Uzma Yahya Butt, Ruqia Noor, Saba Hafeez
Pakistan Journal of Medical & Health Sciences




Peer Reviewed

Previous Published Issues



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



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