Assessment Effect of Post Puerperal and Immediate Post Placental Intrauterine Contraceptive Devices Insertion after Cesarean Delivery on Women's Health (original) (raw)
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Clinical Obstetrics, Gynecology and Reproductive Medicine, 2015
This study aims to determine the epidemiological profile of patients who have been placed IUDs per caesarean section after vaginal delivery and assess the complications of the IUD put in after caesarean section and vaginal delivery. This was a prospective randomized study of cases of IUD placed during caesarean section and after vaginal birth in the service of Obstetrics and Gynecology, at the Centre Hospitalier de Ndioum. The study was conducted from January 1 to December 31, 2013. We included all patients who met the WHO IUD eligibility criteria. The variables studied were the socio-demographic characteristics, pregnancy and delivery peculiarities, the inserting and monitoring methods of the IUD. We used the 3.5.3version of software EPI6 info and software R3.0.2 for data analysis. Inserting an IUD Tcu 380 A was performed in103 women among whom 52 during caesarean section (50.5%) and 51 in the immediate postpartum see low (49.5%). 4 cases of expulsion was noted, 3.9% of cases. Pain after IUD insertion in per-Caesarean section was found in 11.8% against 25% in postpartum M1; M3 was 32% against 46.6% and M62% against 0%. IUD insertion per-cesarean has an acceptable expulsion and no increased risk of adverse events rates. This technique should be popularized.
Obstetrics & Gynecology, 2016
Background: Post-placental intrauterine device (IUD) insertion has the potential to reduce rapid repeat pregnancies. As the procedure becomes more widely adopted in the US, it is important to understand women's perceptions about the procedure. Studies examining patient-centered outcomes are currently lacking. Objectives: The objectives of this study include: 1) To describe women's experiences with post-placental IUD insertion through postpartum semistructured interviews. 2) To establish a mean pain score for the procedure using a 100mm visual analogue scale (VAS). 3) To assess procedural pain using a 4-point Likert verbal rating scale (VRS). Methods: This concurrent mixed methods pilot study was conducted at the University of New Mexico Hospital. Women with and without an epidural were enrolled. Procedural pain was assessed using the VAS and VRS immediately after IUD placement and at the time of the interviews. Interviews were conducted prior to hospital discharge. The interviews explored participants' decision v pathways, procedure experience, decisional regret, and contraception knowledge. Interview data were coded and analyzed iteratively to identify emergent themes. Participants rated their overall satisfaction on a 5-point Likert scale at the end of the interview. Results: In the no epidural group 30 women underwent pain assessment and nine participated in an interview. In the epidural group 36 women underwent pain assessment and 12 participated in an interview. The VAS scores did not demonstrate a normal distribution in both the no epidural and epidural groups. The median VAS scores were 40.5mm and 2.8mm in the no epidural and epidural groups, respectively. In the no epidural group, 53.3% of women reported none-mild pain. Most women (88.9%) in the epidural group reported none-mild pain. The interview data did not reveal substantial differences between the no epidural and epidural groups. Women's satisfaction with the procedure was high in both groups. Convenience was the dominant decision-driver to undergo the procedure. Actual procedural pain and duration were less than expected among the majority of interviewees. Conclusions: Women who undergo post-placental IUD insertion report high satisfaction and no regrets about the procedure. Our study offers valuable counseling points to offer women if they are considering post-placental IUD placement. vi TABLE OF CONTENTS LIST OF FIGURES.
