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 study design was used in this study. Setting: postpartum 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. |
