Background: In this study, we wanted to evaluate and analyse acceptance, effectiveness and complications of PPIUCD insertion in the postpartum period, assess the proportion of women accepting immediate PPIUCD insertion, find out the reasons for acceptance and decline of PPIUCD, find out the complications among the acceptors, follow post placental insertion and its outcome after 6 weeks, 3 months, and 6 months, evaluate the effectiveness of PPIUCD, and determine the reasons for removal of PPIUCD. Materials and Methods: This was a hospital based prospective observational study conducted among 106 patients who presented with normal or assisted vaginal delivery, caesarean section to the Department of Obstetrics and Gynaecology of Deben Mahata Government Medical College, Purulia, West Bengal, from July 2019 to December 2020 after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: Out of 106 patients 6(14.7%) patients had reversible reasons of acceptance of PPIUCD and 2(4.9%) patients had no interference with breast feeding reasons of acceptance of PPIUCD, 4(6.67%) patients did not want contraceptives immediately reason of decline of PPIUCD. 13(31.7%) patients had a mode of delivery CS, 26(63.41%) patients had a mode of delivery VD and 2(4.89%). 14(34.2%) patients had a history of previous use of contraception, 14(34.15%) showed no complications of PPIUCD and 27(65.85%) showed complications. 36 patients came for follow up at 6 months out of which 30 (83.33%) showed no complications. No case of pregnancy was found at follow up visits. Conclusion: PPIUCD is a safe, convenient, and highly effective postpartum intrauterine contraceptive device, which can be encouraged in both vaginal delivery and CS; it can be integrated with maternal child health services ensuring an appropriate long term reversible family planning method before returning home. To improve acceptance of PPIUCD, there should be a separate unit of antenatal counselling for the couples regarding the possibility of conception during lactational amenorrhea, morbidity related to consecutive conception, and the importance of birth spacing. Even in the postpartum period effectiveness of PPIUCD counselling can only be ensured if the couple is counselled together. Misconceptions and negative attitudes related to PPIUCD should be addressed through community-based activities and government strategies to increase public awareness through different media sources as another way of promoting the programme.

Background: In this study, we wanted to evaluate and analyse acceptance, effectiveness and complications of PPIUCD insertion in the postpartum period, assess the proportion of women accepting immediate PPIUCD insertion, find out the reasons for acceptance and decline of PPIUCD, find out the complications among the acceptors, follow post placental insertion and its outcome after 6 weeks, 3 months, and 6 months, evaluate the effectiveness of PPIUCD, and determine the reasons for removal of PPIUCD. Materials and Methods: This was a hospital based prospective observational study conducted among 106 patients who presented with normal or assisted vaginal delivery, caesarean section to the Department of Obstetrics and Gynaecology of Deben Mahata Government Medical College, Purulia, West Bengal, from July 2019 to December 2020 after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: Out of 106 patients 6(14.7%) patients had reversible reasons of acceptance of PPIUCD and 2(4.9%) patients had no interference with breast feeding reasons of acceptance of PPIUCD, 4(6.67%) patients did not want contraceptives immediately reason of decline of PPIUCD. 13(31.7%) patients had a mode of delivery CS, 26(63.41%) patients had a mode of delivery VD and 2(4.89%). 14(34.2%) patients had a history of previous use of contraception, 14(34.15%) showed no complications of PPIUCD and 27(65.85%) showed complications. 36 patients came for follow up at 6 months out of which 30 (83.33%) showed no complications. No case of pregnancy was found at follow up visits. Conclusion: PPIUCD is a safe, convenient, and highly effective postpartum intrauterine contraceptive device, which can be encouraged in both vaginal delivery and CS; it can be integrated with maternal child health services ensuring an appropriate long term reversible family planning method before returning home. To improve acceptance of PPIUCD, there should be a separate unit of antenatal counselling for the couples regarding the possibility of conception during lactational amenorrhea, morbidity related to consecutive conception, and the importance of birth spacing. Even in the postpartum period effectiveness of PPIUCD counselling can only be ensured if the couple is counselled together. Misconceptions and negative attitudes related to PPIUCD should be addressed through community-based activities and government strategies to increase public awareness through different media sources as another way of promoting the programme.