Postpartum Intrauterine Contraceptive Device During Cesarean Section: Safe And Effective Procedure

Fozia Shaikh, Shazia Shaikh, Basma, Sonia, Tanweer Akhtar

Abstract

Objective

To determine the maternal outcome of postpartum intrauterine contraceptive device (PPIUCD) during cesarean section.

Study design

Cross sectional study.

Place & Duration of study

Department of Obstetrics & Gynaecology, Sheikh Zaid Women Hospital, CMC Shaheed Mohtarma Benazir Bhutto Medical University (SMBBU) Larkana, from June 2017 to June 2018.

Methodology

In women who underwent elective cesarean section, copper (Cu380 Ag) ICUD was placed in uterus following complete placental delivery and short thread pushed through the cervix. Women were followed at one and six weeks postoperatively. Variables collected included infection and expulsion of ICUD. Data were analyzed on SPSS 23. Mean and SD was calculated for age and gestational age. Frequency and percentages were calculated for categorical variables. Effect modifiers like age, gestational age and parity were addressed through stratification. Chi square test was applied and p<0.05 was taken as significant.

Results

Overall 133 patients underwent elective cesarean section. Patient’s ages were 25 to 35 years with the mean age of 29.59+-3.41 year. Majority of the women (n=80) were < 30 year of age. Mean gestational age of the patients was 37.64+-0.6 weeks. Majority of the women (n=124 - 93.2%) presented with < 38 weeks of gestation. Most of the women (n=99 - 74.4%) were para 3-4. Infection was found in 16 (12%) women whereas expulsion of device occurred in 7 (5.3%) women.

Conclusion

PPIUCD during cesarean section is safe and effective method for long term contraception with low frequency of expulsion and infection.

Key words

PPIUCD, Cesarean section, Uterine infection.