Intrauterine Device Insertion during Caesarean Section – A Boon for Rural Women.

Abstract

Objectives: To determine the safety of immediate post-placental intrauterine device insertion at the time of caesarean delivery. Method: This study was conducted in the Department of Obstetrics and Gynecology, Bundelkhand Medical College and associated Tili hospital, Sagar, from September 2010 to August 2011. Patients undergoing caesarean section for varied indications were counselled regarding intra-operative CuT380A insertion and those who agreed were allocated to the study group and the rest were allocated to the control group. The patients were observed during the post-operative period for complications associated with either caesarean section or intrauterine device insertion. Result: During the study period, 100 patients underwent CuT380A insertion immediately after removal of the placenta during caesarean delivery. There was no significant difference in the post-operative complication rates between both the groups. The rates for post-operative bleeding being 15% in both the groups and that of post-operative infection being 5% and 7% in the study and control groups respectively.