Frequency of IUD Removal due to Abdominal Pain after Post-Partum Insertion of Copper-T Intrauterine Contraceptive Device.

Author(s) : Shaista Khanam, Asma Sadaqat & Asima Khanam

Abstract:

Objective:
To determine frequency of women presenting for IUD removal due to abdominal pain after immediate post-partum insertion.
Material and Methods:
This is a descriptive case series conducted at Department of Obstetrics & Gynecology, Nishtar Hospital, Multan from 15th January 2016 to 15th July 2016. Pregnant women age 25-34 years old were included with Parity ≥3 having gestational age of 36-40 weeks on ultrasound. Sample size was 148.
Results:
Age range in this study was from 25 to 35 years with mean age of 32.067±1.64 years, mean gestational age 38.040±1.08 weeks, mean BMI was 28.033±1.94Kg/m2 and VAS score was 6.662±1.16. Majority of the patients were from 31-35 years (86.5%). 3-4 parity was seen in 82.4% patients. Vaginal delivery was seen in 55.4% patients. IUD removal due to pain was seen in 17(11.5%) patients.
Conclusion:
This study demonstrated that the insertion of immediate post-partum intrauterine device is a suitable, feasible and safe way for contraception. The insertion of IUD at post-partum time is safe, has more advantages due high motivation of the patient and ease of insertion. It is highly convenient for both the patient and the doctor.

Key Words: Gestational Age, BMI, Parity, IUD, Contraception.