Immediate postplacental insertion of an intrauterine contraceptive device during cesarean section
Contraception, 2011
Background: An intrauterine device (IUD) is an effective reversible form of contraception. We determined the efficacy and safety of immediate postplacental IUD insertion during cesarean section. Study Design: Two hundred forty-five women with term pregnancies delivering by cesarean section between September 2006 and December 2007 were included in the study. A copper IUD (TCu 380A) was inserted using a ring forceps within 10 min of removing the placenta. The participants were examined before hospital discharge and at 6 weeks, 6 months and 12 months postpartum. Results: None of the patients were lost to follow-up. There was one case of an unplanned pregnancy (0.4%). There were no serious complications associated with immediate IUD insertion during cesarean section. The cumulative rates of expulsion, removal for bleeding/ pain and other medical reasons were 17.6, 8.2 and 2.4 per 100 women per year, respectively. The continuation rates were 81.6% and 62% at 6 and 12 months, respectively. Conclusion: Immediate postplacental IUD insertion during cesarean section provides adequate protection against pregnancy. However, greater than one fourth of the participants discontinued IUD use due to spontaneous expulsion or other medical reasons.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Immediate Postpartum Intrauterine Contraceptive device is a novel approach to contraception which integrates Maternal - Child health and family planning services. It is a postpartum method which provides long term reversible contraception to women before discharge from the delivery setting. More research is needed in the field of PPIUCD to enhance awareness and acceptance in the community. This study is designed to compare the safety and efficacy of PPIUCD inserted at cesarean versus vaginal delivery.Methods: This is a prospective study conducted at Sree Avittom Thirunal Hospital, Govt. Medical College, and Kerala – A tertiary care teaching institution. A total of 126 patients with cesarean or vaginal deliveries had PPIUCD insertions and they were followed up for a period of one year. The outcome measures analyzed were safety measures – menstrual irregularities, vaginal discharge, pelvic infection and perforation and efficacy measures - failure, expulsion and removal. Da...
Journal of obstetrics and gynaecology of India, 2014
This study examines to describe the factors associated with acceptability of immediate PPIUCD insertion in women according to their socio-demographic and obstetrics characteristics, and future pregnancy desires and to determine the rates of uterine perforation, expulsion, pelvic infection, lost strings and displacement following PPIUCD insertion among the acceptors by 6 to 18 months. An intrauterine device (IUD) is an effective form of Long Acting Reversible Contraception. Present study is aimed at determining the safety, efficacy, and expulsion of Post-placental and intra-cesarean insertion of Intrauterine contraceptive device (PPIUCD). The study was conducted at District Head Quarters Hospital, Bolangir, Odisha, India. From 1st. January 2012 to 31st. December 2012. Women admitted and delivered at D.H.H. Bolangir, were counseled. CuT 380A was inserted within 10 minutes of delivery of placenta in accepters who fulfilled the Medical Eligibility Criteria and had no contraindications f...
International Journal of Research in Medical Sciences, 2015
Background: In India there is an unmet need for contraception. Intrauterine device is a long acting reversible method. This study was done to determine the efficacy and safety of immediate Post-Partum Intrauterine Device (PPIUD) and to compare the outcome of PPIUD insertion after vaginal delivery and caesarean section. Methods: A total of 113 women who underwent PPIUD insertion were followed up at 6 weeks and 6 months postpartum. Outcome in term of side effects, removal and expulsion was compared in vaginal delivery and caesarean section insertions. Results: In 61.45% women there was no complaint. Menstrual disturbances were found in 16.66% women and pelvic pain in 13.54% women. The expulsion rate was 5.20% and IUD removal was done in 13.54% women. Incidence of removal was more in vaginal insertions than in caesarean insertions and this difference was statistically significant. Continuation rate at 6 months was 81.25%. Conclusion: Immediate postpartum IUD insertion is a safe, convenient and effective method.
