Comparison of Complication of Postpartum Intrauterine Contraceptive Device With Interval Placed IUCD

PPIUCD VS Interval Placed IUCD

Authors

  • Hina Khalid Department of Obstetrics and Gynecology, Lady Willingdon Hospital, Lahore, Pakistan
  • Sadaf Zahra Syed Department of Obstetrics and Gynecology, Fatima Jinnah Medical University, Lahore, Pakistan/Department of Obstetrics and Gynecology, Sir Ganga Ram Hospital, Lahore, Pakistan
  • Fatima Waheed Department of Obstetrics and Gynecology, Lady Willingdon Hospital, Lahore, Pakistan/Department of Obstetrics and Gynecology, King Edward Medical University/Mayo Hospital, Lahore, Pakistan
  • Fouzia Iqbal Department of Obstetrics and Gynecology, Lady Willingdon Hospital, Lahore, Pakistan
  • Quraa Mehmud Department of Obstetrics and Gynecology, Sir Ganga Ram Hospital, Lahore, Pakistan
  • Aysha Khalid Shalamar Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i10.1018

Keywords:

PPIUCD, Complications, Interval Placed

Abstract

For prevention of unintended and closed interval pregnancies through the first year following childbirth, postpartum family the planning is required. A wide range of reliable and cost-effective contraceptive methods are available for postpartum women. Objective: To compare the frequency of complications of postpartum intrauterine contraceptive device (PPIUCD) versus interval placed intrauterine contraceptive device (IUCD). Methods: It was a randomized control clinical trial which was conducted in Unit 3, Department of Obstetrics & Gynecology, Lady Willingdon Hospital, Lahore. The time period of this study was 6 months extending from January 2018 to June 2018. After fulfilling the inclusion criteria, 160 patients were enrolled in the study. These patients were followed up for time period of 6 months in both groups. The complications named perforation, pelvic infection and expulsion were noted. All the gathered information regarding variables was analyzed on SPSS version 20.0. Results: The mean age and gestational age of females of the PPIUCD group was 26.50±5.05 years and 38.94±1.42 weeks and interval IUCD group was 28.25±4.40 years and 39.08±1.29 weeks respectively. In this study the pelvic infection was noted in 8 females in which 2 were from PPIUCD group and 6 were from interval IUCD group. Statistically insignificant difference was found between the study groups with pelvic infection i.e. p-value=0.147.  Expulsion was noted in 1 female from PPIUCD group and 3 females from interval IUCD group. The difference was insignificant (p>0.05). Conclusions: There was no statistical difference found in frequency of complications with PPIUCD versus interval placed IUCD.

References

Hooda R, Mann S, Nanda S, Gupta A, More H, Bhutani J. Immediate postpartum intrauterine contraceptive device insertions in caesarean and vaginal deliveries: a comparative study of follow-up outcomes. International Journal of Reproductive Medicine. 2016 Aug; 2016: 7695847. doi: 10.1155/2016/7695847. DOI: https://doi.org/10.1155/2016/7695847

Yadav V, Balasubramaniam S, Das S, Srivastava A, Kumar S, Sood B. Comparison of outcomes at 6 weeks following postpartum intrauterine contraceptive device insertions by doctors and nurses in India: a case–control study. Contraception. 2016 Apr; 93(4): 347-55. doi: 10.1016/j.contraception.2015.12.012. DOI: https://doi.org/10.1016/j.contraception.2015.12.012

Gupta A, Verma A, Chauhan J. Evaluation of PPIUCD versus interval IUCD (380A) insertion in a teaching hospital of Western UP. International Journal of Reproduction Contraception Obstetrics and Gynecology. 2013 Jun; 2(2): 204-8. doi: 10.5455/2320-1770.ijrcog20130619. DOI: https://doi.org/10.5455/2320-1770.ijrcog20130619

Ali RA. Acceptability and safety of postpartum intrauterine contraceptive device among parturients at Muhimbili National Hospital, Tanzania (Doctoral dissertation, Muhimbili University). 2012. Available at: https://core.ac.uk/download/pdf/20266491.pdf.

Hurt KJ, Guile MW, Bienstock JL, Fox HE, Wallach EE. The Johns Hopkins manual of gynecology and obstetrics. Lippincott Williams & Wilkins; 2012.

Wikipedia. Intrauterine device. 2018. [Last cited: 20th Jun 2018]. Available at: https://en.wikipedia.org/wiki/Intrauterine_device.

Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, et al. Effectiveness of long-acting reversible contraception. New England Journal of Medicine. 2012 May; 366(21): 1998-2007. doi: 10.1056/NEJMoa1110855. DOI: https://doi.org/10.1056/NEJMoa1110855

de Gara LJ. Asia’s Missing Millions. Education About ASIA. 2017 Dec; 22(3): 56-58.

Devi S and Kaur G. Comparative study of early postpartum IUCD insertion to interval IUCD insertion. Journal of Evidence Based Medicine and Healthcare. 2016 Jul; 3(57): 2997-3000. doi: 10.18410/jebmh/2016/653. DOI: https://doi.org/10.18410/jebmh/2016/653

Jain N and Akhtar N. A study to compare the efficacy, safety & outcome of immediate postpartum intrauterine contraceptive device (PPIUCD) with that of delayed insertion. International Journal of Science and Research. 2015 Feb; 4(2): 1388-91.

