Efficacy and safety of post partum insertion of IUCD among parturitents

AIM: To determine the safety and efficacy of postpartum insertion of IUCD among parturitents. METHODS: CuT 380A were inserted within 10 min after postplacental expulsion and 48 hours post partum both in vaginal and cesarean deliveries based on the medical eligibility criteria. Out of 300 woman, only 259 returned for follow up..They are given education regarding complications at discharge and counselled for follow up at 3 months and 6months and at 12months. RESULTS: The follow up rate at 3months, 6 months and at 12 months are 72.6%,76.3%, 74.3% respectively.The continuation rates at 6& 12 months are- 95.6%, 93.2% respectively. There are no pregnancy nor perforations at the end of 1 year. The discontinuation rate means it includes both spontaneous expulsion and removal due to medical problems.The annual cumulative expulsion rate 2% and the annual removal rate 2.3%. CONCLUSION: The evidence from this study suggests that immediate postplacental insertion of CuT 380A is an effective, useful, safe, convenient and low-cost procedure for early postpartum contraceptio