A comparative study of expulsion rate of PPIUCD cu-t insertion among vaginal and caesarean delivery cases

Background: In India, 65% of women in the first year postpartum have an unmet need for family planning. Copper IUCDs are the most commonly used type of IUD and the Cu T 380A has been found to be most effective IUD available in govt. Sector free of charge. The IUCD is a safe and effective contraceptive option for postpartum women who wish to either space or limit subsequent births. Methods: In a hospital based prospective observational, study we compared expulsion rate of post placental IUCD in vaginal and caesarean delivery groups. Results: We found that over all continuation rate for PPIUCD was good (84.5%) at 3 months follow up. Continuation rate was significantly higher in LSCS group (91%) as compared to vaginal delivery group (78%); P=0.019.We found that expulsion rate is significantly higher in vaginal group (10%) as compared to caesarean delivery (2%) group at 3 months of follow up. Conclusions: The acceptance of PPIUCD was high in the parturients studied and comparable to other studies done globally. We can conclude that inserting CuT 380A postplacentally is safe, effective and has high retention rate along with immediate return of fertility on discontinuation. The expulsion rate was not high, and further can be reduced with practice.