International Journal of Clinical Obstetrics and Gynaecology, 2020
Background: Insertion of an intrauterine contraceptive device (IUD) immediately after delivery has been recommended by the WHO, as one of the safe and effective methods of temporary contraception. Hence; the present study was conducted for assessing the efficacy of post placental and intra-cesarean insertion of intrauterine contraceptive devices. Materials & methods: A total of 500 women were enrolled in the present study that delivered at community health centre, Lopoje, Amritsar and were counseled for PPIUCD. Post-placental insertion was done and CuT 375 A was used. All the procedures were commenced under the hands of skilled and experienced gynecologists. Regular follow-up was done. Presence of any complication was recorded. All the results were recorded in Microsoft excel sheet and were analyzed by SPSS software. Results: Mean age of the subjects was found to be 17.9 years. Desire of pregnancy within one to two years was found to be present in 7.2 percent of the patients. Reasons of acceptance were "No remembrance once inserted" in 32.8 percent of the cases, while it was due to safety reasons in 15.2 percent of the cases. Expulsion occurred within a week in 0.8 percent of the cases, while it occurred within one week to one month in 5.4 percent of the cases. Conclusion: Post placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD) has a high rate of acceptance and is associated with lower incidence of complications. Even though it has higher safety index, still awareness of PPIUCD is very low among general female population.
Journal of Vocational Nursing, 2021
Post-placental IUD is a long-term contraceptive method with an effective pregnancy prevention 0.6-0.8 pregnancies / 100 women. Installation that is carried out when the mother gives birth has an impact on the coverage of contraceptive use from an early age. Post-placental IUD contraceptives are not only effective in the long term for up to 10 years but are also affordable contraceptives for people from low to high economies status. Currently, these contraceptives can be purchased or installed for free. Contraception does not interfere with milk production, does not require routine follow-up to the hospital, contraceptive examinations can be done independently. The purpose of this study was to describe the knowledge about the post-placenta IUD contraceptive method. Methods: This study used a descriptive design, with a population of 98 people and a sample of 54 people. The sampling used is purposive sampling. Collecting data with a closed questionnaire. Data processing and data analysis by editing, scoring, coding, tabulating and presented in narrative form then draw conclusions. Results: Based on the results of the study, it was found that most (78.1%) pregnant women had less knowledge about Post Placenta IUD contraception. Conclusion: The reference of this study is to increase knowledge about the Post Placenta IUD (Intra Uterine Device) contraceptive method in pregnant women. Periodic health education regarding this contraceptive method during pregnancy so that at delivery, post placenta IUD contraception can be immediately installed.
BMJ Sexual & Reproductive Health
BackgroundIntrauterine devices (IUDs) are highly effective contraception. IUDs inserted directly following delivery provide immediate birth control and may decrease unintended pregnancies, including short-interval pregnancies, thereby mitigating health risks and associated economic burden.MethodsThis systematic literature review included published global data on the utilisation, effectiveness, and safety of postpartum intrauterine devices (PPIUDs) of any type. English language articles indexed in MEDLINE, Embase, and Cochrane from January 2010–October 2021 were included.Results133 articles met the inclusion criteria (46% interventional studies; 54% observational; n=87 from lower-income countries; n=46 from higher-income countries). PPIUD use was low in higher-income countries (6/10 000 US deliveries in 2013–2016) and varied widely in lower-income countries (2%-46%). Across both higher- and lower-income countries, in most studies (79%), >80% of women with PPIUDs had an IUD in plac...
International Journal of Reproductive Medicine, 2016
Background. Immediate postpartum intrauterine contraceptive device (IPPIUCD) is a lucrative postpartum family planning method which provides effective reversible contraception to women in the delivery setting. Our aim was to study the clinical outcomes of IPPIUCD insertions and compare them as a factor of route of insertion (vaginal versus caesarean).Methods. This is a retrospective analytical study done in a tertiary care teaching institute. A Cohort of 593 vaginal and caesarean deliveries with IPPIUCD insertions, over a two-year period, was studied and compared for follow-up results. Outcome measures were safety (perforation, irregular bleeding, unusual vaginal discharge, and infection), efficacy (pregnancy, expulsions, and discontinuations), and incidence of undescended IUCD strings. Descriptives were calculated for various outcomes and chi square tests were used for comparison in between categorical variables.Results. Overall complication rates were low. No case of perforation o...