Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 13 , ISSUE 2 ( March-April, 2021 ) > List of Articles

Original Article

A Prospective Study of Effectivity, Expulsion, and Acceptability of Post-placental IUD Cu T380A Insertion Using Clamp in a Tertiary Hospital

Eka R Gunardi, Ribkhi A Putri, Yogi Pasidri

Keywords : Acceptability, Effectivity, Expulsion, Insertion using a clamp, Post-placental IUD

Citation Information : Gunardi ER, Putri RA, Pasidri Y. A Prospective Study of Effectivity, Expulsion, and Acceptability of Post-placental IUD Cu T380A Insertion Using Clamp in a Tertiary Hospital. J South Asian Feder Obs Gynae 2021; 13 (2):92-96.

DOI: 10.5005/jp-journals-10006-1884

License: CC BY-NC 4.0

Published Online: 09-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Intrauterine device (IUD) has a high effectivity of long-term contraception method. Post-placental IUD increases the number of contraception use and decreases the unmet need for contraception. The purposes of this study were to evaluate the effectivity, expulsion, acceptability, and side effects of post-placental IUD insertion using a clamp at Dr. Cipto Mangunkusumo National General Hospital. Materials and methods: This prospective longitudinal observational study was conducted at a tertiary teaching hospital (Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia) from April 2018 to March 2019. Post-placental IUD was inserted using a clamp. We interviewed the patients at 3 months and 6 months after insertion to evaluate the outcome. A total of 94 women were included in this study. Results: The effectivity was 100%. The expulsion rate was 2.13, 3.45, and 0% at 6 weeks, 3 months, and 6 months, respectively. The total acceptability rate at 6 weeks, 3 months, and 6 months was 96.81, 93.3, and 90.8%, respectively. Most of the subjects were satisfied with the IUD contraception at 3 months and 6 months. Conclusion: Post-placental IUD insertion using a clamp had good safety, effectivity, acceptance, and satisfaction. This data could be used for family planning counseling in daily practice. Post-placentaI IUD insertion should be routinely offered to all eligible postpartum women undergoing institutional deliveries.


