“Frequency of trans caesarean insertion of intrauterine contraceptive device: A single center experience”.

Abstract

Objectives: Our objective was to determine frequency Trans-caesarean insertion of intrauterine device, complications associated with IUDs and to evaluate reasons for not using IUDs. Study Design: A Retrospective study. Setting: Department of Gynecology and Obstetrics, Combined Military Hospital (CMH), Nowshera. Period: January 2019 to June 2019. Material & Methods: During these 6 months, data of 210 women from January 2017-December 2018 was reviewed and analyzed. Data regarding frequency of trans caesaearan intra uterine device insertion, its complication and reasons of not insertion was collected. SPSS (version 24) used for data analysis process. Chi-square test was applied. P value ≤0.05 was significant. Results: Total 210 women were included in study. Mean age was 31.2 years±4.2SD. Frequency of IUCD insertion was 91(43%). Most common reason for not insertion of IUD was urge for baby boy or girl 23.8%. Most common complication was bleeding 5.2%. A significant association between IUD insertion and age (p=0.04), education (p=0.000) and employment status (p=0.001), gravid (p=0.000) and previous use of contraceptive (p=0.05). Conclusion: A relatively high trans-caesarean IUD frequency was observed with limited complications in our study.