July-August 2015 · Volume 4 · Issue 4 Page 1090 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Chhari A et al. Int J Reprod Contracept Obstet Gynecol. 2015 Aug;4(4):1090-1093 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Research Article Comparison of post placental IUD with interval IUD Anjali Chhari*, Vijay Zutshi, Rachna Sharma, Swaraj Batra INTRODUCTION Traditionally IUD in our set up has been used until 6wks post partum however use of post placental IUD had been reported since 1960 and gain popularity thereafter. 1 Recently in India the use of post placental IUD is gaining popularity and clinical trials are being undertaken. 2 Effective counseling and availability of a safe, economical and simpler contraception in immediate post partum period can decrease unintended pregnancies. The present study was conducted to compare efficacy and safety of post placental IUD with interval IUD. The IUD used in this study was CuT 380 A which is provided free of cost by Ministry of Health and Family Welfare. METHODS This prospective study with the approval from departmental review board was conducted in Department of Obstetrics & Gynecology at Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi from Aug2011-Feb2013. Total of 150 women of reproductive age group were enrolled for the study after counseling. The study population was divided into three groups. Group 1-post placental insertion following normal vaginal delivery (50cases), group 2-post placental insertion intra caesarean (50 cases) and group 3- interval method of insertion (50 cases). Cu T 380A was used which is provided free of cost by govt. of India. Inclusion criteria-desirous of CuT 380A insertion, willing to sign an informed consent, willing to comply study protocol, reproductive age group women , willing for regular follow up. Exclusion criteria-active pelvic inflammatory disease, uterine cavity anomaly, current carcinoma Department of Obstetrics & Gynecology, Maulana Azad Medical College, New Delhi, India Received: 28 May 2015 Accepted: 06 June 2015 *Correspondence: Dr. Anjali Chhari, E-mail: chhari.anjali@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Generally IUD is being used as an interval method of contraception in our set up. This study was planned to compare the safety and efficacy of immediate post placental IUD and compare it with interval insertion in term of acceptance. Methods: This was a prospective cohort study of 150 cases of reproductive age group women wanting to use temporary method of contraception. The cases were divided in three groups-Gp1-Post Placental insertion following normal vaginal delivery, Gp2-post placental insertion intra ceserean, Gp3 -Interval IUD. All were called for follow up at 6wks, 3mths and 6mths after insertion. Statistical analysis was done by Chi-square test and Fisher’s exact test. Results: Various sociodemographic factors were comparable between these 3 groups. IUCD expulsion rate was highest in post vaginal delivery group(12%) as compared to intraceserean (0%) & interval CuT(6%) which was statistically significant (p-0.037).where as other complications like excessive bleeding ,pain ,infection ,medical removal in post placental CuT were almost similar to that of interval CuT with no statistical significance ( p-0.972). Neither pregnancy nor perforation reported in any of the groups. Conclusion: Among the post placental group of insertion, intraceserean IUD was having nil expulsion rate. Keywords: IUD, Post placental IUD, Intracesarean IUD DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20150433