A Rare Case of Perforation Following PPIUCD Insertion.

IUCD is a safe and an effective reversible and reliable method of long-term contraception. Uterine perforation is rare but a potentially serious complication with an incidence of less than one case per 1000 insertion and can cause severe morbidity [1]. The risk factors for uterine perforation are the type of IUD used, position and size of the uterus, congenital anomalies, infection, history of abortion, and insertion of IUD in the postpartum period due to the thinness of uterine wall. In recent years, there has been a resurgence of interest in postpartum IUCD. According to the data from country programs, the vast majority of PPIUCD users do not have any complications. There are many case reports of uterine perforation due to postpartum IUCD insertion between 4 and 12 weeks. But we did not come across any case report of uterine perforation after post-placental or postpartum (within 48 h of delivery) IUCD insertion after normal delivery. We present a case report of uterine perforation following postplacental IUCD insertion.