Community Medicine (PSM) · Family Planning and Contraceptives

Under the Mission Parivar Vikas programme targeting the 146 high-fertility districts in India, which contraceptive method is promoted under the PPIUCD programme, and at what timeframe post-delivery is it inserted?

  • A LNG-IUS (Mirena); inserted at 6-week postpartum visit
  • B Copper-T 380A; inserted within 48 hours of delivery
  • C Copper-T 380A; inserted 6–8 weeks postpartum only
  • D Barrier methods; provided at discharge from facility
Correct answer: B. Copper-T 380A; inserted within 48 hours of delivery

Explanation

The Post-Partum Intrauterine Contraceptive Device (PPIUCD) programme promotes insertion of Copper-T 380A within 48 hours of delivery (or up to 6 weeks postpartum = interval IUCD if beyond 48 hours). Immediate postpartum insertion (within 10 minutes of placental expulsion) or within 48 hours is preferred as the uterus is still large and soft, facilitating easy insertion. PPIUCD is a key component of Mission Parivar Vikas for high-fertility states (UP, Bihar, MP, Rajasthan, Jharkhand, Chhattisgarh, Assam).

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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