Abstract

Intrauterine contraceptive device (IUCD) is a highly effective, long acting reversible contraceptive method. Rate of acceptance, continuation or complications of IUCD following postpartum (PP) insertion compare to standard interval (INT) insertion were not studied in Sri Lanka. Objectives of this to compare the effectiveness of IUCD following insertion in postpartum (PP) and interval (INT) period. Randomized controlled trial was conducted with 182 postpartum mothers from ward 05, Teaching Hospital, Kandy for period from 15th August 2012 to 15th March 2015. Ethical clearance was obtained from institutional Ethical Review Committee. Mothers were randomized to PP or INT group after vaginal delivery and Copper IUCD were inserted. Participants were followed at 6th weeks, 6th months and 2 year. Outcomes of the study were acceptance and continuation of IUCD, expulsion, perforation, pain, abnormal vaginal bleeding and pelvic inflammatory disease. Among participants rate of insertion was 100% (91) in PP group and 78%