| Autor: |
Bairwa, Mahendra Kumar, Nimodia, Vinika, Anand, Ujjwala, Bhardwaj, Garima |
| Předmět: |
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| Zdroj: |
Pravara Medical Review; Dec2023, Vol. 15 Issue 4, p67-75, 9p |
| Abstrakt: |
Background: Use of intrauterine contraceptive device is simpler, less expensive and immediately reversible. An interval of 3 years is advocated between 2 consecutive pregnancies more so in women undergoing caesarean section. Short inter conception period after Caesarean section is associated with increased morbidity, mortality and repeat caesarean section that can be avoided by post placental CuT 380A insertion during caesarean section. Aims and Objectives: To compare clinical outcome of post placental Intra uterine contraceptive device insertion in women undergoing caesarean section with that of insertion in women after normal vaginal delivery. Material and Methods: Study was conducted in the Department of Obstetrics & Gynaecology in Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi. Eighty subjects who met the selection criteria were included out of which study group 1 included 40 women who underwent post placental IUCD insertion after Caesarean section and Group 2 included 40 women who underwent post placental IUCD insertion after normal vaginal delivery. Results: Upto 3 months follow up expulsion rate in vaginal delivery group was higher as compared to LSCS group. Overall the expulsion rate was 7.5% at 3 months Continuation rate was higher in LSCS group as compared to vaginal delivery group at 6 weeks. Continuation rate was also higher in LSCS group as compared to vaginal delivery group up 3 month follow up. Most common complication was excessive vaginal bleeding, about 22.5% of subjects had complain of excessive vaginal bleeding at 6 weeks follow up and about 24.3%. At 3 months follow up more patients in Vaginal delivery group (15%) had complain of excessive vaginal bleeding as compared to LSCS group (10.5%) (P=0.39). Overall 18.8% of subjects had excessive bleeding at 3 months follow up Complication like expulsion, pain, bleeding were higher in vaginal delivery as compared to LSCS. Continuation was lower in vaginal delivery as compared to LSCS. Most common cause for removal was excessive bleeding and pain. No case of perforation or pregnancy occurred in LSCS or NVD group. The possible reason for low perforation rate in post placental insertion is due to thick uterine wall. Conclusion: PPIUCD insertion is an effective, safe, convenient, low cost and long term method of post-partum contraception. We recommend that, it should be routinely offered to all eligible post-partum women undergoing institutional deliveries. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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