Community Medicine (PSM) · Family Planning and Contraceptives

Under India's National Family Planning Programme, the post-partum IUCD (PPIUCD) insertion is recommended within how many hours after delivery, and what is the minimum interval before Interval IUCD insertion post-delivery?

  • A PPIUCD within 48 hours; Interval IUCD after 4 weeks
  • B PPIUCD within 24 hours; Interval IUCD after 3 months
  • C PPIUCD within 72 hours; Interval IUCD any time post 8 weeks
  • D PPIUCD within 10 minutes of placental delivery; Interval IUCD after 6 weeks
Correct answer: D. PPIUCD within 10 minutes of placental delivery; Interval IUCD after 6 weeks

Explanation

India's PPIUCD programme guidelines specify insertion within 10 minutes of placental expulsion (post-placental) at the same delivery session as the preferred window, or within 48 hours of delivery (still technically PPIUCD). The interval IUCD is NOT recommended during the 6-week involution period because the risk of expulsion and perforation is elevated with the soft, involuting uterus; after 6 completed weeks uterine involution is adequate. The option stating '10 minutes and 6 weeks' corresponds most closely to the programme protocol.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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