Bednarek PH, Creinin MD, Reeves MF, Cwiak C, Espey E, Jensen JT. Immediate versus delayed IUD insertion after uterine aspiration. New England Journal of Medicine. 2011 Jun; 364(23): 2208-17. doi: 10.1056/NEJMoa1011600. DOI: https://doi.org/10.1056/NEJMoa1011600

Bhadra B, Burman SK, Purandare CN, Divakar H, Sequeira T, Bhardwaj A. The impact of using nurses to perform postpartum intrauterine device insertions in Kalyani Hospital, India. International Journal of Gynecology & Obstetrics. 2018 Sep; 143: 33-7. doi: 10.1002/ijgo.12602. DOI: https://doi.org/10.1002/ijgo.12602

Bajpai V. The challenges confronting public hospitals in India, their origins, and possible solutions. Advances in Public Health. 2014 Jul; 2014: 898502. doi: 10.1155/2014/898502. DOI: https://doi.org/10.1155/2014/898502

Achyut P, Benson A, Calhoun LM, Corroon M, Guilkey DK, Kebede E, et al. Impact evaluation of the urban health initiative in urban Uttar Pradesh, India. Contraception. 2016 Jun; 93(6): 519-25. doi: 10.1016/j.contraception.2016.02.031. DOI: https://doi.org/10.1016/j.contraception.2016.02.031

Janowitz B, Stanback J, Boyer B. Task sharing in family planning. Studies in Family Planning. 2012 Mar; 43(1): 57-62. doi: 10.1111/j.1728-4465.2012.00302.x. DOI: https://doi.org/10.1111/j.1728-4465.2012.00302.x

Eroğlu K, Akkuzu G, Vural G, Dilbaz B, Akın A, Taşkın L, et al. Comparison of efficacy and complications of IUD insertion in immediate postplacental/early postpartum period with interval period: 1 year follow-up. Contraception. 2006 Nov; 74(5): 376-81. doi: 10.1016/j.contraception.2006.07.003. DOI: https://doi.org/10.1016/j.contraception.2006.07.003

Jamkhandi SS and Tile R. Comparison of expulsion and complications of intrauterine device insertion in immediate post placental period with interval period: a prospective study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2016 Jul; 5(7): 2264-9. doi: 10.18203/2320-1770.ijrcog20162107. DOI: https://doi.org/10.18203/2320-1770.ijrcog20162107

Polus S, Lewin S, Glenton C, Lerberg PM, Rehfuess E, Gülmezoglu AM. Optimizing the delivery of contraceptives in low-and middle-income countries through task shifting: a systematic review of effectiveness and safety. Reproductive Health. 2015 Dec; 12(1): 1-3. doi: 10.1186/s12978-015-0002-2. DOI: https://doi.org/10.1186/s12978-015-0002-2

Eren N, Ramos R, Gray RH. Physicians vs. auxiliary nurse-midwives as providers of IUD services: a study in Turkey and the Philippines. Studies in Family Planning. 1983 Feb; 14(2): 43-7. doi: 10.2307/1965401. DOI: https://doi.org/10.2307/1965401

Lassner KJ, Chen CH, Kropsch LA, Oberle MW, Lopes I, Morris L. Comparative study of safety and efficacy of IUD insertions by physicians and nursing personnel in Brazil. Bulletin of the Pan American Health Organization (PAHO). 1995 Sep; 29(3): 206-15.

Blumenthal PD, Eber M, Vajpayee J. Dedicated inserter facilitates immediate postpartum IUD insertion. Global Health: Science and Practice. 2013 Nov; 1(3): 428-9. doi: 10.9745/GHSP-D-13-00151. DOI: https://doi.org/10.9745/GHSP-D-13-00151

Chi IC, Bardin CW, Mishell DR. Postpartum IUD insertion: timing, route, lactation, and uterine perforation. Proceedings from the Fourth International Conference on IUDs 1994: 219-27.

Agarwal N, Gupta M, Agrawal A, Sharma A. Efficacy and safety of Post-Partum Intrauterine Contraceptive device (PPIUCD) insertion-A prospective study. Santosh University Journal of Health Sciences. 2017; 3(1): 20-3. doi: 10.18231/2455-1732.2017.0006. DOI: https://doi.org/10.18231/2455-1732.2017.0006

Bano Z, Memon S, Ali Khan F. Comparative analysis of post-partum IUCD versus interval IUCD insertion: a study conducted in a tertiary care hospital in Karachi, Pakistan. International Journal of Research in Medical Sciences. 2020 May; 8(5): 2213-17. doi: 10.18203/2320-6012.ijrms20202269. DOI: https://doi.org/10.18203/2320-6012.ijrms20202269

Kumar S, Sethi R, Balasubramaniam S, Charurat E, Lalchandani K, Semba R, et al. Women’s experience with postpartum intrauterine contraceptive device use in India. Reproductive Health. 2014 Dec; 11: 1-6. doi: 10.1186/1742-4755-11-32. DOI: https://doi.org/10.1186/1742-4755-11-32

Downloads

Published

2023-10-31
CITATION
DOI: 10.54393/pjhs.v4i10.1018
Published: 2023-10-31

How to Cite

Khalid, H., Syed, S. Z., Waheed, F., Iqbal, F., Mehmud, Q., & Khalid, A. (2023). Comparison of Complication of Postpartum Intrauterine Contraceptive Device With Interval Placed IUCD: PPIUCD VS Interval Placed IUCD. Pakistan Journal of Health Sciences, 4(10), 36–40. https://doi.org/10.54393/pjhs.v4i10.1018

Issue

Section

Original Article

Plaudit