Background: During the postpartum period both woman and newborn need a special integrated package of health services as morbidity and mortality rates are quite high Advantages of immediate postpartum intrauterine contraceptive device insertion (PPIUCD) include convenience, safety, client motivation, facilitates proper birth spacing, does not interfere with lactation, immediately reversible and does not require repeated health care visits for refill of contraceptive.

Methods: This prospective longitudinal study was conducted in the Department of Obstetrics and Gynaecology, College of Medicine & JNM Hospital, Kalyani, West Bengal from 1st January 2016 to 31st December 2016.

Results: During the study period from1st January 2016 to 31st December 2016, 9441 women were counseled and 61.1% women were aware about PPIUCD. 7410 patients delivered during this period. Overall 3889 patients had PPIUCD insertion in the study period. Acceptance rate was 52.5%. Majority of the insertions were post placental insertions (63.7%). Majority of the cases who had PPIUCD insertion were between the age group of 18-25 years (40.52%). Most of the clients were para-2 (34.89%). PPIUCD with expulsion rate was of 0.6%.

Conclusion: Immediate postpartum IUCD insertion is safe, effective, low cost, long acting and reversible contraceptive method. Awareness of PPIUCD should be increased to create a positive impact. The feasibility of accepting PPIUCD insertion can increase with proper antenatal counselling and awareness programs in rural and urban areas. With proper insertion techniques expulsion rate can be kept low.

Key words: contraception, post placental insertion, PPIUCD

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