{"title":"To study the acceptance of postpartum intrauterine contraceptive device, CU T 380 A, in a tertiary care hospital in India","authors":"Shilpa Shreepad Bhat , Hemant Damle , Sameer Popat Darawade , Ketaki Junnare , Madhura Ashturkar","doi":"10.1016/j.jrhm.2016.05.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p><span>Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. Contraception plays a major role in women's health. Increased number of institutional deliveries allows us to offer family planning methods to couples. Postpartum </span>intrauterine devices (PPIUCD) are the reversible long acting method. It does not interfere with breast feeding and can be provided before the woman leaves the hospital. This study of acceptance of postpartum intrauterine device was conducted in tertiary care hospital in India.</p></div><div><h3>Aim and objectives</h3><p>To find out the (1) acceptance of PPIUCD CU T 380 A, (2) retention rate of PPIUCD and (3) spontaneous expulsion rate at end of 6 months of delivery.</p></div><div><h3>Material and methods</h3><p>PPIUCD was inserted in 680 women either after vaginal delivery<span> or during caesarian section. Data analysis was done at the end of 6 months.</span></p></div><div><h3>Results</h3><p>(1) Insertion of PPIUCD amongst Para 2 was highest 375 (55.14%). (2) Retention rate was 86.33%. (3) Spontaneous expulsion was found in 55 (8.54%) women. (4) Bleeding was the main symptom perceived by 249 (88.71%) women followed by long thread 73 (26.02%) and pain in lower abdomen 45 (15.90%). (5) Total 361 (61.29%) women were satisfied and were continuing the method.</p></div><div><h3>Conclusion</h3><p>Retention rate of PPIUCD was high. Spontaneous expulsion in intra-caesarian IUCD was less as fundal placement was assured at the time of insertion. Bleeding problems were the major complaint and the main reason for removal of PPIUCD.</p></div>","PeriodicalId":91915,"journal":{"name":"Journal of reproductive health and medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrhm.2016.05.002","citationCount":"5","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of reproductive health and medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214420X16300134","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 5
Abstract
Introduction
Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. Contraception plays a major role in women's health. Increased number of institutional deliveries allows us to offer family planning methods to couples. Postpartum intrauterine devices (PPIUCD) are the reversible long acting method. It does not interfere with breast feeding and can be provided before the woman leaves the hospital. This study of acceptance of postpartum intrauterine device was conducted in tertiary care hospital in India.
Aim and objectives
To find out the (1) acceptance of PPIUCD CU T 380 A, (2) retention rate of PPIUCD and (3) spontaneous expulsion rate at end of 6 months of delivery.
Material and methods
PPIUCD was inserted in 680 women either after vaginal delivery or during caesarian section. Data analysis was done at the end of 6 months.
Results
(1) Insertion of PPIUCD amongst Para 2 was highest 375 (55.14%). (2) Retention rate was 86.33%. (3) Spontaneous expulsion was found in 55 (8.54%) women. (4) Bleeding was the main symptom perceived by 249 (88.71%) women followed by long thread 73 (26.02%) and pain in lower abdomen 45 (15.90%). (5) Total 361 (61.29%) women were satisfied and were continuing the method.
Conclusion
Retention rate of PPIUCD was high. Spontaneous expulsion in intra-caesarian IUCD was less as fundal placement was assured at the time of insertion. Bleeding problems were the major complaint and the main reason for removal of PPIUCD.
计划生育使人们能够达到他们想要的孩子数量,并决定怀孕的间隔。避孕在妇女健康中起着重要作用。机构分娩数量的增加使我们能够向夫妇提供计划生育方法。产后宫内节育器(PPIUCD)是可逆的长效避孕方法。它不影响母乳喂养,可以在妇女离开医院之前提供。本研究是在印度三级医院进行的产后接受宫内节育器。目的了解(1)PPIUCD CU t380a的接受情况,(2)PPIUCD的保留率,(3)分娩6个月时的自然排出率。材料与方法对680例阴道分娩后或剖宫产时插入sppiucd。结果(1)第2段插入PPIUCD的比例最高,为375例(55.14%);(2)保留率为86.33%。(3)自发性排痰55例(8.54%)。(4) 249例(88.71%)妇女以出血为主要症状,其次为长线73例(26.02%),下腹疼痛45例(15.90%)。(5) 361名(61.29%)妇女满意并继续使用该方法。结论PPIUCD保留率高。在宫内节育器中,自然排出物较少,因为在插入时确保了底部放置。出血问题是主要的主诉和切除PPIUCD的主要原因。