Continuation of Copper T in Immediate Postplacental, Immediate Postabortal and Interval Period of Insertion

Aim Copper containing IUCDs are one of most effective mode of contraception for birth spacing. We conducted this prospective observational study to suggest a possible better period of insertion of IUCDs with cost-saving benefits. Methods All married women in the reproductive age group desirous of Co...

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Veröffentlicht in:Journal of obstetrics and gynaecology of India 2022-02, Vol.72 (1), p.38-46
Hauptverfasser: Nath, Banashree, Gaikwad, Harsha S., Nagpal, Kashika
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container_issue 1
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container_title Journal of obstetrics and gynaecology of India
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creator Nath, Banashree
Gaikwad, Harsha S.
Nagpal, Kashika
description Aim Copper containing IUCDs are one of most effective mode of contraception for birth spacing. We conducted this prospective observational study to suggest a possible better period of insertion of IUCDs with cost-saving benefits. Methods All married women in the reproductive age group desirous of Copper-T 375 IUD insertion in either immediate postplacental (PP), immediate postabortal (PA) or interval (INT) period were recruited. The women were asked to return for scheduled follow-up visits at 6 weeks, 6 months and 12 months. They were advised to visit family planning clinic any time if they experienced pelvic pain, discharge per vaginum, unusual bleeding or missed periods. At each visit, women were interviewed for any side effects they have experienced and were asked to elaborate. Pelvic pain was assessed from visual analogue scale. Continuation rate was measured at the end of one year. Results Women in INT group (90.14%) had the highest continuation rate followed by PP (83.18%) and PA (80%) groups. Women in PP (AOR = 3.37, 95% CI 1.17–9.72) and PA (AOR = 4.53, 95% CI 1.33–14.04) groups had higher odds of discontinuation compared to INT group after adjusting for age, parity, working and education status. There was a significant difference between the groups when cumulative expulsion was considered ( p  = 0.045), but none when cumulative removal ( p  = 0.107) was taken into account. Conclusion The continuation rate remained high in women who had insertion in the interval period compared to immediate postplacental and postabortal periods.
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We conducted this prospective observational study to suggest a possible better period of insertion of IUCDs with cost-saving benefits. Methods All married women in the reproductive age group desirous of Copper-T 375 IUD insertion in either immediate postplacental (PP), immediate postabortal (PA) or interval (INT) period were recruited. The women were asked to return for scheduled follow-up visits at 6 weeks, 6 months and 12 months. They were advised to visit family planning clinic any time if they experienced pelvic pain, discharge per vaginum, unusual bleeding or missed periods. At each visit, women were interviewed for any side effects they have experienced and were asked to elaborate. Pelvic pain was assessed from visual analogue scale. Continuation rate was measured at the end of one year. Results Women in INT group (90.14%) had the highest continuation rate followed by PP (83.18%) and PA (80%) groups. Women in PP (AOR = 3.37, 95% CI 1.17–9.72) and PA (AOR = 4.53, 95% CI 1.33–14.04) groups had higher odds of discontinuation compared to INT group after adjusting for age, parity, working and education status. There was a significant difference between the groups when cumulative expulsion was considered ( p  = 0.045), but none when cumulative removal ( p  = 0.107) was taken into account. Conclusion The continuation rate remained high in women who had insertion in the interval period compared to immediate postplacental and postabortal periods.</description><identifier>ISSN: 0971-9202</identifier><identifier>EISSN: 0975-6434</identifier><identifier>DOI: 10.1007/s13224-021-01497-8</identifier><identifier>PMID: 35125737</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Gynecology ; Medicine ; Medicine &amp; Public Health ; Obstetrics/Perinatology/Midwifery ; Original ; Original Article</subject><ispartof>Journal of obstetrics and gynaecology of India, 2022-02, Vol.72 (1), p.38-46</ispartof><rights>Federation of Obstetric &amp; Gynecological Societies of India 2021</rights><rights>Federation of Obstetric &amp; Gynecological Societies of India 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c397t-4dd44d218f435a145260793eb0242fb3e1cdc3865c0219ed3b1cf1f2c78ed6793</cites><orcidid>0000-0001-5708-8769</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8804107/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8804107/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35125737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nath, Banashree</creatorcontrib><creatorcontrib>Gaikwad, Harsha S.</creatorcontrib><creatorcontrib>Nagpal, Kashika</creatorcontrib><title>Continuation of Copper T in Immediate Postplacental, Immediate Postabortal and Interval Period of Insertion</title><title>Journal of obstetrics and gynaecology of India</title><addtitle>J Obstet Gynecol India</addtitle><addtitle>J Obstet Gynaecol India</addtitle><description>Aim Copper containing IUCDs are one of most effective mode of contraception for birth spacing. We conducted this prospective observational study to suggest a possible better period of insertion of IUCDs with cost-saving benefits. Methods All married women in the reproductive age group desirous of Copper-T 375 IUD insertion in either immediate postplacental (PP), immediate postabortal (PA) or interval (INT) period were recruited. The women were asked to return for scheduled follow-up visits at 6 weeks, 6 months and 12 months. They were advised to visit family planning clinic any time if they experienced pelvic pain, discharge per vaginum, unusual bleeding or missed periods. At each visit, women were interviewed for any side effects they have experienced and were asked to elaborate. Pelvic pain was assessed from visual analogue scale. Continuation rate was measured at the end of one year. Results Women in INT group (90.14%) had the highest continuation rate followed by PP (83.18%) and PA (80%) groups. Women in PP (AOR = 3.37, 95% CI 1.17–9.72) and PA (AOR = 4.53, 95% CI 1.33–14.04) groups had higher odds of discontinuation compared to INT group after adjusting for age, parity, working and education status. There was a significant difference between the groups when cumulative expulsion was considered ( p  = 0.045), but none when cumulative removal ( p  = 0.107) was taken into account. 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We conducted this prospective observational study to suggest a possible better period of insertion of IUCDs with cost-saving benefits. Methods All married women in the reproductive age group desirous of Copper-T 375 IUD insertion in either immediate postplacental (PP), immediate postabortal (PA) or interval (INT) period were recruited. The women were asked to return for scheduled follow-up visits at 6 weeks, 6 months and 12 months. They were advised to visit family planning clinic any time if they experienced pelvic pain, discharge per vaginum, unusual bleeding or missed periods. At each visit, women were interviewed for any side effects they have experienced and were asked to elaborate. Pelvic pain was assessed from visual analogue scale. Continuation rate was measured at the end of one year. Results Women in INT group (90.14%) had the highest continuation rate followed by PP (83.18%) and PA (80%) groups. Women in PP (AOR = 3.37, 95% CI 1.17–9.72) and PA (AOR = 4.53, 95% CI 1.33–14.04) groups had higher odds of discontinuation compared to INT group after adjusting for age, parity, working and education status. There was a significant difference between the groups when cumulative expulsion was considered ( p  = 0.045), but none when cumulative removal ( p  = 0.107) was taken into account. Conclusion The continuation rate remained high in women who had insertion in the interval period compared to immediate postplacental and postabortal periods.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>35125737</pmid><doi>10.1007/s13224-021-01497-8</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5708-8769</orcidid><oa>free_for_read</oa></addata></record>
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subjects Gynecology
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Original
Original Article
title Continuation of Copper T in Immediate Postplacental, Immediate Postabortal and Interval Period of Insertion
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