ACCEPTANCE OF POST PARTUM INTRA - UTERINE CONTRACEPTIVE DEVICE ( PPIUCD ) AMONG WOMEN ATTENDING GAUHATI MEDICAL COLLEGE AND HOSPITAL ( GMCH ) FOR DELIVERY BETWEEN JANUARY 2011 TO DECEMBER 2014 AND THEIR FOLLOW UP

To study the acceptance level of PPIUCD among women attending GMCH for delivery between January 2011 to December 2014 in relation to age, parity and mode of delivery and their complaints during follow up visit. STUDY DESIGN: Retrospective study. METHOD: In this study data of women admitted for delivery between January 2011 to December 2014 in labour room and data of women attending the postpartum OPD for PPIUCD follow up during the same period were analyzed. RESULTS: Acceptance of PPIUCD showed an increasing trend, acceptance was more among multipara and acceptance was more among clients undergoing caesarean section. 32% of the acceptors were in the age group of 26-30 years. The follow up of clients was less than 50% of the total acceptors in the four years study period. The main complaints at follow up were pain and bleeding which were dealt mainly by reassurance. The main causes of removal were for want of next child and secondly for dissatisfaction with PPIUCD. CONCLUSION: The acceptance of PPIUCD was high in this study. The PPIUCD was demonstrably safe having no serious complication reported after insertion or during follow up and low rates of expulsion. The method may be particularly beneficial in our setting where women do not come for post natal contraception counseling and usage.