Research article
Study of outcome of Intrauterine Contraceptive device (CuT-380A) insertion immediately after vaginal delivery
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Department of Obstetrics and Gynecology, Agartala Government Medical College, Agartala, Tripura University (A Central University), Suryamaninagar, Tripura, India
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Received:
14 August 2020
Accepted:
23 November 2020
Published:
07 December 2020
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Introduction
Closely spaced pregnancies are associated with adverse outcomes both for mother and foetus. The recommendations based on the results of technical consultants for healthy timing & spacing of pregnancies (HTSP) are that after a live birth, a woman should wait at least 24 months but not more than 5 years before attempting the next pregnancy to reduce the health risks and better outcome for the mother & baby. Here, our study was to see the effects of IUCD (CuT-380A) insertion immediately after vaginal delivery for spacing.
Methods
This study was done at Agartala Government Medical College (AGMC) and GBP Hospital for one & half years (Jan'16–June'17). Antenatal mother of term pregnancy were counselled. They were recruited from Gynae OPD & emergency and evaluated for different outcomes at 6th, 12th& 18th months in terms of different complications.
Results
Total of 200 women of term period of gestation (POG) where counselled and 55 women participated in this study. Common complications were expulsion of IUCD 5 (9.1%) at 6th month & bleeding per vagina 3 (5.5%) at one year. Expulsion of IUCD at one & half year was 5 (9.1%) and infection 1 (1.8%). 23 (42.6%) subjects continued with IUCD.
Conclusion
Major complications are low here, but still outcomes in terms of different parameters are not encouraging. Health workers at different levels can overcome this gap to improve the outcome. All our efforts should be made to enhance the field activities in making people aware about PPIUCD.
Citation: Dhruba Prasad Paul, Jayanta Ray, Sharmistha Sarkar. Study of outcome of Intrauterine Contraceptive device (CuT-380A) insertion immediately after vaginal delivery[J]. AIMS Medical Science, 2020, 7(4): 328-336. doi: 10.3934/medsci.2020022
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Abstract
Introduction
Closely spaced pregnancies are associated with adverse outcomes both for mother and foetus. The recommendations based on the results of technical consultants for healthy timing & spacing of pregnancies (HTSP) are that after a live birth, a woman should wait at least 24 months but not more than 5 years before attempting the next pregnancy to reduce the health risks and better outcome for the mother & baby. Here, our study was to see the effects of IUCD (CuT-380A) insertion immediately after vaginal delivery for spacing.
Methods
This study was done at Agartala Government Medical College (AGMC) and GBP Hospital for one & half years (Jan'16–June'17). Antenatal mother of term pregnancy were counselled. They were recruited from Gynae OPD & emergency and evaluated for different outcomes at 6th, 12th& 18th months in terms of different complications.
Results
Total of 200 women of term period of gestation (POG) where counselled and 55 women participated in this study. Common complications were expulsion of IUCD 5 (9.1%) at 6th month & bleeding per vagina 3 (5.5%) at one year. Expulsion of IUCD at one & half year was 5 (9.1%) and infection 1 (1.8%). 23 (42.6%) subjects continued with IUCD.
Conclusion
Major complications are low here, but still outcomes in terms of different parameters are not encouraging. Health workers at different levels can overcome this gap to improve the outcome. All our efforts should be made to enhance the field activities in making people aware about PPIUCD.
Acknowledgments
We would like to thank our colleagues and hospital staffs who provided expertise that greatly assisted the research and would also like to thank the participants in our research, who have willingly shared their precious time during the process.
Conflict of interest
All authors declare no conflicts of interest in this article.
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