POSTPARTUM INTRAUTERINE CONTRACEPTIVE DEVICE: EXPULSION RATE AFTER VAGINAL DELIVERY AND CAESAREAN SECTION

Abstract

Background: Intrauterine device (IUD) insertion after cesarean section and vaginal delivery are practiced widely. Objective: To
compare the frequency of expulsion of postpartum intrauterine contraceptive device between vaginal and caesarean delivery.
Methodology: Study design: Descriptive case series. Place and duration: Department of Obstetrics and Gynaecology Sheikh
Zayed Medical College, Rahim Yar Khan from 1 July to 31 December 2016. One hundred and thirty two patients fulfilling
inclusion criteria were included this in cross sectional study. Sixty six patients delivering vaginally and sixty six delivering after
Caesarean section underwent IUD insertion immediately after delivery and were followed after 6 weeks postnatal to determine
expulsion. Data was entered and analyzed by using SPSS version 20. Results: The expulsion rate between two groups, showed
that in vaginal delivery group expulsion of IUD occurred in 11 patients (16.6%) while in Cesarean group expulsion occurred in 2
patients (3%). (p=0.009) Conclusion: Rate of IUD expulsion was significantly lower in group of women delivering by Cesarean
section as compared to those delivering vaginally.