DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20150088

A comparative study of clinical outcomes of post placental insertion versus interval insertion of Copper T 380A intrauterine device

Suchi Gupta, Shubha Sagar Trivedi, Ratna Biswas

Abstract


Background: The objective of this study was to study the safety and efficacy of PPIUCD insertion and to compare it with interval insertion.

Methods: A prospective study was conducted enrolling 100 women as study group (PPIUCD) and 100 as control group (interval CuT insertion). All women were followed up for 6 months and clinical outcomes were measured in terms of safety, efficacy, effect on menstrual cycles and continuation rates. Chi square test was used to detect differences in the rate of clinical outcomes, and P <0.05 was considered statistically significant.

Results: Spontaneous expulsions were more in study group, but the difference was not significant. Number of women having missing thread was significantly higher in study group. Total number of CuT removals and incidence of pelvic infection were significantly higher in controls. Number of women complaining of menorrhagia were more in control group and continuation rate at 6 months was higher in study group, but this difference was not statistically significant. No case of pregnancy or perforation occurred in either group.

Conclusions: PPIUCD is an effective, safe, convenient, low cost and long term method of post-partum contraception.


Keywords


PPIUCD-post placental IUCD, CuT-Copper T 380A, Expulsion, Missing thread, Menorrhagia, Removal

Full Text:

PDF

References


Echeverry G. Family planning in the immediate postpartum period. Stud Family Plann. 1973;4:33-5.

Kapp N, Curtis KM. Intrauterine device insertion during the postpartum period: a systematic review. Contraception. 2009;80(4):327-36.

USAID. Postpartum IUCD reference manual. Ministry of health and family welfare, government of India, 2010. Available at: http:// pdf.usaid.gov/pdf_docs/PNADW249.pdf. Accessed 6 April 2014.

Chi IC, Zhou SW, Balogh S, NG K. Post-caesarean section insertion of intrauterine devices. Am J Public Health. 1984;74(11):1281-2.

Bharti P, Thakur RR. Postpartum intrauterine contraceptive device-killing two birds with the same stone. RCOG World Congress, 2014. Available at: http://www.epostersonline.com/rcog2014/?q=node/1003. Accessed 4 September 2014.

Chi IC, Wilkins L, Roger S. Expulsion in immediate postpartum insertions of lippes loop D and CuT IUD’s and their counterpart delta devices-an epidemiological analysis. Contraception. 1985;32:119-34.

Kaneshiro B, Aeby T. Long-term safety, efficacy, and patient acceptability of the intrauterine CuT-380A contraceptive device. Int J Women’s Health. 2010;2:211-20.

Xu JX, Rivera R, Dunson TR, Zhuang LQ, Yang XL, Ma GT, et al. A comparative study of two techniques used in immediate post placental insertion (IPPI) of the CuT 380A IUD in Shanghai, People’s Republic of China. Contraception. 1996;54(1):33-8.

Villanueva Y, Hernández L, Mendoza I, Lundgren R. Expansion of the auxiliary nurses’ role in the offering of family planning services and in the taking of Pap smears. INOPAL III Final Report. Tegucigalpa, Honduras: Population Council; 1998. Celen S, Moroy P, Sucak A, Aktulay A, Danisman N. Clinical outcomes of early post placental insertion of intrauterine contraceptive devices. Contraception. 2004;69:279-82.

O’Hanley K, Huber DH. Postpartum IUDs: keys for success. Contraception. 1992;45(4):351-61.

Eroglu K, Akkuzu G, Vural G, Dilbaz B, Akin A, Taskin L, et al. Comparison of efficacy and complications of IUD insertion in immediate post placental/early postpartum period with interval period: 1 year follow-up. Contraception. 2006;74(5):376-81.

Mohllajee AP, Curtis KM, Peterson HB. Does insertion and use of an intrauterine device increase the risk of pelvic inflammatory disease among women with sexually transmitted infection? A systematic review. Contraception. 2006;73:145-53.

Tatum HJ, Beltran RS, Ramos R, Van KH, Sivin I, Schmidt FH. Immediate post placental insertion of GYNE-T 380 and GYNE-T 380 Postpartum intrauterine contraceptive devices: randomized study. Am J Obstet and Gynecol. 1996;175(5):1231-5.

Celen S, Moroy P, Sucak A, Aktulay A, Danisman N. Clinical outcomes of early post placental insertion of intrauterine contraceptive devices. Contraception. 2004;69:279-82.

Chen BA, Hayes JL, Hohmann HL, Perriera LK, Reeves MF, Creinin MD. A randomized trial of post placental compared to delayed insertion of the levonorgestrel-releasing intrauterine device after vaginal delivery. Contraception. 2009;80(2):205.

Jeffrey F. Peipert, Qiuhong Zhao, Jenifer E. Allsworth, Emiko Petrosky, Tessa Madden, David Eisenberg. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011;117(5):1105-13.