Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up OutcomesReportar como inadecuado




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International Journal of Reproductive Medicine - Volume 2016 2016, Article ID 7695847, 5 pages -

Research Article

Department of Obstetrics and Gynaecology, Pt. BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana 124001, India

Haryana Civil Medical Services, University of Health Sciences, Rohtak, Haryana 124001, India

Pt. BD Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana 124001, India

Received 26 April 2016; Revised 21 July 2016; Accepted 31 July 2016

Academic Editor: Daniel Vaiman

Copyright © 2016 Reetu Hooda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Immediate postpartum intrauterine contraceptive device IPPIUCD is a lucrative postpartum family planning method which provides effective reversible contraception to women in the delivery setting. Our aim was to study the clinical outcomes of IPPIUCD insertions and compare them as a factor of route of insertion vaginal versus caesarean. Methods. This is a retrospective analytical study done in a tertiary care teaching institute. A Cohort of 593 vaginal and caesarean deliveries with IPPIUCD insertions, over a two-year period, was studied and compared for follow-up results. Outcome measures were safety perforation, irregular bleeding, unusual vaginal discharge, and infection, efficacy pregnancy, expulsions, and discontinuations, and incidence of undescended IUCD strings. Descriptives were calculated for various outcomes and chi square tests were used for comparison in between categorical variables. Results. Overall complication rates were low. No case of perforation or pregnancy was reported. Spontaneous expulsions were present in 5.3% cases and were significantly higher in vaginal insertions . The incidence of undescended strings was high 38%, with highly significant difference between both groups . Conclusion. IPPIUCD is a strong weapon in the family planning armoury and should be encouraged in both vaginal and caesarean deliveries. Early follow-up should be encouraged to detect expulsions and tackle common problems.





Autor: Reetu Hooda, Sonika Mann, Smiti Nanda, Anjali Gupta, Hemant More, and Jaikrit Bhutani

Fuente: https://www.hindawi.com/



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