Journal of AdvancedMedical and Dental Sciences Research

Background:Insertion of an Intrauterine Device (IUD) is a common method of long-acting reversible contraception (LARC).The present study was conducted to assess outcome of immediate post-placental IUD insertion at cesarean delivery. Materials & Methods:104 women undergoing cesarean deliveryat 35 weeks of gestation were included. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The patients were followed up at 6 weeks and 6 months postpartum. Results: Age group <20 years had 23, 20-29 years had 56 and 30-39 years had 25 patients. The difference was significant (P< 0.05). Parity was nulliparous in 53 and multiparous in 51 cases. Marital status was single in 23, married in 70 and unmarried with partner in 11 cases. Indication was elective repeatin 62, shoulder dystocia in 8, macrosomia in 14, preeclampsia in 13 and malpresentation in 7 cases. 6 weeks follow up showed IUD in place in 99 and lost in 5 cases. 6 month follow up showed IUD in place in 96 and lost in 8 cases. The difference was significant (P< 0.05). Conclusion: Immediate postplacental Intrauterine Device insertion at the time of cesarean delivery is safe and acceptable.