A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE

Objective: To compare the safety and efficacy of post partum intrauterine contraceptive device with interval intrauterine contraceptive device, to avoid unplanned pregnancies. Study Design: Quasi-experimental study. Place and Duration of Study: Gynaecology and Obstetrics Department, Combined M...

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Autores principales:	Nadia Arif, Bushra Zafar, Raja Qaseem Ahmed, Farrukh Shehzad
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	acceptability contraception efficacy intrauterine contraceptive device Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/021b065d8e0e4c3a9a9ae7b28cfc2630
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spelling	oai:doaj.org-article:021b065d8e0e4c3a9a9ae7b28cfc26302021-12-02T17:20:37ZA STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE0030-96482411-8842https://doaj.org/article/021b065d8e0e4c3a9a9ae7b28cfc26302020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5576https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the safety and efficacy of post partum intrauterine contraceptive device with interval intrauterine contraceptive device, to avoid unplanned pregnancies. Study Design: Quasi-experimental study. Place and Duration of Study: Gynaecology and Obstetrics Department, Combined Military Hospital (CMH) Okara, from Aug 2019 to Jul 2020 Methodology: One hundred patients were included in the study. Divided in 2 groups, group A (post partum intrauterine contraceptive device, n=50) patients underwent cesarean section under spinal anesthesia, after removal of placenta and membranes contraceptive device was placed near fundus with fingers and incision was closed. In group B (interval intrauterine contraceptive device, n=50) and intrauterine contraceptive device was placed 6 weeks postpartum. Post insertion follow up was at 6 weeks and then 6 months. Efficacy was assessed by the continuation rate and safety, by presence or otherwise of heavy menstrual bleeding, lost threads, abnormal vaginal discharge and pain abdomen on follow up visits. Results: Efficacy in group A was 46 (92%) and in group B 40 (80%). Safety that is heavy menstrual bleeding 3 (6%) and 5 (10%), lost threads 3 (6%) and 1 (2%), abnormal vaginal discharge 2 (4%), and 3 (6%), and pain abdomen 1 (2%) and 2 (4%) in groups A and B respectively. Conclusion: Postpartum intrauterine contraceptive device insertion was found to be effective and safe method as compared to interval intrauterine contraceptive device. Successful placement, continuation and retention rate were significantly higher in post placental intra uterine contraceptive device insertion.Nadia ArifBushra ZafarRaja Qaseem AhmedFarrukh ShehzadArmy Medical College Rawalpindiarticleacceptabilitycontraceptionefficacyintrauterine contraceptive deviceMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1419-1423 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	acceptability contraception efficacy intrauterine contraceptive device Medicine R Medicine (General) R5-920
spellingShingle	acceptability contraception efficacy intrauterine contraceptive device Medicine R Medicine (General) R5-920 Nadia Arif Bushra Zafar Raja Qaseem Ahmed Farrukh Shehzad A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE
description	Objective: To compare the safety and efficacy of post partum intrauterine contraceptive device with interval intrauterine contraceptive device, to avoid unplanned pregnancies. Study Design: Quasi-experimental study. Place and Duration of Study: Gynaecology and Obstetrics Department, Combined Military Hospital (CMH) Okara, from Aug 2019 to Jul 2020 Methodology: One hundred patients were included in the study. Divided in 2 groups, group A (post partum intrauterine contraceptive device, n=50) patients underwent cesarean section under spinal anesthesia, after removal of placenta and membranes contraceptive device was placed near fundus with fingers and incision was closed. In group B (interval intrauterine contraceptive device, n=50) and intrauterine contraceptive device was placed 6 weeks postpartum. Post insertion follow up was at 6 weeks and then 6 months. Efficacy was assessed by the continuation rate and safety, by presence or otherwise of heavy menstrual bleeding, lost threads, abnormal vaginal discharge and pain abdomen on follow up visits. Results: Efficacy in group A was 46 (92%) and in group B 40 (80%). Safety that is heavy menstrual bleeding 3 (6%) and 5 (10%), lost threads 3 (6%) and 1 (2%), abnormal vaginal discharge 2 (4%), and 3 (6%), and pain abdomen 1 (2%) and 2 (4%) in groups A and B respectively. Conclusion: Postpartum intrauterine contraceptive device insertion was found to be effective and safe method as compared to interval intrauterine contraceptive device. Successful placement, continuation and retention rate were significantly higher in post placental intra uterine contraceptive device insertion.
format	article
author	Nadia Arif Bushra Zafar Raja Qaseem Ahmed Farrukh Shehzad
author_facet	Nadia Arif Bushra Zafar Raja Qaseem Ahmed Farrukh Shehzad
author_sort	Nadia Arif
title	A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE
title_short	A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE
title_full	A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE
title_fullStr	A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE
title_full_unstemmed	A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE
title_sort	study on the comparison of safety and efficacy of post partum intrauterine contraceptive device (ppiucd) with interval intrauterine contraceptive device
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/021b065d8e0e4c3a9a9ae7b28cfc2630
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A STUDY ON THE COMPARISON OF SAFETY AND EFFICACY OF POST PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD) WITH INTERVAL INTRAUTERINE CONTRACEPTIVE DEVICE

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