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    Intrauterine Contraceptive Device

    Uploaded by

    sidd7r
    This document provides information on postpartum intrauterine contraceptive device (IUCD) insertion. It discusses the benefits of postpartum IUCDs in preventing short birth intervals and reducing maternal and infant mortality. IUCDs can be inserted immediately after birth, within 48 hours of delivery, or during a cesarean section. Proper insertion timing maximizes effectiveness while minimizing health risks. The document reviews contraindications and precautions for IUCD use according to the World Health Organization's medical eligibility criteria. Postpartum IUCD insertion has many advantages, including long-term, reversible contraception without interfering with breastfeeding. Specialized training is required due to a slightly higher expulsion risk compared to other insertion times.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Intrauterine Contraceptive Device

    Uploaded by

    sidd7r
    4 views16 pages
    This document provides information on postpartum intrauterine contraceptive device (IUCD) insertion. It discusses the benefits of postpartum IUCDs in preventing short birth intervals and reducing maternal and infant mortality. IUCDs can be inserted immediately after birth, within 48 hours of delivery, or during a cesarean section. Proper insertion timing maximizes effectiveness while minimizing health risks. The document reviews contraindications and precautions for IUCD use according to the World Health Organization's medical eligibility criteria. Postpartum IUCD insertion has many advantages, including long-term, reversible contraception without interfering with breastfeeding. Specialized training is required due to a slightly higher expulsion risk compared to other insertion times.

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    Intrauterine contraceptive Device

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    This document provides information on postpartum intrauterine contraceptive device (IUCD) insertion. It discusses the benefits of postpartum IUCDs in preventing short birth intervals and reducing maternal and infant mortality. IUCDs can be inserted immediately after birth, within 48 hours of delivery, or during a cesarean section. Proper insertion timing maximizes effectiveness while minimizing health risks. The document reviews contraindications and precautions for IUCD use according to the World Health Organization's medical eligibility criteria. Postpartum IUCD insertion has many advantages, including long-term, reversible contraception without interfering with breastfeeding. Specialized training is required due to a slightly higher expulsion risk compared to other insertion times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    4 views16 pages

    Intrauterine Contraceptive Device

    Uploaded by

    sidd7r
    This document provides information on postpartum intrauterine contraceptive device (IUCD) insertion. It discusses the benefits of postpartum IUCDs in preventing short birth intervals and reducing maternal and infant mortality. IUCDs can be inserted immediately after birth, within 48 hours of delivery, or during a cesarean section. Proper insertion timing maximizes effectiveness while minimizing health risks. The document reviews contraindications and precautions for IUCD use according to the World Health Organization's medical eligibility criteria. Postpartum IUCD insertion has many advantages, including long-term, reversible contraception without interfering with breastfeeding. Specialized training is required due to a slightly higher expulsion risk compared to other insertion times.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    Welcome

    1
    Intrauterine contraceptive
    Device
    Need for Spacing
    Short BTP associated with
    • Maternal deaths
    • Induced abortion
    • Spontaneous miscarriage
    • Maternal anemia
    • Preterm delivery
    • SGA
    • Neonatal & infant mortality
    • malnutrition
    Postpartum IUCD
    • A potential answer to satisfactory postpartum contraception
    • May be inserted
    & at time of LSCS
    & Immediate post placental
    & Within 48 hrs of delivery
    Timing of Postpartum IUCD Insertion
    IUCDs can be inserted postpartum
    • Right after birth = Postplacental (10 minutes after placenta)
    • Soon after birth = Immediate postpartum (< 48 hours after delivery)
    • During cesarean section = Intracesarean
    • Four or more weeks postpartum
    IUCDs should not be inserted between 48 hrs and 4 weeks
    6
    Postplacental insertion
    Long inserter PPIUD
    Effectiveness
    • Effectiveness: > 99% effective
    • 6 – 8 pregnancies per 1 000 women in first year
    • Effective immediately upon insertion
    • Immediate return to fertility once removed
    • Effective for 10+ years
    • Can be used as short-term method
    IUCDs: Who Should Not Use
    (WHO Category 4)

    IUCDs should NOT be used if a woman:


    • Is pregnant (known or suspected)
    • Has unexplained vaginal bleeding
    • Has current PID, gonorrhea, or chlamydia
    • Has acute purulent (pus-like) discharge
    • Has distorted uterine cavity
    • Has malignant trophoblast disease
    • Has known pelvic tuberculosis
    • Has genital tract cancer (cervical or endometrial)
    IUCDs: Conditions Requiring
    Precautions (WHO Category-3)
    • IUDs are not recommended for insertion— unless other methods are
    not available or acceptable—if a woman has:
    • AIDS, but no antiretroviral therapy or access to care
    • A high individual risk of chlamydia and gonococcal infection (partner
    has current purulent discharge or STI)
    • Ovarian cancer
    • Benign trophoblastic disease
    MEC and Postpartum IUCD
    • The MEC are less specific in this area
    • Category 4:
    & Immediately after septic abortion
    & Immediately after puerperal sepsis
    & Unresolved postpartum hemorrhage (not mentioned in MEC)
    • Category 3:
    & Between 48 hours and 4 weeks
    & Prolonged ROM > 18 hours (not mentioned in MEC)
    • Category 2: no conditions
    • Category 1:
    & Immediate post placental or postpartum <48 hours
    & > 4 weeks
    The Most Likely Precautions

    Therefore, in the most typical situation,


    providers Should watch out for:
    • Unresolved hemorrhage (still having
    worrisome bleeding)
    • Chorioamnionitis/puerperal sepsis l
    Rupture of membranes >18 hours
    (potential for infection)
    • Recent purulent cervicitis
    Postpartum Insertion
    Advantages and Limitations
    Advantages:
    Limitations:
    • Changes in monthly bleeding pattern
    • Very effective, reversible, long-
    term method • Slightly higher rate of expulsion
    • Safe, convenient and no increased & 8 – 14%
    risk perforation or infection & with good technique: 4– 5%
    • Does not affect the quantity or • Meaning 86-92% retention
    quality of breast milk • Requires special training of providers
    • Greater coverage of population
    IUCD and Anemia
    • Monthly menstrual bleeding increases slightly with the IUCD, especially
    in first 3 months
    • Blood loss which results in anemia is rare
    • Therefore, it is safe to provide an anemic woman with an IUCD (WHO
    MEC Category 2)
    • If a woman is anemic and has the IUCD in place, continue to treat
    anemia with iron/folate
    Thanks

    16

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