European Journal of Molecular & Clinical Medicine

Abstract

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.