The intra uterine contraceptive device (IUCD) provides a safe, reversible, long-acting and cost effective form of contraception [1].Out of current IUCDs non hormonal IUCDs are more acceptable as they does not impede with breast feeding. [2, 3, 4]
The immediate postpartum period when woman is still in medical center is the ideal time to commence contraception as she encounters some difficulty in reaching the family planning clinics once she leaves because of certain domestic and financial reasons [4]. This is especially true in the rural areas and in families where the mother does not get support from her family.
Recent studies have also established that IUCD insertion even after first trimester abortion carries no increased risk of perforation, infection or discontinuation, except minimal increase in the risk of expulsion(12%) over delayed insertion [2,5,6].
Out of many available IUCDs, recent evidence based studies have shown a change for copper-T (CUT380) for insertion in women who are nulliparous, have a history of pelvic inflammatory disease (PID) or sexually transmitted infection (STI) without current high risk [5].
The present study was conducted to assess the safety and feasibility (infection, bleeding, cramps and expulsion) of immediate post placental insertion of IUCDs in all socioeconomic women.
IUCD inserted in immediate post partum period is an effective method of contraception associated with an acceptable rate of expulsion and a minimal rate of infection and bleeding.
Key words: Contraception, Intrauterine contraceptive device, Postplacental insertion
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