The National Family Planning Programme of India, since its inception in 1951, has been able to successfully achieve significant reductions in maternal mortality and fertility. Over the past decade, the need for contraception has changed dramatically in India. Couples no longer desire sterilization, but prefer modern reversible long-term methods of contraception. The ideal time to discuss contraception is in the antenatal period when there is a good rapport between the doctor and the patient. The window period when the patient is admitted in the hospital during delivery can be used effectively to offer postpartum contraception. It has been found that the highest chance of unwanted pregnancy is in the first year after delivery, when women do not report to the doctor if this window period is missed. Postpartum intrauterine contraceptive devices are ideal for a country like India and it can be used to cover the unmet need of contraception if inserted immediately after delivery. There are two types of insertion: post placental, within 10 min of delivery of placenta and postpartum, within 48 h of delivery. Although there is a greater chance of expulsion in the postpartum insertions, it can be significantly reduced with proper training and user experience. Postpartum IUCD should be routinely offered to all patients delivering in institutions to provide complete care to a parturient and to achieve safe motherhood.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518011 | PMC |
http://dx.doi.org/10.1007/s13224-015-0753-2 | DOI Listing |
PLOS Glob Public Health
June 2024
School of Public Health, College of Medicine and Health Science, Addis Ababa University, Hawassa, Ethiopia.
Globally, unmet need for postpartum family planning is high. However, immunization services are among the most widely utilized health services. Establishing systematic screening, counseling, and referral systems from different contact points, particularly from EPI units may improve postpartum family planning uptake.
View Article and Find Full Text PDFInt J Surg Case Rep
March 2024
Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital, Edo State, Nigeria; Centre Leader, African Centre of Excellence in Reproductive Health Innovation (CERHI), University of Benin, Benin City, Nigeria.
Introduction: Intrauterine contraceptive device (IUCD) is a safe and effective method of contraception. It is however rarely associated with complications. Migration of this device to the rectum is very rare.
View Article and Find Full Text PDFCureus
June 2023
Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, IND.
Background and objective Unplanned pregnancies are very common in the postpartum period, and they often lead to negative outcomes such as abortion, low-birth-weight neonates, early delivery, postpartum bleeding, and fetal mortality. In the first 12 months after delivery, closely spaced and unintentional pregnancies can be prevented with postpartum contraception. The postpartum intrauterine contraceptive device (PPIUCD) is a method of family planning that may be used during the first few weeks after giving birth, and it is highly successful, reliable, affordable, non-hormonal, immediately reversible, long-acting, and does not interfere with lactation.
View Article and Find Full Text PDFJ Family Med Prim Care
May 2023
Department of Medicine, Lakshmi Chandravanshi Medical College, Garhwa, Jharkhand, India.
Background: Postpartum intrauterine contraceptive device (PPIUCD) is safe method of contraception, but with low acceptability rate. Factors that govern acceptability needs to be addressed for increasing its rate. This study was done to assess the acceptance, efficiency, and complications of PPIUCD in tertiary centre of Jharkhand, India.
View Article and Find Full Text PDFEur J Contracept Reprod Health Care
June 2023
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, India.
Purpose: The objective of the study was to see the difference in expulsion rates of two types of Copper containing intrauterine contraceptive devices (IUCDs): Cu 375 & CuT 380 A, within or at 6 weeks after insertion.
Methods: It was a randomised control trial. A total of 396 pregnant women were recruited.
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