COMPARISON OF RESULTS AFTER PPIUCD INSERTION FOLLOWING VAGINAL AND CAESAREAN DELIVERIES
Keywords:
caesarean section,, caesarean insertion, , IUCD, PPIUCD, vaginal insertionAbstract
Background: The most economical and reversible type of contraception, the PPIUCD insertion approach, is used across
India.
Aim: The present study aimed to comparatively assess the outcomes following the insertion of PPIUCD after caesarean and
vaginal delivery.
Methods: The present hospital-based prospective observational study assessed females that delivered either by caesarean
section or by vaginal delivery at the Institute within the defined study period along with the insertion of PPIUCD in 2000
females where 1000 females were intra-caesarean PPIUCD insertion and 1000 underwent vaginal insertion. The data gathered
were analysed statistically.
Results: 99.4% and 97.6% of females in the intra-caesarean group, respectively, had higher follow-up awareness than those
in the vaginal insertion group. Bleeding PV at 6 weeks and 6 months was the main complaint in 8.48% and 4.88% of
participants, respectively, and it increased after vaginal PPIUCD implantation. The primary reason for the request to remove
the PPIUCD was vaginal haemorrhage, which was more prevalent after vaginal insertion. At 6 weeks and 6 months, the
expulsion rate following vaginal PPIUCD insertion was 2.92% and 3.88%, while it was 1.02% and 1.9% following intra-
caesarean insertion. At the 6-week and 6-month follow-up, discontinuation rates from spontaneous expulsion and PPIUCD
removal were 2.17% and 4.2%, respectively. Nonetheless, 84% of participants kept using PPIUCD as a technique of
conception, suggesting increased social acceptance.
Conclusion: According to the current study, PPIUCD is a viable strategy in the field of postpartum facilities. Subjects can
become more tolerant of the adverse effects and increase the rate of continuation with appropriate pre- and post-insertion
counselling on pain and bleeding. In order to prevent unintended pregnancies, counselling is required for spontaneous
PPIUCD ejection, which occurs more frequently following vaginal implantation.
