European Journal of Molecular & Clinical Medicine

Background: Immediate postpartum intrauterine contraceptive device (IPPIUCD) is an effective postpartum family planning method. It provides reversible contraception and also helps in adequate birth spacing. This study examines the outcomes of IPPIUCD and evaluates the reasons for removal of IUCD in the study population.
Methods: This study was done at District Hospital, Koppal from October 2020 to march 2021. Women who underwent IPPIUCD insertion were included in the study. They were followed up for a period of 8months and outcomes in terms of continuation or removal or expulsion of the IUCD were studied.
Results: A total of 548 women underwent IPPIUCD insertion out of which 332 (60.6%) had post placental IUCD insertion and 216 (39.4%) had intra caesarean IUCD insertion. 54 cases (9.8%) had IPPIUCD removed and 30 cases (5.5%) had IPPIUCD expulsion.Reasons for IPPIUCD removal included pain abdomen (7.4%), menorrhagia (29.6%), fear of complications (35.2%), husband refusal (22.2%) and post sterilisation (5.6%).
Conclusions: IPPIUCD is an effective method of contraception for spacing and limiting births. Proper education and counselling regarding this method of contraception and regular follow up and motivation can help reduce the rates of removal and improve acceptance rates.

Background: The intrauterine contraceptive device (IUCD) is one of the most used methods of contraception all over the world. The most important adverse effects related to copper intrauterine contraceptive device use are excessive uterine bleeding and menstrual pain. This study aimed to evaluate uterine artery and  subendometrial blood flow in patients who are complaining of excessive menstrual bleeding after IUCD insertion. Patients and methods: Fifty-four women were included in this cross sectional case control study and they divided into group I (18 women) using copper intrauterine device (Tcu 380A) and complaining of menorrhagia; group II (18 women) using copper IUCD and not complaining of abnormal uterine bleeding and group III (18 women) who not using any contraceptive method and not complaining of abnormal uterine bleeding. Results: There is statistically significant difference between the studied groups regarding subendometrial RI and PI. On doing Turkey’s HSD test, the difference is significant between group with IUD and manifested by excessive menstrual bleeding and the group with IUD and normal menstrual flow and control groups. RI was significantly higher in those with IUD and excessive menstrual flow and patients within this group had the lowest PI. The best cutoff of uterine PI in prediction of excessive menstrual bleeding if IUD inserted is ≤1.85 with area under curve 0.936, at which sensitivity 88.9%, specificity 88.9%, positive predictive value 94.1%, negative predictive value 80% and accuracy 88.9% (p<0.05).Conclusion: Uterine artery and subendometrial blood flow were increased in women with IUCD induced menorrhagia in comparison to women with copper IUCD and not complaining of abnormal bleeding and women without copper IUCD.
 

BACKGROUND OF THE STUDY: Population in India was not growing rapidly till the early twenties of the last century. It was nearly static, with a relatively safe and acceptable rate of annual growth, since both birth and death rates were relatively high .With advances in technology and expansion of health services death rate started declining in the following decades. Meanwhile the birth rate continued to persist at the same level .This caused a severe demographic gap between the birth and death rate, and resulted in growth of population at an alarming rate. OBJECTIVE: To assess the knowledge and perceived barrier regarding IUCD. METHOD AND MATERIAL: A quantitative research approach with non experimental comparative descriptive study was adopted in this study. The non-probabality, purposive sampling technique was used to select the subject for the study. Data collected from 100 subjects were analyzed by descriptive and inferential statistics.