Abstract: The intrauterine device (IUD) is one of the most widely used contraceptive methods in the
world. Immediate post placental IUD insertion is relatively more comfortable, safe, and does not
interfere with breastfeeding. The aim of this study was to assess effect of post puerperal and
immediate post placental insertion of intrauterine contraceptive devices after cesarean delivery on
women's health. A descriptive studydesign was used in this study. Setting: post partum and outpatient
clinic units at three different hospitals.
Participants: A convenient sample of 440 postpartum women underwent cesarean delivery. 252 of
them were found inserting IUD after puerperal period. While 188 of them were found inserting IUD
immediately post-placental during caesarean delivery; they were recruited into immediate post
placental group Method: Data were collected from March, 2013 till May, 2014. Post puerperal
participants firstly were interviewed after insertion of IUD at the outpatient clinics. While,
immediate post placental participants were firstly interviewed immediate post cesarean delivery at
the postpartum units at the selected hospitals settings. Both groups' participants were followed at
first, third and sixth month after IUD insertion. Physical and ultrasound also were performed during
each follow up visit.
Results: There was no significant difference between immediate post placental and post puerperal
IUD insertion groups regarding their base line characteristics (p>0.05) at different time of follow
up. There was a significant difference between both regarding backache , abdominal pain and pelvic
infection..Conclusion: Immediate post placental caesarean IUD insertion is highly effective
contraceptive methods without significantly increasing the risk of adverse effects. Nurses should
have a role in counselling women regarding immediate post placental IUD insertion during their
antenatal care visits.
Keywords: Intrauterine device, post puerperal IUD insertion, post placental IUD insertion |
