EXPULSION RATE OF PPIUCD AFTER VAGINAL DELIVERY.
Objectives: To determine the frequency of expulsion of post PPIUCD after spontaneous vaginal delivery. Study Design: Cross sectional study. Setting: Department of Obstetrics & Gynaecology Unit-II, Lady Willingdon Hospital, Lahore. Period: October 2013 to October 2014. Methodology: In this study the pregnant females delivering vaginally at any age of gestation were included. The cases were selected irrespective of gravida, parity and having age range of 18 years or more. The cases undergoing any instrumentation or surgical intervention were excluded. Then these cases were followed for 6 weeks postpartum and X ray was done to confirm the position of IUCD and absence of the radio opaque shadow reveal its expulsion. Results: In this study 150 pregnant females were selected. The mean age of the subjects was 29.13±4.46 years. PPIUCD expulsion was seen in 11 (7.33%) of cases. PPIUCD expulsion was more commonly seen in age group more than 30 years affecting 7 (8.33%) of cases with p=0.24. PPIUCD was also more often seen in cases with multiparous women where it was observed in 08 (7.55%) cases with p= 0.78. Conclusion: Expulsion of PPIUCD is not uncommon and is more common in cases with age more than 30 years and multiparous women.