INTRAUTERINE CONTRACEPTIVE DEVICE

EFFECTIVENESS COMPARISON OF POSTPARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) VERSUS INTERVAL IUCD

Abstract

Objectives: To compare the frequency of effectiveness of postpartum IUCD
(PPIUCD) with interval IUCD at Tertiary care Hospital in Hyderabad. Study Design: Randomized
controlled trial. Setting: Gynaecological and Obstetrical Department, Liaquat University
Hospital, Hyderabad. Period: Six months from February 2016 to July 2016. Material and
Methods: Total 100 women were studied. All the women with age 18 to 40 years, having at
least one alive child were included in the study. Women were divided in two groups according to
contraception methods of IUCD (50 women in each group). In Group-A IUCD were inserted after
placental delivery within 10 minutes to 48 hours (PPIUCD) and in group-B IUCD were inserted
any time of women’s menstrual cycle (Interval IUCD). All the women were followed for 6 months.
All the data regarding effectiveness among both groups was recorded. Results: Mean ± SD
age of group-A (PPIUCD) patients was 26.02 ± 5.87 years while group-B (Interval IUCD) was
26.34 ± 5.95 years. Majority of patient’s i-e; 76.0% of group-A and 68.0% of group-B were from
urban areas. IUCD was successfully place among 94.0% women of group-A and among 98.0%
women in group-B. At the end of 6 months follow-up, 86.0% patients of group-A continued
PPIUCD while in group-B, 96.0% women continued Interval IUCD. After 6 months follow-up,
effectiveness of IUCD was 90.0% in group-B and 80.0% in group-A. Stratified analysis revealed
that there was a non-significant effect of age on effectiveness of IUCD among both groups (P
values= 0.094 & 0.223 respectively) so was the parity (P values= 0.384 & 0.747 respectively).
Conclusion: It was concluded that interval IUCD found to be effective method as compare to
post postpartum IUCD (PPIUCD). While women have recently given birth to neonate were more
agreed to practice of PPIUCD, due to its quick insertion.