Priya, R (2015) Study on acceptability and follow up of postpartum intrauterine contraceptive device in a tertiary care hospital. Masters thesis, Stanley Medical College, Chennai.
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Abstract
The summary of this study conducted at RSRM Lying in hospital in women who were willing for PPIUCD insertion is as follows. Eligible women were counselled and recruited on the basis of medical eligibility criteria. Women were excluded from the study if they are not willing for PPIUCD insertion, had ruptured membranes > 18 hours, maternal fever, uterine anomalies, myoma uterus, anaemia and postpartum haemorrhage. Among those who were counselled, 368 accepted for PPUCD insertion- the acceptance rate being 39.4%. Among those who accepted actual insertion was done in 362 (2 had distorted uterine cavity due to myoma uterus, 4 had PPH) – actual insertion rate being 38.8%. PPIUCD was inserted after getting an written informed consent. 300 cases (150 in post placental insertion, 150 in intra caesarean) were followed up at 6 weeks, 3months and 6 months. A detailed history was elicited and thorough general and systemic examination was done before PPIUCD insertion and during follow up. The results are interpreted by chi- square tests. CONCLUSION: This study was conducted to assess the acceptability of PPIUCD in order to address the need for postpartum spacing methods. Acceptance was found to be higher in primi parity and in age group 21-25 years. Follow up results show that PPIUCD was demonstrably safe, having no reported incidence of infection, failure, perforation with low rates of expulsion, bleeding and lost strings. Though expulsion rates are high in post placental group compared to intra caesarean group, the continuation rates were high in both groups and thus this method gives a great opportunity for postpartum woman to receive a long acting, safe contraceptive method before leaving the hospital – a step towards diminishing the unmet need of family planning.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | acceptability ; follow up ; postpartum intrauterine contraceptive device ; tertiary care hospital. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Devi S |
| Date Deposited: | 08 Oct 2018 16:07 |
| Last Modified: | 08 Oct 2018 16:07 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/9782 |
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