A 28-year-old woman requests an intrauterine contraceptive device (IUCD) insertion immediately after uncomplicated vaginal delivery. The most appropriate choice is:
- A Cu-T 380A (immediate post-partum insertion is contraindicated)
- B Wait 6 weeks for interval insertion of LNG-IUS only
- C PPIUCD (Postpartum IUCD) within 48 hours of delivery ✓
- D IUCD insertion is only safe after 3 months postpartum
Correct answer: C. PPIUCD (Postpartum IUCD) within 48 hours of delivery
Explanation
Postpartum IUCD (PPIUCD) insertion within 48 hours (immediately postplacental or within 48 hours) of delivery is safe and recommended under India's family planning programme. The CuT-380A (or IUCD 375) is used for postpartum insertion. Insertion after 48 hours up to 4 weeks is not recommended due to higher expulsion risk, but interval insertion is acceptable from 4–6 weeks.
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.