Immediate Post-Placental Insertion versus Interval Insertion of Intrauterine Devices for Contraception

Abstract

Objective: To compare the frequency of uterine perforation, expulsion and pelvic infection rate of multiload 375 in women of immediate post-placental (IPP) insertion versus interval insertion (I). Materials and Methods: This Quasi-experimental study was carried out in the Department of Obstetrics & Gynecology, PNS SHIFA Hospital Karachi from 6th October 2008 to 5th October 2009. Fifty patients were selected by consecutive sampling technique for Group A (immediate post-placental insertion of multiload 375). Fifty women for group B (interval insertion of multiload 375) were selected by simple random sampling during their postnatal follow-up visit. Post- insertion follow up visit was done within six weeks. The results were analyzed by SPSS version 12 and expressed in frequencies and percentages. Pearson’s Chi-square test was used as the test of significance. Results: Mean age of women in group A was 29.02 ± 2.97 and in group B it was 31.24 ± 5.59 years. Multiparous women opted for IUD in both groups (48% in group A versus 44% in group B). IUD expulsion was 14% & 18% in group A & B respectively. While infection rate was 4% in group A and 2% in group B. Statistically non significant (P>0.05) results were found. No case of uterine perforation was noted in both the groups. Conclusion: Although both methods have almost same complication rate but for non compliant women IPP insertion of an IUD is a convenient selection for contraception.