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LACTATION AND LACTATIONAL AMENORRHOEA WITH POST-PARTUM IUCD INSERTIONS

The post-partum period is considered as an ideal period for propagating any birth control technique as women are highly motivated and a number of them are under some medical care. For the introduction of an intra-uterine contraceptive device (IUCD) the post-partum period was also found satisfactory (Hingorani, 1966; Hingorani & Uma Bai, 1968; Hingorani, Uma Bai & Kakkar, 1969a; Phatak, 1969) as insertion was found to be easy and painless owing to the patulous os; there were no complaints of post-insertional bleeding on account of the natural presence of the lochia. It was also felt that when the lochia stopped the patient would then go into lactational amenorrhoea and a significant side effect of bleeding present in non-puerperal insertions would be minimized. However, as the effects of post-partum IUCD insertions on lactational