Comparison of Complication of Postpartum Intrauterine Contraceptive Device With Interval Placed IUCD

Abstract

For prevention of unintended and closed interval pregnancies through the first year following childbirth, postpartum family the planning is required. A wide range of reliable and cost-effective contraceptive methods are available for postpartum women. Objective: To compare the frequency of complications of postpartum intrauterine contraceptive device (PPIUCD) versus interval placed intrauterine contraceptive device (IUCD). Methods: It was a randomized control clinical trial which was conducted in Unit 3, Department of Obstetrics & Gynecology, Lady Willingdon Hospital, Lahore. The time period of this study was 6 months extending from January 2018 to June 2018. After fulfilling the inclusion criteria, 160 patients were enrolled in the study. These patients were followed up for time period of 6 months in both groups. The complications named perforation, pelvic infection and expulsion were noted. All the gathered information regarding variables was analyzed on SPSS version 20.0. Results: The mean age and gestational age of females of the PPIUCD group was 26.50±5.05 years and 38.94±1.42 weeks and interval IUCD group was 28.25±4.40 years and 39.08±1.29 weeks respectively. In this study the pelvic infection was noted in 8 females in which 2 were from PPIUCD group and 6 were from interval IUCD group. Statistically insignificant difference was found between the study groups with pelvic infection i.e. p-value=0.147.  Expulsion was noted in 1 female from PPIUCD group and 3 females from interval IUCD group. The difference was insignificant (p>0.05). Conclusions: There was no statistical difference found in frequency of complications with PPIUCD versus interval placed IUCD.