DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20210996

Awareness and acceptance of various contraceptive methods among postpartum women in a tertiary care center

Jyoti Jaiswal, Smrity Naik, Ratna Rangari, Ashish Sinha

Abstract


Background: This study was conducted to know awareness and acceptance of contraceptive methods among post-partum women in the tertiary care centre of Chhattisgarh.

Methods: A cross-sectional interview-based study was conducted on a sample of 440 post-partum women. The interview included socio demographic profile, awareness and acceptance of contraceptive methods in postpartum period and factors affecting its use.

Results: In our study, we observed that 95.9% were aware of some method of contraception. This knowledge increased with increasing education, socioeconomic class. 90.9 % accepted one of the contraceptive methods during their hospital stay. The most common contraceptive method chosen was IUCD (80.8%). Major source of information was health care worker (83.88%). The main reason for non-acceptance of contraception was fear of side effects.

Conclusions: High level of persistent motivation is required, so initiation of motivation regarding post-partum contraception should be done in antenatal visits and reinforcement in post-partum period should be done. Proper counseling regarding possibility of milder side effects and way of coping with them should be reinforced, continued motivation and reassurance will give positive attitude for acceptance of contraception. Reinforcement of awareness in society (family and friends/neighbor) this may give positive impact on awareness and acceptance. There is need of couple counseling for better acceptance. Emphasis is required for involvement of men/head of the family for it.


Keywords


Postpartum contraception, KAP, Awareness, Acceptance

Full Text:

PDF

References


Population challenges and development goal. Department of Economic and Social affairs, Population Division, United Nations. New York, 2005.

Sunita TH, Desai RM. Knowledge, attitude and practices of contraception among women attending a tertiary care hospital in India. Int J Reprod Contracept Obstet Gynaecol. 2013;2(2):172-6.

Ministry of Health & Family Welfare. National Population Policy-2000. New Delhi: Department of Family Welfare; Ministry of Health & Family Welfare, Government of India. 2000. Last accessed on 21 November 2020.

Charles W, Ann P. Alternative measure for unmet need for family planning in developing countries. Int Fam Plann Persp. 2000;7(4):126-35.

Shrestha A, Stoeckel J, Tuladhar JM. The KAP-gap in Nepal: Reason for non-use of contraception among couples with an unmet need for family planning. Asia Pac Popul J. 1991;6(1):25-38.

World Health Organization (WHO). Last accessed on

Park K. Demography and Family planning. Text book of preventive and social medicine 21stEdition.

Royal College of Obstetricians and Gynaecologists. Postpartum family planning. United Kingdom: RCOG. 2015.

Anaba R, Ugwa EA. Knowledge, Attitude, and Contraception preferences among postpartum women in Izzi, Ezza south, and Ikwo local government areas of Ebonyi state, Nigeria Hosp Pract Res. 2018;3(1):11-5.

Gaikwad RA, Gadappa SN, Deshpande SS. Awareness of contraception in post partum women in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6(9):3850-4.

Rokade JV, Hanji VR. Study of awareness of contraception in postnatal women. Int J Reprod Contracept Obstet Gynecol. 2018;7(6):2462-6.

Sharma J, Dorairajan G. Knowledge and attitude towards contraceptive methods for spacing and decision making factors regarding its use in postpartum women. Int J Reprod Contracept Obstet Gynecol. 2015;4(3):750-4.

Di Giacomo P, Sbarlati A, Bagnasco A, Sasso L. Woman's contraceptive needs and preferences in the postpartum period: an Italian study. J Clin Nurs. 2013;22(23-24):3406-17.

Jahan U, Verma K, Gupta S, Gupta R, Mahour S, Kirti N et al. Awareness, attitude and practice of family planning methods in a tertiary care hospital, Uttar Pradesh, India. Int J Reprod Contracept Obstet Gynecol. 2017;6(2):500-506.

Kripa S, Shetty H. Knowledge, attitude and practice of contraception among the postnatal women in a tertiary care hospital in a rural area in Southern Karnataka, India. Int J Reprod Contracept Obstet Gynecol. 2017;6(5):1821-4.

Dabral S, Malik SL. Demographic study of Gujjars of Delhi: IV KAP of family planning. J Hum Ecol. 2004;16(4):231-7.

Thapa S, Rani A, Mishra CP. Knowledge, attitude and belief about contraception in post-partum and post abortal women in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2014;3(3):533-9.

Young LK, Farguhar CM, McCowan LME Roberts HE, Taylor J. The contraceptive practice of women seeking termination of pregnancy in an Aukland clinic. NZ Med J. 1994;107:189-91.

Kaushal SK, Saxena SC, Srivastava VK, Gupta SC, Nigam S. KAP study on contraceptive methods in Kanpur district of UP. Indian J Community Health. 2010;22(1):33-8.

Hayat H, Khan PS, Imtiyaz B, Hayat G, Hayat R. Knowledge, attitude and practice of contraception in rural Kashmir. J Obstet Gynecol India. 2013;63(6):410-4.

Srivastav A, Khan MS, Chauhan CR. Knowledge, attitude and practices about contraceptive among married reproductive females. International Journal of Scientific Study. 2014;1(5):2-4.

Rutaremwa G. Contraceptive use during the postpartum period among women in Uganda: BMC Public Health. 2015;15: 262.

Nath J, Islam F. A study on the knowledge, attitude and practice about contraception in postpartum women of North India. International Journal of Science and Research (IJSR). 2017.

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(6):1921-4.

Mahmood SE, Srivastava A, Shrotriya VP, Shaifali I, Mishra P. Postpartum contraceptive use in rural. Indian Journal of Community Health. 2011;23(2).

Sing M, Mehta S, Ranjan R, Das B. Awareness and acceptance of contraception in post partum women in a tertiary care hospital of Delhi. Int J Reprod Contracept Obstet Gynecol. 2015;4(3):690-5.

Patro BK, Kant S, Baridalyne N, Goswami AK. Contraceptive practice among married women in a resettlement colony of Delhi. Health Popul Perspect Issues. 2005;28(1):16-21.