Effectiveness of Intrauterine Contraceptive Device in Immediate Post-Partum Period

• Published in: Pakistan Armed Forces medical journal 2024-10, Vol.74 (5), p.1471-1475
• Main Authors: Farooq, Sahar, Maria Arshad, Majeed, Kaukab, Mehreen Mehdi Naqvi, Kinza Alam, Usman Khalid
• Format: Article
• Language: English
• Subjects: Birth control; Body mass index; Cesarean section; Childbirth & labor; Females; Gestational age; Intrauterine devices; IUD; Oral contraceptives; Parity; Placenta; Postpartum period; Pregnancy; Ultrasonic imaging; Vagina; Womens health
• ISSN: 0030-9648; 2411-8842
• DOI: 10.51253/pafmj.v74i5.9860

  Objective: To determine the effectiveness of intra-Uterine Contraceptive Device (IUCD) in immediate postpartum period for prevention of pregnancy. Study Design: Quasi-experimental study Place And Duration Of Study: Department of Obstetrics and Gynecology, POF Hospital Wah Cantt. Pakistan, from Jan to Jun 2021. Methodology: A total of 100 women, aged 20-40 years, and parity 1-4 undergoing delivery either through normal vaginal (Group-A) or Cesarean section (Group-B) who accepted Long-Acting Reversible Contraceptives (LARC) in postpartum period were included. IUCDs were placed within 48 hours of delivery. The females were followed up after first menstruation up to 3 to 6 weeks on the phone and were recalled in OPD for assessment. The primary outcome was frequency of expulsion of IUCDs and secondary outcome was pregnancy. Results: Out of the 56 patients in Group-A, 54 (96.4%) didn’t become pregnant. Only 2(3.6%) patients had positive pregnancy test. Forty out of forty-four subjects in Group-B (90.90%) did not develop pregnancy, which shows that IUCD (Cu-T) is an effective means of contraception (p value