Safety, Efficacy and Complications of Intracaesarean CuT 380A

Abstract

Background: Copper Intrauterine Contraceptive Device is a form of long acting reversible contraceptive device and is considered to be one of the most effective forms of birth control available. Copper T 380A has lowest pregnancy rate among all copper IUDs and can be used for a lifespan of 10 years The advantages of post placental insertion include the assurance that the women is not pregnant, high motivation, convenience and eliminates the 6 week post partum wait. This study examines the factors associated with acceptability of post partum IUCD insertion according to their socio-demographic and obstetrics characteristics and the rates of perforation, expulsion, pelvic infection, lost strings and displacement following insertion among acceptors till 12 months. Objective: To assess the safety, efficacy and complications of post placental Copper T 380A insertion following caesarean section. Study Design: This was a prospective study conducted on 500 women who underwent LSCS and were willing for CuT 380 A insertion after proper counselling in a tertiary care hospital. After placental delivery CuT was inserted into the endometrial cavity through the incision. The study participants were then followed up after discharge at 6 weeks, 6 month and one year postpartum. Any complaints if present were noted and pelvic examination and Ultrasonography were performed to verify the presence of IUCD and to check for any signs of infection or bleeding.