Retrospective study on socio-demographic factors responsible for acceptance of IUCD among postpartum women
DOI:
https://doi.org/10.18203/2320-6012.ijrms20190941Keywords:
Acceptance, ANC, Postpartum IUCDAbstract
Background: Despite the availability of modern and scientific measures, unacceptably high numbers of maternal deaths still occur in developing countries. Spacing methods of family planning may avoid maternal and infant deaths. The Government of India launched postpartum IUCD (PPIUCD) services in the year 2000; although acceptance of Postpartum IUCD is a real concern.
Methods: The retrospective study was conducted in rural government hospital in Maharashtra during 2016 - 2017. We analyzed sociodemographic variables and acceptance of Postpartum IUCD among postpartum women. The sample size was 595 (N=595). The sociodemographic factors studied included age, type of delivery, sex of newborn, socioeconomic status, educational status, etc.
Results: The total postpartum women included in the study was 595, out of which, 202 (34%) accepted for postpartum IUCD whereas 393 (66%) rejected for the same. The most common age group was 20-25 years (65%), followed by age group 25-30 years (30%). Primipara was the comment group (45%) and normal vaginal delivery was common (95%). The educational status of both, the postpartum women and their husband, showed statistically significant association with acceptance of postpartum IUCD (p<0.05).
Conclusions: The acceptance Postpartum IUCD was low (34%). The women’s and their husband’s educational status is an important factor in acceptance of Postpartum IUCD (p<0.05). Due attention should be given to enhancing educational level of women, also effective counselling both for pregnant woman and her husband during ANC is required.
References
Mahler H. The safe motherhood initiative: a call to action. Lancet. 1987;329(8534):668-70.
United Nations (UN) Secretary-General. Road Map Towards the Implementation of the United Nations Millennium Declaration: Report of the Secretary-General. New York: UN; 2001:21A/56/326.
Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J: Family planning: the unfinished agenda. Lancet. 2006;368:1810-27.
DaVanzo J, Hale L, Razzaque A, Rahman M. Effects of interpregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, Bangladesh. BJOG. 2007;114:1079-87.
Rutstein SO. Effects of preceding birth intervals on neonatal, infant and under-five years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. Int J Gynaecol Obstet. 2005;89 Suppl 1:S7-S24.
Kanhere A, Pateriya P, Jain M. Acceptability and feasibility of immediate post-partum IUCD insertion in a tertiary care centre in Central India. Int J Reprod Contracep Obst Gynecol. 2015;4(1):1.
Balsarkar GD, Nayak A. Postpartum IUCD: Rediscovering a Languishing Innovation. The J Obst Gynecol India. 2015 Jul 1;65(4):218-20.
Kumar S, Sethi R, Balasubramaniam S, Charurat E, Lalchandani K, Semba R, et al. Women’s experience with postpartum intrauterine contraceptive device use in India. Reproductive Health. 2014 Dec;11(1):32.
Mishra S. Evaluation of safety, efficacy, and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD). J Obst Gynecol India. 2014;64(5):337-43
Grimes DA, Lopez LM, Schulz KF, Van Vliet HA, Stanwood NL. Immediate post‐partum insertion of intrauterine devices. Cochrane Database of Systematic Reviews. 2010(5).
Kant S, Archana S, Singh AK, Ahamed F, Haldar P. Acceptance rate, probability of follow-up, and expulsion of postpartum intrauterine contraceptive device offered at two primary health centers, North India. J Family Medicine Primary Care. 2016 Oct;5(4):770.
Jairaj S, Dayyala S. A cross sectional study on acceptability and safety of IUCD among postpartum mothers at tertiary care hospital, Telangana. JCDR. 2016 Jan;10(1):LC01.
Vidyarama R, Nagamani T, Prasad K. PPIUCD as a long acting reversible contraceptive (Larc)-an experience at a tertiary care centre. Int J Sci Res. 2015;4(5):5-7.
Goswami G, Yadav K, Patel A. A prospective study to evaluate safety, efficacy and expulsion rate of post placental insertion of intra uterine device. J Evolution Med Dent Sci. 2015 Jul 13;4(56):9770-74.
Zapata LB, Murtaza S, Whiteman MK, Jamieson DJ, Robbins CL, Marchbanks PA, et al. Contraceptive counseling and postpartum contraceptive use. Am J Obstet Gynecol. 2015;212:171.e1-e8.
Bwazi C, Maluwa A, Chimwaza A, Pindani M. Utilization of postpartum family planning services between six and twelve months of delivery at Ntchisi District Hospital, Malawi. Health. 2014;6:1724-37.
Mohamed SA, Kamel MA, Shaaban OM, Salem HT. Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. Med Principles Practice. 2003;12(3):170-5.
Thomas D, Maluccio J. Fertility, contraceptive choice, and public policy in Zimbabwe. World Bank Econ Rev. 1996;10(1):189-222.
Kumar S, Sethi R, Balasubramaniam S, Charurat E, Lalchandani K, Semba R, et al. Women’s experience with postpartum intrauterine contraceptive device use in India. Reprod Health. 2014;11:32.
Mahmood SE, Srivastava A, Shrotriya VP, Shaifali I, Mishra P. Postpartum contraceptive use in rural Bareilly. Indian J Community Health. 2011;23:56-57.
Wasim T, Shaukat S, Javed L, Mukhtar S. Outcome of immediate postpartum insertion of intrauterine contraceptive device: Experience at tertiary care hospital. JPMA. The J Pakistan Med Association. 2018 Apr 1;68(4):519-25.
