A Comparative study of early postpartum IUCD insertion to interval IUCD insertion at Tertiary Care Centre

Background: A Comparative study of early postpartum IUCD insertion to interval IUCD insertion at Tertiary Care Centre.Methods: This prospective study was conducted among 100 women at tertiary care centre, Haldwani, Nainital. Patients were divided in to two groups. Group A (n=50)-post placental insertion within 10 minutes of delivery of placenta. Group B (n=50)-Interval insertion after 6 weeks of delivery. Both groups were compared in terms of pain abdomen, bleeding, missing thread, expulsion, infection, UTI, perforation, pregnancy immediately after insertion, after 6 weeks and after 6 months.Result: At the time of insertion there was more difficulty in insertion and cramps in interval group than post placental group (14% vs 4% and 24% vs 12%). At the end of 6 months lower abdominal pain and excessive bleeding less in post placental than interval period (5.12% vs 11.90% and 5.12% vs 14.28%). There was no case of perforation or pregnancy in both the groups. There were less cases of missing thread ,vaginal discharge, UTI and removal rate in post placental group as compare to interval group(2.56% vs 9.52%,7.69% vs 14.28% , 5.12% vs 9.52% and 5.12% vs 11.90%). Expulsion rate was more in post placental group (2.56% vs 0%). At the end of 6 month continuation rate was more in post placental group than interval group (92.30% vs 88.09%)Conclusion: Post placental IUCD is thus found to be more effective, safe and better mean of contraception when compared with Interval period.