COMPARISON OF EXPULSION RATE IN IMMEDIATE VERSUS DELAYED INSERTION OF INTRAUTERINE DEVICE IN FEMALES PRESENTING AFTER DELIVERY
Post-partum period is one of the critical times when both woman and newborn need a special and integrated package of health services. In developing world like Pakistan population control is need of today and because of high illiteracy rate Postpartum Copper IUDs contraception counselling during antenatal period and its insertion post partum is important step towards control of rapidly growing population. Copper IUDs are becoming increasingly popular. A somewhat higher expulsion rate was observed after immediate insertion compared to delayed insertion but controversial results are also present in literature. So we conducted this study to compare whether early or delayed IUCD insertion is related to high expulsion rate.
To compare the frequency of expulsion in immediate versus delayed insertion of intrauterine device in females presenting after delivery.
Material & Methods
This present randomized control trial
conducted at Department of Obstetrics and Gynecology, Lady Willingdon Hospital, Lahore.
Females were divided in two groups on the basis of time of device insertion
Group A: Immediate
Group B: Delayed .
Followed for 6 months and x-ray was performed to confirm expulsion was labeled.
Both groups were compared for IUD expulsion by using chi-square test taking p-value<0.05 as significant.
In our study the IUD expulsion was observed in 15% patients. Statistically there is insignificant difference was found between the study group and IUD expulsion of the patients. i.e p-value=0.23.
Conclusion The evidence found in our study suggests that both the immediate post-partum insertion of IUDs and delayed insertion of IUDs are safe and effective.