) of normal delivery women had a post placental insertion and 27(2.4%) women had post-partum insertion. 296 women had transcaesarean insertion. The PPIUCD inserted women were followed-up at six weeks.274 women's were followed. CONCLUSION: The acceptance of PPIUCD was high in the parturient, who had aged less than 19 years, was primiparous, had last childbirth between 0-2 years. The total 1518 parturient declined the use of PPIUCD. The reason for acceptance of PPIUCD were due to its long term effects; safety and reversibility. Few complications in the form of irregular bleeding, increase duration of bleeding, missed the thread, infection, removal and expulsion were noted.