Acceptability, continuation and satisfaction of postpartum intrauterine contraceptive device (PPIUCD) and delayed insertion: a comparative study
International Journal of Reproduction Contraception Obstetrics and Gynecology
Postpartum period is an ideal time to counsel and begin contraception as women are strongly motivated at this time, also being convenient for both patients and health-care providers. Copper T 380A is a safe, highly effective method of contraception and has become the method of choice of many women for attaining their reproductive goals.Methods: It was a prospective study conducted from February 2012 and November 2013 in the Department of Obstetrics and Gynecology, JNMCH, AMU, Aligarh,
... Aligarh, U.P.Results: 386 clients were counseled for immediate postpartum IUCD insertion (GROUP-I), out of which 34.2% clients accepted for insertion but 24.3% actually got it inserted. 337 clients were counseled for extended IUCD insertion (GROUP-II) out of these 61.1% clients accepted but only 16.5% actually got it inserted. 10.63%, 6.02% and 5.19% clients in GROUP-I and 16.22%, 13.11%, 11.54% GROUP-II went lost to follow up at 6 weeks, 3 months and 6 months respectively. Continuation rates in GROUP-I after 6 months was 73.4% in GROUP-I and 59.5% in GROUP-II. Among the clients who continued, 92.7% were satisfied in GROUP-I and 81.8% in GROUP-II.Conclusions: Immediate postpartum IUCD has better acceptability, continuation and satisfaction profile when compared to extended insertion.