Abstract

Dr. Aarushi Chaudhary*, Dr. Anupa Singhal and Dr. Vikas Dhillon

ABSTRACT

Aims and Objectives: To assess the acceptability, safety and efficacy of PPIUCD inserted Post Placental, Intracesarean, within 48 hours of delivery and the role of counseling. Material and methods: A prospective study was conducted at Dr BSA Medical College & Hospital,Delhi. The study period was from January 2016 to June 2016.Women were counselled in antenatal period, in early labour , before cesarean section and those women who were not convinced before delivery or who could not be counselled before delivery, repeat counseling was done in the ward within 48 hours of delivery and those who agreed PPIUCD was inserted. Women were followed from 6 weeks to three months and noted for their acceptability, satisfaction, complaints, expulsion and removal. Results: Total number of delivery during the study period were 5865. 4367 were normal delivery and 1498 cesarean section. Women who accepted PPIUCD were 973 (16.5%). Out of 973, 383 (39.3%) were intracearean insertion, 321(32.99%) post placental, 269 (27.64%) within 48 hours of delivery respectively. Acceptability was higher with second gravid than with primi .529 Patients followed up (54.36%). Out of which 413 were satisfied (78.07%) and rest 116 (21.92%) had complaints of bleeding pv, pain lower abdomen, discharge, long thread, expulsion. Expulsion rate was 5.8% and removal 4.7%. Conclusion: PPIUCD is a safe, effective and method of contraception. A repeat counselling in postpartum ward had remarkably increased the acceptability of PPIUCD as by that time woman is calm and can take the decision better.