Jaydeb Mandal1 , Purnima Mandal2
BACKGROUND India is the second most populated country in the world with a high abortion rate. In spite of availability of various contraception methods, numerous unwanted and unplanned pregnancies occur. METHODS This prospective study of [post placental (within 10 minutes of placenta delivery) and post-surgical abortion (by dilatation & evacuation)] CU-T 380A intrauterine contraceptive devices (IUCD) insertion was conducted at our institution from January 2016 to December 2016. Follow up study was done one year of last insertion up to December 2017. Total 580 post placental IUCD (PPIUCD) insertion after natural delivery and total 140 post-surgical evacuation insertions were done. Out of 580 PPIUCD insertion women, 394 (68%) and out of 140 post-surgical evacuation insertion women 105 (75%) attended follow up check-up. Their safety (perforation, irregular vaginal bleeding, unusual vaginal discharge, infection) and efficacy (pregnancy, expulsion, discontinuation) status were studied. Statistical analysis was carried out; descriptives were calculated for various clinical outcomes and chi square tests was used in categorical variations. For all the tests performed, results were considered statistically significant for p<0.05 (table value 3.87) where variance is 1. RESULTS Out of 394 PPIUCD and out of 105 post-surgical evacuations IUCD followed up women, overall complications were low. No cases of uterine perforation or pregnancy were reported from any woman. Spontaneous expulsion rate was higher 11.16% (44) in PPIUCD insertions, expulsion in post-surgical evacuation women was only 4.76% (03). Unusual vaginal discharge was nearly 12% in both group of insertions. Infection rate was very low (3.80% in PPIUCD and 2.85% in post abortion insertion women). 25 women (6.34%) of PPIUCD insertion and 10 women (9.52%) of post abortion insertion women discontinued contraception by removing IUCD. CONCLUSIONS CU-T 380A IUCD is a strong weapon in family planning, as it allows women to obtain safe, long acting (10 years effectiveness), highly effective contraception. PPIUCD and post-surgical abortion IUCD insertion is the opportunity for the eligible candidates of immediate insertion of contraceptive devices and that should not to be missed.