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  1. Situmorang H, Setijanto IT, Affandi BS. Post-placental IUD Cu T380A: acceptance, effectivity, and side effects. Indones J Obstet Gynecol 2017;5(4):191–254. DOI: 10.32771/inajog.v5i4.563.
  2. Adjie JS. Effect of specific training model of post-placental IUD Coppert T Cu 380A insertion in increasing of acceptance, decreasing of expulsion, and infection, and maintenance the provider's knowledge and skills. Jakarta: Universitas Indonesia; 2014.
  3. Tjahjanto H. Post-placental IUD insertion (flat bed). Semarang; 2009. Available from: https://v-s.mobi/insersi-iud-pasca-plasenta-pervaginam-animasi-hary-tjahjanto-2009-02:04.
  4. Smith J, Tredwel BDRA. Postpartum Intrauterine Contraceptive Device (PPIUD) services a reference manual for providers. Jhpiego Corporation: Baltimore; 2010.
  5. Gupta G, Goyal R, Kadam VK, et al. The clinical outcome of post placental copper-T-380A insertion with long placental forceps (Kelly's Forceps) after normal vaginal delivery and cesarean section. J Obstet Gynaecol India 2015;65(6):386–388. DOI: 10.1007/s13224-014-0636-y.
  6. Thornton O, Purusothaman V, Dinesman I, et al. Improving the post-placental intrauterine device protocol to reduce patient visits. Am College Obtet Gynecol 2018;131. DOI: 10.1097/01.AOG.0000533391.35107.17.
  7. Whitaker AK, Chen BA. Society of family planning guidelines: postplacental insertion of intrauterine devices. Contraception 2018;97(1):2–13. DOI: 10.1016/j.contraception.2017.09.014.
  8. Project TA. The postpartum intrauterine device a training course for service providers. New York: The Acquire Project; 2008.
  9. Jhpiego. IUD guidelines for family planning services programs. Baltimore: Jhpiego; 2008.
  10. Smith JM, Deller B, Ruparelia C, et al. Postpartum intrauterine contraceptive device (PPIUD) services. Baltimore: Jhpiego; 2010.
  11. Cwiak C, Cordes S. Postpartum intrauterine device placement: a patient-friendly option. Contracept Reprod Med 2018;3:3. DOI: 10.1186/s40834-018-0057-x.
  12. Ross JA, Winfrey WL. Contraceptive use, intention to use and unmet need during the extended postpartum period. Int Fam Plan Persperct 2001;27(1):20–27.
  13. Rezai S, Bisram P, Nezam H, et al. Postpartum intrauterine device contraception: a review. World J Obstet Gynecol 2016;5(1). DOI: 10.5317/wjog.v5.i1.134.
  14. Muganyizi PS, Kimario G, Ponsian P, et al. Clinical outcomes of postpartum intrauterine devices inserted by midwives in Tanzania. Int J Gynaecol Obstet 2018;143(Suppl. 1):38–42. DOI: 10.1002/ijgo.12603.
  15. Morrison C, Waszak C, Katz K, et al. Clinical outcomes of two early postpartum IUD insertion programs in Africa. Contraception 1996;53(1):17–21. DOI: 10.1016/0010-7824(95)00254-5.
  16. Celen S, Möröy P, Sucak A, et al. Clinical outcomes of early postplacental insertion of intrauterine contraceptive devices. Contraception 2004;69(4):279–282. DOI: 10.1016/j.contraception.2003.12.004.
  17. Xu JX, Rivera R, Dunson TR, et al. A comparative study of two techniques used in immediate postplacental insertion (IPPI) of the Copper T-380A IUD in Shanghai, People's Republic of China. Contraception 1996;54(1):33–38. DOI: 10.1016/0010-7824(96)00117-5.
  18. Bluestone J, Chase R, Lu E. Introduction to intrauterine contraception devices. IUD guidelines for family planning service programs. Baltimore: Jhpiego; 2010.
  19. Shukla M, Qureshi S, Chandrawati. Post-placental intrauterine device insertion–a five year experience at a tertiary care centre in north India. Indian J Med Res 2012;136(3):432–435. PMCID: PMC3510889.
  20. Benish K, Mala Jitendra S, Areesha Kamran K. Immediate postplacental insertion of intrauterine contraceptive device (copper 375) and its complications in term of expulsion, infection and perforation. Clin J Obstet Gynecol 2018;1(2):082–086. DOI: 10.29328/journal.cjog.1001014.
  21. Sharma A, Gupta V, Bansal N, et al. A prospective study of immediate postpartum intra uterine device insertion in a tertiary level hospital. Int J Res Med Sci 2015;3(1). DOI: 10.5455/2320-6012.ijrms20150132.
  22. Chhari A, Zutshi V, Sharma R, et al. Comparison of post placental IUD with interval IUD. Int J Reprod Contracept Obstet Gynecol 2015;4(4):1090–1093. DOI: 10.18203/2320-1770.ijrcog20150433.
  23. Els C, Van der Merwe JL, Harvey J, et al. The effect of skills training on attitudes, knowledge and clinical uptake of postplacental intra-uterine device use. Healthcare Low-resour Settings 2016;3(2). DOI: 10.4081/hls.2015.5278.
  24. Goldthwaite LM, Sheeder J, Hyer J, et al. Postplacental intrauterine device expulsion by 12 weeks: a prospective cohort study. Am J Obstet Gynecol 2017;217(6):674.e1–674.e8. DOI: 10.1016/j.ajog.2017.08.001.
  25. Welkovic S, Costa LO, Faúndes A, et al. Post-partum bleeding and infection after post-placental IUD insertion. Contraception 2001;63(3):155–158. DOI: 10.1016/s0010-7824(01)00180-9.
  26. Kaneshiro B, Aeby T, Long term safety, efficacy, and patient acceptability of the intrauterine Copper T 380A contraceptive device. Int J Womens Health 2010;2:211–220. DOI: 10.2147/ijwh.s6914.
  27. Divakar H, Bhardwaj A, Purandare CN, et al. Critical factors influencing the acceptability of post-placental insertion of intrauterine contraceptive device: a study in six public/private institutes in India. J Obstet Gynaecol India 2019;69(4):344–349. DOI: 10.1007/s13224-019-01221-7.
  28. Iftikhar PM, Shaheen N, Arora E. Efficacy and satisfaction rate in postpartum intrauterine contraceptive device insertion: a prospective study. Cureus 2019;11(9):e5646. DOI: 10.7759/cureus.5646.
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