Experience of Women after Immediate Postpartum Insertion of Intrauterine Contraceptive Device (PPIUCD), a Long-Acting Reversible Contraception.

Autor: Ali, Fauzia, Munim, Tazeen Fatima, Nadeem, Shabnam, Khatoon, Aisha, Masood, Zubaida
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Zdroj: Annals of Abbasi Shaheed Hospital & Karachi Medical & Dental College; Mar2022, Vol. 27 Issue 1, p16-22, 7p
Abstrakt: Objectives: To assess women's experience after immediate postpartum insertion of an intrauterine contraceptive device (PPIUCD), long-acting reversible contraception. Methods: This prospective and longitudinal study was conducted from February 2019 to September 2019 in Gynaecology and Obstetrics department Unit 1 at Abbasi Shaheed Hospital over 8 months. All booked and non-booked women who delivered in the hospital and received immediate postpartum intrauterine contraceptive device (PPIUCD), either post placental, intra cesarean, or within 48 hours after delivery, were included in the study. Written consent was taken for the contraceptive device insertion. Verbal consent was taken to fill the proforma, which included basic demographic information on their overall experience with the postpartum intrauterine contraceptive device. The immediate experience was measured by assessing the pain during the procedure and post-insertion period. All participants were further followed at six weeks and 6 months to collect information about any complaint, removal of IUCD and overall experience. Results: The mean age was 27.3 years with a standard deviation (SD) of 4.42. Among all the participants, 77 (54.6%) had a Cesarean section, and 64(45.4%) had a vaginal delivery. 5 (3.5%) had complained of mild pain during the procedure. Discomfort during intercourse was found in 14 (11.97%) participants at six weeks postpartum.7 (5.98%) at 6 weeks and 9 (7.96%) at 6 months removed the IUCD. Around 86 (73.5%) participants at 6 weeks and 78 (69.03%) participants at 6 months had no complaints. Overall experience was found satisfactory in 86 (73.5%) participants. Conclusion: Postpartum intrauterine contraceptive device (PPIUCD) provided a satisfactory experience to the majority of the women, and they preferred to choose again. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index