DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221320

Postpartum intrauterine contraceptive device: knowledge and factors affecting acceptance among postpartum women at tertiary care hospital in North-Western Rajasthan

Krishna K., Swati K., Shweta C., Ankur N.

Abstract


Background: Intra-uterine contraceptive device (IUCD) insertion recommended within 10 min of placental delivery or within 48 hours of delivery is called postpartum IUCD according to WHO. Aim of the study was to evaluate the factors affecting knowledge and the likely acceptance of the postpartum intrauterine contraceptive device (PPIUCD).

Methods: The present descriptive cross-sectional study was carried out in the department of obstetrics and gynaecology at S. P. medical college and associated group of hospitals, Bikaner, Rajasthan, India from May 2020 to July 2020. Total 500 post-partum women were studied with the help of predesigned and pretested questionnaire. Knowledge of the women was summarized as proportion. Chi-square test was used to compare proportions and univariate analysis for the factors affecting knowledge and likely adoption of PPIUCD.

Results: The 210 (42%) women out of 500 women had knowledge regarding PPIUCD. Multiparity (p=0.003), education above secondary level {OR=11.66 (95% CI=7.13-19.06), p=0.00}, upper middle and middle socioeconomic status {OR=6.77 (95% CI=4.44-10.16), p=0.00} and health worker counselling {OR=13.61(95% CI=8.78-21.10), p=0.00} were significantly associated with knowledge. Multiparous women (p=0.004), women who had discussed PPIUCD with their husband (p<0.0001), women with family support for their decision (p<0.00001), women without religious beliefs (p<0.0001) were more significantly associated with adoption of PPIUCD.

Conclusions: The level of knowledge of our study population regarding PPIUCD is 42%. Our study has reported education and regular health care worker counselling as most important modifiable predictors to improve the knowledge regarding PPIUCD.

wledge regarding PPIUCD. 


Keywords


Knowledge, PPIUCD, Education, Health care worker counselling

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References


Banapurmath S, Dotrad G, Doreswamy N, Shyamala. Feasibility of Postpartum Insertion of Intrauterine Device-Expanding the Use of Intrauterine Contraceptive Device in Postpartum Period-A Cross Sectional Study in Developing Country, India. Int J Current Res Rev. 2014;6:38-49.

WHO. Medical Eligibility Criteria for Contraceptive Use 5th ed. Geneva: WHO. 2015. Available at: https://www.who.int/publications/i/item/9789241549158. Accessed on 3 March 2022.

Bhasin SK, Pant M, Mehta M, Kumar S. Prevalence of usage of different contraceptive methods in East Delhi-a cross sectional study. Indian J Community Med. 2005;30:53-5.

Valliappan A, Dorairajan G, Chinnakali P. Postpartum intrauterine contraceptive device: Knowledge and factors affecting acceptance among pregnant/parturient women attending a large tertiary health center in Puducherry, India. Int J Adv Med Health Res. 2017;4:69-74.

Katheit G, Agarwal J. Evaluation of post-placental intrauterine device (PPIUCD) in terms of awareness, acceptance, and expulsion in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2013;2:539-43.

Nath A, Kulkarni A, Venkatesh S, Kumar M. Awareness and utilization of postpartum intrauterine contraceptive device among postnatal women in Vijayapur. BLDE Univ J Health Sci. 2018;3:104-7.

Asnani M, Agarwal A, Singh R. Study of knowledge, attitude, practices regarding PPIUCD among antenatal women at a tertiary care centre in Northern India. Int J Reprod Contracept Obstet Gynecol 2019;8:1111-4.

Gautam R, Arya KN, Kharakwal S, Singh S, Trivedi M. Overview of Immediate PPIUCD application in Bundelkhand Region. J of Evolution of Med and Dent Sci. 2014;3(36):9518-9526.

Singh A, Meena P, Radhakrishnan G, Rutela M. A knowledge, attitude and practice study on awareness and acceptance of contraception in postpartum women in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2016;5:1921-4.

Mishra S. Evaluation of safety, efficacy, and expulsion of post-placental and intra-cesarean insertion of intrauterine contraceptive devices (PPIUCD). J Obstet Gynaecol India. 2014;64:337-43.