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One year continuation of post-partum intrauterine contraceptive device: findings from a retrospective cohort study in India

Journal Article
(Published December, 2018)
Kumar, S. (Author),
Srivastava, A. (Author),
Sharma, S. (Author),
Yadav, V. (Author),
Mittal, A. (Author),
Kim, Y.M. (Author)
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Study evaluates outcomes of national postpartum (within 48h of delivery) copper intrauterine device placement (PPCuIUD) program in six “high-focus states” with high unmet family planning need in India.  High-volume district hospitals that provided PPCuIUD in six (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh and Chhattisgarh) Indian states (two per state) maintained a list of PPCuIUD acceptors with contact phone numbers. We randomly selected 100 women at each site for inclusion in a telephone survey of IUD outcomes at 1 year. Questions regarded IUD expulsion, discontinuation because of symptoms (e.g., pain, bleeding, discharge), discontinuation for other reasons and use of alternative contraception if discontinuation reported.

PPCuIUD continuation rate at 1 year was 62.8%. Most removals within 1 year were due to associated side effects. Almost half of the women discontinuing PPCuIUD did not switch to an alternative modern contraceptive method. The 1-year continuation rate of PPCuIUD achieved through a large-scale national program in India is satisfactory. The program needs to address the low uptake of other modern contraceptive methods after discontinuation.

 

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Citation: 
Kumar S, Srivastava A, Sharma S, Yadav V, Mittal A, Kim YM, et al. One year continuation of post-partum intrauterine contraceptive device: findings from a retrospective cohort study in India. Contraception. 2018.