ABSTRACT

Objective: To determine the outcomes of immediate postpartum insertion of intrauterine contraceptive devices after vaginal (normal) and c-section deliveries.

Study Design: Retrospective/observational

Place & Duration of Study: Mardan Medical Complex MTI, Mardan, During from September 2019 to July 2020.

Methods: Total 120 women were enrolled in this study. Detailed demographics including age, parity, body mass index were recorded after taking written consent. Two groups were maintained. Each group comprised of 60 patients. Group I with normal delivery and group II with C-section. Immediate Postpartum intrauterine contraceptive devices were inserted in all the patients. Outcomes were examined at follow-up and compared between both groups.

Results: Mean age of patients was 27.58±6.94 years. Mean gestational age was 38.12±2.46 weeks. 68 (56.67%) patients were multiparous while 52 (43.33%) were primiparous. No significant difference was observed between both groups regarding menstrual abnormalities, abdominal pain, and vaginal discharge with p-value >0.05. In group I and II 1 (1.67%) and 1 (1.67%) patients had infection, 4 (6.67%) and 2 (3.33%) had expulsion, no significant difference was observed between both groups. Removal rate was high in C-section group as compared to vaginal group (11.67% Vs 3.33%). No perforation and pregnancy was found.

Conclusion: The insertion of immediate postpartum intrauterine contraceptive devices was effective and safe method with low complications rate after vaginal and cesarean section deliveries.

Keywords: Efficacy, Intra-uterine contraceptive device, C-section, Vaginal delivery