INTRODUCTION: While there are numerous methods available for contraception, Post-Partum Intra Uterine Contraceptive
Device has been the most used method in Tamil Nadu. However, over a period, the retention rate tends to be low for
various reasons. Hence this study was conducted to estimate the retention rate of intrauterine device among PPIUCD
users at the end of 6 months and the factors determining the retention of IUCD in Kancheepuram district of Tamil Nadu,
which has the lower PPICUD acceptors.
METHODS : A cross-sectional study was conducted in Kancheepuram Health Unit District in November 2019 among
260 PPIUCD acceptors between 6 months to 2 years after PPIUCD insertion. The required sample size was selected by
multistage sampling method. After obtaining written informed consent, the participants were interviewed using an
interviewer administered semi-structured questionnaire.
RESULTS : The retention rate was 81.5% (95% Confidence Interval -76.5% - 86.1%) Among those who discontinued to
use IUCD, 64.5% had removed it intentionally. among women who did not receive any information on follow-up visit
had higher proportion of discontinuation which was statistically significant. Bleeding and abdomen pain was the most
common reason quoted for discontinuation, while considering IUCD as a safe option was the most common reason quoted
for retention of IUCD.
CONCLUSION : PPIUCD retention rate has improved in Kancheepuram HUD. There should be a definite protocol on followup of PPIUCD acceptors and implementation of the same should be focused on to ensure the retention rate.