Original Contribution
Evaluation of Organism in Vaginal Discharge of PPIUCD Users Versus Non-Users
1. Dr. Most. Asma Khatun, Medical Officer, Department of Obstetrics and Gynecology, Dhaka Medical College
&Hospital, Dhaka, Bangladesh
2. *Dr. Nadira Haque, Senior Consultant and Head of the Department of Obstetrics and Gynecology, Kuwait-
Bangladesh Friendship Government Hospital, Dhaka, Bangladesh. dr.nadira1@yahoo.com
3. Dr. Eti Saha, Associate Professor, Department of Obstetrics and Gynecology, Khulna medical College &
Hospital, Khulna, Bangladesh.
4. Dr. Mausumi Paul, Medical Officer, Department of Obstetrics and Gynecology, Khulna Medical College &
Hospital, Khulna, Bangladesh.
5. Dr. Md. Farid Uddin, Medical Officer, Department of Anesthesiology, Khulna Medical College & Hospital,Khulna, Bangladesh.
6. Dr. Khadija Khan Toma, Registrar, Department of Obstetrics and Gynecology, Kuwait-Bangladesh Friendship
Government Hospital, Dhaka, Bangladesh.
7. Dr. Nurun Nahar, Registrar, Department of Obstetrics and Gynecology, Kuwait-Bangladesh Friendship
Government Hospital, Dhaka, Bangladesh.
*For correspondence
Abstract
Background: Immediate Post-Partum Intrauterine Contraceptive Device (PPIUCD) is a novel
approach to contraception which integrates maternal-child health and family planning services but
it has less acceptance in the community.
Methods: This cross-sectional comparative study was conducted in the Department of Obstetrics
& Gynecology, Khulna Medical College Hospital between 1st June 2019 and 28th February 2020. A
total of 66 women between 20 and 35 years of ageat postpartum period were enrolled in the study
and divided into two groups. Among them 33 women who agreed to take PPIUCD were considered
as group-I (n=33) and rest 33 women who were PPIUCD non-users were considered as group-II
(n=33). Purposive sampling was done according to the availability of the participants who had
voluntarily joined this study. The purpose and procedure of study was discussed with the
participants and informed written consent was taken. An interviewer administered questionnaire
was used for data collection.Statistical analysis of the results was obtained by using Windows
based computer software devised with Statistical Packages for Social Sciences (SPSS-22).
Results: Among 66 patients, majority of patients were in the age group of 20-25 years (51.7% in
group I and 57.6% in group II). Majority of patients using PPIUCD were multiparous (57.6%)
while 63.6% non-users were primiparous. Most common complaints among study population were
abnormal vaginal discharge, vaginal itching, dyspareunia, dysmenorrhea and backache with a
higher frequency in PPIUCD users without statistical significance. Among PPIUCD users, 48.5%
had scanty vaginal discharge, 27.3% had average discharge, 24.2% had profuse vaginal discharge
with mean duration of vaginal discharge of 31.94±13.97 days. Gram stain findings of vaginal
discharge between PPIUCD users and non-users showed only more gram-positive cocci in
PPIUCD users than non-users with statistical significance (p=0.036) while culture of vaginal
discharge showed significantly positive culture for Staphylococcus aureus in group-I while
Neisseria was significantly more in group -II, non-user group.
Conclusion: In this study, IUCD use during immediate postpartum period altered normal vaginal
flora with higher frequency of Gram-Positive Cocci and lesser frequency of yeast isolation.
[Shaheed Syed Nazrul Islam Med Col J 2023, Jul; 8 (2):115-122]
Keywords: PPIUCD, Vaginal discharge
Full Article