Comparison of Complications of Postpartum IUCD Insertion with Interval IUCD Insertion in Terms of Complications like Expulsion Rate and Bleeding

  • Samina Shahnawaz Lady Medical Officer, OBG Unit 4, BMCH, Quetta
  • Hamida Shahnawaz Pharmacist, OBG Unit 4, BMCH, Quetta
  • Khanda Gul Assistant Professor, OBG Unit 4, BMCH, Quetta
  • Safia Bibi Assistant Professor, OBG Unit 4, BMCH, Quetta
  • Fozia Muhammad Bukhsh Assistant Professor, OBG Unit 4, BMCH, Quetta
Keywords: IUCD, Expulsion, post partum intrauterine contraceptive device


Objective: The objective of the study was to compare complications of postpartum IUCD insertion with interval IUCD insertion in terms of complications like expulsion rate and bleeding.

Methodology: This was a prospective randomized controlled study conducted at Gynaecology and Obstetrics Department Unit 4, Bolan Medical Complex Hospital, Quetta from 01-07-2019_31-12-2019. A total of 102 women were included in the study. The study was started after taking approval from the hospital ethical committee. All the women were briefed and motivated in antenatal period or latent phase of labour for PPIUCD insertion. The patients who were included in the study were randomly divided into two equal groups of 51 in each group. In group A IUCD (cuT 380 A) was inserted immediately after delivery within 48 hours and in group B the IUCD was inserted after 48 hours. After that bleeding and expulsion rates were noted at 3 visits, including 15 days, 6 weeks and 6 months. All the data were analyzed using SPSS 16.

Results: A total of 102 patients (51 in each group) were included in the study. The mean age of the patients was found to be 28.85 ± 4.83 years as overall. Gestational age of the patients was found as 38.0 ± 1.32 weeks in group A while 38.37 ± 1.21 weeks in group B. Also, the parity of the patients was assessed and was found as 3.84 ± 2.61 in group A while 3.92 ± 2.09 in group B.

Conclusion: The IUCD expulsion rate at 15 days and 6 months was significantly lower in patients having IUCD at postpartum than in those having interval IUCD. Therefore, on the basis of this study, we recommend that IUCD may be better inserted immediately after removal of placenta to prevent further complications.

Original Articles