DOI: 10.36347/sajb.2017.v05i05.001

Pages: 330-333

An intrauterine device (IUD) is an effective form of long acting reversible contraception. In developing countries for women with limited access to medical care, term delivery provides an important opportunity to address the need for contraception the specific advantages of an IUCD placed in the immediate postpartum period includes its easy accessibility, acceptability, safety, convenience and high motivation. The present study was planned to evaluate various outcomes of insertion of immediate post- partum IUD in terms of complications, expulsions, and removal and continuation rates. Three hundred women with term pregnancies delivering vaginally were included in the study. Cu T 380A was inserted using a ring forceps within 10 min of removing the placenta. The participants were examined immediately after Cu T insertion, and then at 6 weeks, 6 months and 1 year. There were no serious complications associated with post placental IUCD insertion. The cumulative rates of expulsion, removal for bleeding/pain were 19 and 6.3 per 100 women per year, respectively. The continuation rate at the end of 1 year was 74.67%. This study suggests that though expulsion rate after immediate post placental IUD insertion within 10 minutes of placental delivery is relatively high, but, otherwise it is a safe and effective form of contraception.