Gudi Shobha N, Sachdeva Jyoti, Manchanda Renu, Mani Mrinalini, Sinha Shailja Rani Ranjan, Sinha Sushma, Shivkumar Poonam, Wani Reena J, Garg Nishi, Wanjari Sanjivani, Sharma Bharati, Yadav Pramila, Gangane Neha
Dr Malathi Manipal Hospital, Bengaluru, India.
Directorate of Family Welfare, New Delhi, India.
J Obstet Gynaecol India. 2023 Jun;73(3):254-261. doi: 10.1007/s13224-022-01738-4. Epub 2023 Feb 2.
The unmet need for contraception in the postpartum period is a major challenge in our country. Unintended pregnancies are highest in the first year after birth, and postpartum IUCD insertion is an effective way to counter this problem. This study was planned to build up data for acceptance and follow-up of postpartum IUCD insertions.
The present study has included data of PPIUCD insertions and follow-up from seven institutions over a period of 6 months. The case recruitment lasted for 3 months, including only those who had PPIUCD insertions in this period, and they were followed up for a period of 6 months. The follow-up of patients was at 6 weeks and 6 months. All issues were addressed including side effects, expulsions, myths surrounding the device, etc., along with routine postnatal care.
There were 5227 deliveries and 1895 insertions. The acceptance rate was 36%, and a follow-up at 6 weeks and 6 months showed up an expulsion rate of approximately 4% and a removal rate of 5%. Overall, at the end of 6 months we have a continuation rate of 90%. This shows that a dedicated approach to postpartum contraception will definitely bring down incidence of unintended pregnancies.
产后避孕需求未得到满足是我国面临的一项重大挑战。意外怀孕在产后第一年最为高发，而产后宫内节育器（IUCD）置入是应对这一问题的有效方法。本研究旨在收集产后IUCD置入的接受情况及随访数据。
本研究纳入了7家机构6个月内产后即时置入IUCD（PPIUCD）的数据及随访情况。病例招募持续了3个月，仅纳入在此期间接受PPIUCD置入的患者，并对其进行了6个月的随访。在6周和6个月时对患者进行随访。除常规产后护理外，还处理了所有问题，包括副作用、节育器脱落、围绕该器械的误解等。
共有5227例分娩和1895例置入。接受率为36%，6周和6个月的随访显示脱落率约为4%，取出率为5%。总体而言，在6个月末，持续使用率为90%。这表明采用专门的产后避孕方法肯定会降低意外怀孕的发生率。
