Comparison of Frequency of Menorrhagia after Immediate Versus Delayed Intrauterine Contraception Device Insertion

Abstract

Objective: To compare the incidence of menorrhagia after immediate post-partum versus delayed intrauterine contraception device insertion in local population.

Place and Duration of Study: Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur from 1^st January 2022 to 31^st December 2022.

Methodology: One hundred and ten women willing for intrauterine contraceptive device insertion of age 18-40 years were included. Females in which emergency hysterectomy was done, sepsis, premature rupture of membranes and fibroid uterus were excluded. Group A included the women in which intrauterine contraceptive device was inserted within 24 hours of delivery and Group B included the women in which intrauterine contraceptive device (IUCD) was inserted after 6 weeks of delivery. All patients were followed for 3 months for presence or absence of menorrhagia.

Results: The mean age of women in group A was 28.67±5.72 years and in group B was 29.02±5.63 years. The mean parity in group A was 3.02±1.11 and in group B was 3.16±0.96. Menorrhagia in group A (immediate IUCD) was seen in 04 (7.27%) and in group B (delayed IUCD) was seen in 24 (25.45%) females with p-value of 0.010.

Conclusion: There is less frequency of menorrhagia after immediate IUCD compared to delayed intrauterine contraception device insertion.

Keywords: Intrauterine devices, Post-placental, Menorrhagia