Common Complications after Immediate Postpartem Intrauterine Contraceptive Device Insertion
Saeeda Safi, Mehwish Syed, Afrahaman, Asia Habib, Javeriasaleem
1141
ABSTRACT
Introduction: Low contraceptive
rates in poor nations are caused by numerous causes including a lack of
information about contraceptives, the inability to get family planning methods,
and cultural and geographic constraints on women's movement in these countries.
If the birth takes place at a health care institution, women with limited
access to medical care have a unique chance to address their contraception
needs.
Objective:To determine the frequency
of common complications in immediate postpartum intrauterine contraceptive
device insertion.
Material and Methods: This study was
conducted at Gynae and Obs department, QaziHussain Ahmed Medical Complex,
Noshehra. This was a cross sectional descriptive study in which consecutive non
probability sampling technique was used. Duration of the study was 6 months from
21st August 2020 to 20th February 2021,in which a total
of 292 patients were studied. All
multigravida females undergoing Normal Vaginal delivery and who gave consent
for Immediate IUCD insertion were included, while patients with known history
of pelvic inflammatory disease or sexually transmitted infection, patients
having cavity distorting uterine fibroids, known uterine or cervical malignancy
as seen through medical records and women with bleeding disorders as detected
from past medical records were excluded.Data wascollected on a pre-designed
proforma and analyzed by the SPSS version 20.
Results: In this study mean age
was 27 years with standard deviation ±1.26. Two hundred and four patients had
delivery of placenta and IUCD insertion in 1-5 hours and 88 patients had
delivery of placenta and IUCD insertion in 5-10 hours. Regarding complications
44 patients had expulsion in which partial expulsion was found in 9 patients
and complete expulsion was found in 35 patients, uterine perforation was found
in 6 patients while pelvic inflammatory disease was found in 29 patients.
Conclusion: Despite the fact that IUCD's
verbal approval was low, its real insertion was even less so. The only time
these women have to learn about contraceptive options is during childbirth,
when they are in direct touch with medical workers. That's why some people
think family planning can help increase the uptake of contraceptives among
women who otherwise wouldn't seek them out on their own.
Keywords:Common complications,
Immediate postpartum, Intrauterine contraceptive device insertion.
ABSTRACT
Introduction: Low contraceptive
rates in poor nations are caused by numerous causes including a lack of
information about contraceptives, the inability to get family planning methods,
and cultural and geographic constraints on women's movement in these countries.
If the birth takes place at a health care institution, women with limited
access to medical care have a unique chance to address their contraception
needs.
Objective:To determine the frequency
of common complications in immediate postpartum intrauterine contraceptive
device insertion.
Material and Methods: This study was
conducted at Gynae and Obs department, QaziHussain Ahmed Medical Complex,
Noshehra. This was a cross sectional descriptive study in which consecutive non
probability sampling technique was used. Duration of the study was 6 months from
21st August 2020 to 20th February 2021,in which a total
of 292 patients were studied. All
multigravida females undergoing Normal Vaginal delivery and who gave consent
for Immediate IUCD insertion were included, while patients with known history
of pelvic inflammatory disease or sexually transmitted infection, patients
having cavity distorting uterine fibroids, known uterine or cervical malignancy
as seen through medical records and women with bleeding disorders as detected
from past medical records were excluded.Data wascollected on a pre-designed
proforma and analyzed by the SPSS version 20.
Results: In this study mean age
was 27 years with standard deviation ±1.26. Two hundred and four patients had
delivery of placenta and IUCD insertion in 1-5 hours and 88 patients had
delivery of placenta and IUCD insertion in 5-10 hours. Regarding complications
44 patients had expulsion in which partial expulsion was found in 9 patients
and complete expulsion was found in 35 patients, uterine perforation was found
in 6 patients while pelvic inflammatory disease was found in 29 patients.
Conclusion: Despite the fact that IUCD's
verbal approval was low, its real insertion was even less so. The only time
these women have to learn about contraceptive options is during childbirth,
when they are in direct touch with medical workers. That's why some people
think family planning can help increase the uptake of contraceptives among
women who otherwise wouldn't seek them out on their own.
Keywords:Common complications,
Immediate postpartum, Intrauterine contraceptive device insertion.