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Factors Affecting the Expulsion and Continuation Rates of Post Placental Insertion of Cu 375 and Cut380a in Indian Women at a Premier Hospital in New Delhi

Mansi Kumar, Assistant Professor, Dept. of Obstetrics and Gynaecology, Rama Medical College Hospital and Research Centre Hapur, Uttar Pradesh, India, Pin245304. , Mansi Kumar* , Mahesh Kumar** , Parul*** , Archna*** , Antima Rathor**** , Rupali Dewan*****

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Indian Journal of Obstetrics and Gynecology 5(2):p 58-67, April - June 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.10

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Abstract

This Study evaluates the factors affecting the expulsion, removal and continuation of post placental insertion of Cu 375 and CuT380A in women according to their socioeconomic profile, literacy status parity and the complications viz. uterine perforation, expulsion, pelvic infection, menstrual abnormality, lost strings and displacement following PPIUCD insertion among the acceptors. Study involved 300 women, divided into two groups: Group A and Group B. Mean age was 24.99 years, 63.8% women were literate and Mean parity in group A & B was 1.97 and 2.06 respectively. Mean pain score during intrauterine contraceptive device insertion on visual analogue scale was 2.93 in group A and 3 in group B. 84% women completed 12 month follow up in group A and 83.33% women in group B. Visibility of strings increased in successive follow up visits and was visible in >80% of women at the end of one year in the both groups. Fifty one percent subjects in group A and 54% in group B experienced amenorrhea up to six month. Menorrhagia was reported in 7.33% in group A and women 8.66% in group B at the end of 1 year of follow up. Pain was complained by 26 out of 150 women in group A as compared to 36 out of 150 women in group B after 1 month of insertion. Psychosocial (nonmedical/ personal) was most common cause accounted for 33.3% removals in our study. There was no case of PID in group A whereas there were 3 case of PID in group B. There was no perforation/ trauma and pregnancy in either group.

Keywords: Intrauterine Contraceptive Devices; PostPlacental; Psychosocial; Menorrhagia; Expulsion. 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5217.10

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