Efficacy assessment of post partum intra uterine contraceptive devices following caesarean section and vaginal birth.

Abstract

Objectives: To assess the relative efficacy of post-partum intra uterine contraceptive devices following cesarian and vaginal birth. Study Design: Retrospective study. Setting: Department of Obstetrics and Gynecology Unit B, Lady Reading Hospital, Peshawar, KPK, Pakistan. Period: September, 2020 to June, 2021. Material & Methods: Focusing 948 delivery cases after, the placental delivery intrauterine insertion was done by using CuT-380 A and directed towards cervix. Enough care was taken not to dislodge IUCD as hand is removed. Strings were guide towards lower uterine segment without disturbing IUCD’s fundal position. Patients were further monitored for six-month follow-up timecard to assess efficacy of applied contraception method. Results: Only 22 % (66) accepted intra-uterine contraception device intra-cesarian deliveries. In vaginal birth 241 women accepted intra-uterine contraception device. The Chi-Square test outcomes and P- value < 0.00001 represent significant acceptance trends (32.3 %) of intra-uterine contraceptive devices in both vaginal and intra-cesarian deliveries (Table.3.1). The mean of participants was 33.26 year ±5.109. About 231 (24.4 %) women were belonging from age range 15-29 year of age. Conclusion: The lack of women knowledge, attitude and mal practices using contraception devices are the key factors for heightened complexity like, expulsion and removal of the contraception devices in both intra-cesarian and vaginal deliveries. Early follow up and patient counselling are essential to minimize common problems associated with contraception device usage and improved efficacy.