Analysing Barriers In Acceptance of Postpartum Intrauterine Device (PPIUCD) At Tertiary Care Hospital of Gujarat
Analysing Barriers In Acceptance of Postpartum Intrauterine Device (PPIUCD)
Keywords:
PPIUCD, Family planning, Postpartum ContraceptionAbstract
Background: Indian women have more children than desired and often too closely together due to limited choice of available family planning services. Intrauterine contraceptive devices (IUCDs) have been used by women in India for decades for spacing pregnancies. Our study intended to determine acceptance of Postpartum IUCD (PPIUCD) after structured counseling in mothers delivering at our institute. We have also analyzed various barriers for not accepting PPIUCD insertion as a method of contraception. Methods: An Interventional study was carried among 210 pregnant mothers visiting antenatal outpatient department of a SSG hospital (SSGH) fulfilling the eligibility criteria. Mothers were counseled about need and choice available for post partum contraceptive method including PPIUCD. Her willingness to use PPIUCD and in case if she refuses, reasons for rejection of PPIUCD were noted. Data was entered in Microsoft Excel sheet; analyzed using Epi-Info Software and statistical inferences were drawn by applying test of significance such as Chi square test etc. Results: Acceptance for PPIUCD among the participants before counseling was 14.76%. Most common reason for rejecting PPIUCD was fear of pain in 111 women (62.01%). With the help of counseling, acceptance increased to 59.05%.Among all these women who accepted PPIUCD verbally antenataly, 82 women (39.05%) allowed post partum insertion(out of total 210 women). so the actual PPIUCD insertion rate comes to 39.05%. Interpretation and conclusion: Well structured and balanced counseling provided during antenatal period significantly increases acceptance rate of PPIUCD. Fear of side effects of IUCD was the major hurdle for rejection noted during the study. [Hardik V NJIRM 2017; 8(5):9-12]
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