Evaluation of Safety and Efficacy of Postpartum Intrauterine Contraceptive Device (PPIUCD) in Vaginal and Caesarean Section Deliveries: A 7 years prospective study

Background: Majority of women are in need of an effective contraceptive method in postpartum period. PPIUCD is a reversible and coitus independent method. This study is to evaluate safety and efficacy of PPIUCD in long term follow up period.Materials & Methods: A prospective observational study was done over a period of seven years in which acceptors of PPIUCD were followed up for safety and efficacy of PPIUCD. Follow up was done at 6th weeks, 6th months, 3rd years, 5th years & 7th years from insertion.Results: Majority of clients had no complaints on follow up. Irregular bleeding and pain abdomen were most common complaints in rest of clients. Expulsion rate was 1.1%. Removal rate was 48.16%. Main reason for removal was wish to have next child. Lost to follow up was 22.24%. No perforation was reported and failure rate was zero in this study. Continuation rate at seven year was found to be 28.49%.Conclusion: PPICUD is safe, reversible and cost-effective method of contraception. With regular counselling and management of side effects continuation rate can be improved