COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL

Objective: To compare the acceptability of insertion of post placental intra uterine contraceptive device, with respect to gravidity between vaginal deliveries and caesarean sections. Study Design: Prospective comparative study. Place and Duration of Study: Frontier Corp Hospital, Quetta, fro...

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Autores principales: Saira Tasneem, Sanum Kashif, Erum Pervaiz, Faisal Azam
Formato: article
Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2020
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Acceso en línea:https://doi.org/10.51253/pafmj.v70i6.3988
https://doaj.org/article/f617ba36b01049858478f7ea873b120d
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spelling oai:doaj.org-article:f617ba36b01049858478f7ea873b120d2021-12-02T17:16:15ZCOMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITALhttps://doi.org/10.51253/pafmj.v70i6.39880030-96482411-8842https://doaj.org/article/f617ba36b01049858478f7ea873b120d2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3988https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the acceptability of insertion of post placental intra uterine contraceptive device, with respect to gravidity between vaginal deliveries and caesarean sections. Study Design: Prospective comparative study. Place and Duration of Study: Frontier Corp Hospital, Quetta, from Jan 2019 to Jan 2020. Methodology: A total of 399 females with age of 18 to 45 years with gravidity (primi, multi and grand multi gravida) were counselled during antenatal visits about benefits and risks of post placental intrauterine contraceptive device (PPIUCD) insertion. For complications, females were assessed at 1 and 6 weeks after delivery. Results: A total of 399 females with mean age 27.95 ± 5.07 years were included in study. About 235 (55.9%) women delivered vaginally and 164 (41.4%) women by caesarean section. Acceptance rate was 3.8% and 4.3% for vaginal and caesarean deliveries respectively. Eleven (73.3%) women were grand multi gravida and 4 women (26.6%) were multi gravid in vaginal delivery acceptance group versus 8 women (47%) grand multi and 9 women (52.9%) multi gravida in caesarean acceptance group. Five (15%) females presented with complications (3 with abdominal pain and 1 each with infection and expulsion). Conclusion: The overall acceptance rate of PPIUCD was low in this study, the acceptance rate was higher in women undergoing normal vaginal delivery (NVD) as compared to lower segment caesarean section (LSCS), similarly more of the grand multiparas accepted the method as compared to other participants however the differences were not statistically significant.Saira TasneemSanum KashifErum PervaizFaisal AzamArmy Medical College Rawalpindiarticlecaesarean sectionintrauterine contraceptive devicenormal vaginal deliverylong acting reversible contraceptiveMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 6, Pp 1707-1711 (2020)
institution DOAJ
collection DOAJ
language EN
topic caesarean section
intrauterine contraceptive device
normal vaginal delivery
long acting reversible contraceptive
Medicine
R
Medicine (General)
R5-920
spellingShingle caesarean section
intrauterine contraceptive device
normal vaginal delivery
long acting reversible contraceptive
Medicine
R
Medicine (General)
R5-920
Saira Tasneem
Sanum Kashif
Erum Pervaiz
Faisal Azam
COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
description Objective: To compare the acceptability of insertion of post placental intra uterine contraceptive device, with respect to gravidity between vaginal deliveries and caesarean sections. Study Design: Prospective comparative study. Place and Duration of Study: Frontier Corp Hospital, Quetta, from Jan 2019 to Jan 2020. Methodology: A total of 399 females with age of 18 to 45 years with gravidity (primi, multi and grand multi gravida) were counselled during antenatal visits about benefits and risks of post placental intrauterine contraceptive device (PPIUCD) insertion. For complications, females were assessed at 1 and 6 weeks after delivery. Results: A total of 399 females with mean age 27.95 ± 5.07 years were included in study. About 235 (55.9%) women delivered vaginally and 164 (41.4%) women by caesarean section. Acceptance rate was 3.8% and 4.3% for vaginal and caesarean deliveries respectively. Eleven (73.3%) women were grand multi gravida and 4 women (26.6%) were multi gravid in vaginal delivery acceptance group versus 8 women (47%) grand multi and 9 women (52.9%) multi gravida in caesarean acceptance group. Five (15%) females presented with complications (3 with abdominal pain and 1 each with infection and expulsion). Conclusion: The overall acceptance rate of PPIUCD was low in this study, the acceptance rate was higher in women undergoing normal vaginal delivery (NVD) as compared to lower segment caesarean section (LSCS), similarly more of the grand multiparas accepted the method as compared to other participants however the differences were not statistically significant.
format article
author Saira Tasneem
Sanum Kashif
Erum Pervaiz
Faisal Azam
author_facet Saira Tasneem
Sanum Kashif
Erum Pervaiz
Faisal Azam
author_sort Saira Tasneem
title COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
title_short COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
title_full COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
title_fullStr COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
title_full_unstemmed COMPARISON OF POST PLACENTAL INTRAUTERINE CONTRACEPTIVE DEVICE INSERTION BETWEEN VAGINAL DELIVERY AND CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
title_sort comparison of post placental intrauterine contraceptive device insertion between vaginal delivery and caesarean section in a tertiary care hospital
publisher Army Medical College Rawalpindi
publishDate 2020
url https://doi.org/10.51253/pafmj.v70i6.3988
https://doaj.org/article/f617ba36b01049858478f7ea873b120d
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AT sanumkashif comparisonofpostplacentalintrauterinecontraceptivedeviceinsertionbetweenvaginaldeliveryandcaesareansectioninatertiarycarehospital
AT erumpervaiz comparisonofpostplacentalintrauterinecontraceptivedeviceinsertionbetweenvaginaldeliveryandcaesareansectioninatertiarycarehospital
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