Clinical Outcome, Awareness and Acceptance of Post-partum/Post-placental IUCD in Our Community
Uzma Yahya Butt, Ruqia Noor, Saba Hafeez
542
ABSTRACT
Aim: To determine the
level of awareness, factors affecting acceptance and clinical outcome of
Post-partum IUCD, in terms of efficacy, complications, continuation and removal
rate.
Methodology: A questionnaire based
prospective study conducted from September 2016 to September 2018 in Gynaecology/Obstetrics
department of Social Security Hospital Gujrat. All patients delivered during
this period were counselled and IUCD placed after 10 minutes of delivery with
standard technique in women fulfilling eligibility criterion after taking informed
consent .Regular follow-up done for 1 year to study its safety, efficacy, effects
on menstrual cycle, expulsion, continuation and removal rate.
Results:
Among 324 women 50 volunteerd for
PPIUCD, 274 declined,45 women had regular follow-up and 5 patients didn’t
report back. The level of awareness was zero. Majority of acceptors were of
age30-35 years (44%), multi- para (64 %), Educated till primary level (36 %)
and non-working (66%). Major complications were menstrual disturbances and
thread problem.
Conclusion:
Women and health care providers have
little awareness of copper T as PPIUCD. Wrong information and myths associated
with its use lead to low acceptance rate. The PPIUCD was demonstrably safe,
effective with high retention rate and fewer side effects. String of PPIUCD is
less visible after caesarean insertion as compared to vaginal delivery.
Keywords:
PPICUD, Multipara, post-partum
ABSTRACT
Aim: To determine the
level of awareness, factors affecting acceptance and clinical outcome of
Post-partum IUCD, in terms of efficacy, complications, continuation and removal
rate.
Methodology: A questionnaire based
prospective study conducted from September 2016 to September 2018 in Gynaecology/Obstetrics
department of Social Security Hospital Gujrat. All patients delivered during
this period were counselled and IUCD placed after 10 minutes of delivery with
standard technique in women fulfilling eligibility criterion after taking informed
consent .Regular follow-up done for 1 year to study its safety, efficacy, effects
on menstrual cycle, expulsion, continuation and removal rate.
Results:
Among 324 women 50 volunteerd for
PPIUCD, 274 declined,45 women had regular follow-up and 5 patients didn’t
report back. The level of awareness was zero. Majority of acceptors were of
age30-35 years (44%), multi- para (64 %), Educated till primary level (36 %)
and non-working (66%). Major complications were menstrual disturbances and
thread problem.
Conclusion:
Women and health care providers have
little awareness of copper T as PPIUCD. Wrong information and myths associated
with its use lead to low acceptance rate. The PPIUCD was demonstrably safe,
effective with high retention rate and fewer side effects. String of PPIUCD is
less visible after caesarean insertion as compared to vaginal delivery.
Keywords:
PPICUD, Multipara, post-partum