Compare the Immediate Postpartum Intrauterine Contraceptive Device (PPIUCD) Versus Interval IUCD in Caesarean and Vaginal Deliveries

Objective: To compare the complications such as missing threads and irregular bleeding of immediate PPIUCD versus interval IUCD in cesarean and vaginal deliveries. Methodology: A prospective comparative study involving 460 women was conducted at POF Hospital, Wah Cantt, Pakistan from November 2023 to November 2024. The study adhered to the WHO medical eligibility criteria for contraceptive use (MEC), with 230 women receiving the PPIUCD and 230 women receiving the interval IUCD. The participants were followed up at 1 month, 3 months, and 6 months post-insertion. The outcomes of the PPIUCD patients were compared with those of the interval IUCD patients. All the data were entered and analyzed using SPSS v 23. The Pearson chi square test was used to compare the proportion of women with missing threads and irregular vaginal bleeding among patients. Results: The average age of the women was 29.6±4.7 years. The rate of missing threads was significantly higher in patients with PPIUCD insertion (20.9%) compared to those with interval IUCD insertion (12.6%), with a p < 0.05. Irregular vaginal bleeding was more frequent in PPIUCD patients (18.7%) compared to those with interval IUCD insertion (10.9%), with a statistically significant difference (p < 0.05). Conclusion: PPIUCD use was found to be a safe, simple, cost-effective, and reversible contraceptive method, with greater potential for long-term continuation.