Comparison of Outcome of Caesarean Section with & without Post Placental Intrauterine Contraceptive Device Insertion A Randomized Controlled Trial

Abstract

Objective: To compare the outcome of Caesarean Section with and without post placental Intrauterine Contraceptive Device (IUCD) insertion in terms of frequency of bleeding and wound infection. Study Design: Randomized controlled trial. Place and Duration: Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad from 1^st January 2013 to 30^th June, 2013. Methodology: Three hundred & two pregnant women admitted for elective emergency caesarean section, willing to use intrauterine contraceptive device as a method for temporary contraception were randomly divided into two groups A & B. Group A had intrauterine contraceptive device inserted after delivery of placenta and membranes. Group B did not have intrauterine device inserted. In post-operative period both groups were evaluated for heavy lochia or abdominal wound infection on day 3 and day 7. Results: In the experimental group (A) ten patients (6.6%) and in control group (B) 8 patients (5.3%) had wound infection. P value calculated as 0.627 which shows no statistical difference in 2 groups. Regarding heavy lochia in group A 4 patients (2.6%) and in group B 2 patients (1.3%) had heavy lochia. P value calculated as 0.410 which was statistically not significant. Conclusion: There is no significant difference in outcome of caesarean section with and without post placental IUCD insertion.