A study of awareness and factors affecting acceptance of PPIUCD in South-East Rajasthan

Sharma, Ashutosh; Gupta, Vinita

doi:10.18203/2394-6040.ijcmph20173313

Cited by 21 publications

(37 citation statements)

References 11 publications

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“…In the present study of 60 cases of intra-cesarean copper IUCD insertion, Table 1 shows that 81.67% were in the age group of 20-30 years similar to 85.51% in a study by Swathi et al 11 30% were primigravidae and 58.33% were second gravidae in this study against 42.3% primis and 30.7% second gravidae in a study by Swathi et al 11 As shown in Table 1 in this study 95% of women were educated (55% high school education, 16.66% intermediate and 23.33% graduation). Only 5% were illiterate.…”

Section: Discussionsupporting

confidence: 80%

“…Almost 95% were educated. Minimum of school education was seen in 55% and intermediate education in 16.66% whereas 23.33% were graduates. Only 5% were illiterate.…”

Section: Resultsmentioning

confidence: 93%

“…11 The discontinuation in the first 12 months of use was mostly due to side effects like irregular bleeding, menorrhagia, infection and pain. 15.36% had copper IUCD removed because of family opposition in a study by Sharma M et al 15 The main reason for acceptance was awareness about its reversibility (73.62%) and safety and effectiveness of PPIUCD (69.96%) as in a study by Urmila et al 14 Reasons for non-acceptance was refusal by partner/family members (72.75%) and fear of complications (70.05%) as in a study by Ashutosh et al 16 Absence of uterine perforation and low incidence of infection are strong indicators of safety of PPIUCD. 14 With effectiveness greater than 99% and being one of LARC methods, copper IUCD is the most effective reversible contraceptive with highest continuation rates.…”

Section: Discussionmentioning

confidence: 98%

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A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Gillella¹,

Kothapally²,

Bhashyakarla³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONProviding quality contraceptive services to women is essential for achieving maternal and child health. Unwanted and untimed pregnancies result in adverse outcomes for mother and child. Short birth intervals are associated with adverse perinatal and maternal outcomes. 27% of births occur within 24 months after a previous birth and 34% occur between 24 and 35 months. 1More than 50% of non-breastfeeding women ovulate and more than 50% are sexually active by 6 weeks postpartum. 2 In India, 65% of women have an unmet need for family planning in the first year postpartum. 3 ABSTRACT Background: Providing quality contraceptive services to women is essential for achieving maternal and child health. Objective of this study was to evaluate the efficacy of intra-caesarean insertion of copper IUCDs as postpartum contraception. To study the side effects of intra caesarean copper device. To study the continuation rates of intracaesarean copper IUCDs. To study the acceptability of intra-caesarean copper IUCD as immediate postpartum contraceptive. Methods: The prospective study was undertaken at Bhaskar medical college and general hospital, Yenkepally, Moinabad, Telangana, between January 2016 and March 2018 after ethical committee clearance. About 60 pregnant women were enrolled into the study after an informed written consent regarding the procedure, benefits and complications and the need for follow up for at least one year. Copper T 380A/multiload copper 375 was inserted into the uterine cavity after delivery of the placenta and membranes during caesarean section. Patients were followed up at 6 weeks, 6 months and one-year intervals for any complaints, visibility of threads and for ultrasound examination for position of copper IUCDs in the uterus. Data analysis was done using Microsoft excel 2016. Results: Nearly 48.33% continued intra-caesarean copper IUCDs for more than 1 year. 70% did not have any complaints. 86.67% came for more than one follow-up visit. 47% had copper IUD threads visible by one year. No case of perforation either during insertion or during continuation was noted. None conceived with copper IUCD in situ. Removal of copper IUCD was also easy and none required hysteroscopic removal. Conclusions: Intra-caesarean copper IUCD insertion is a safe and effective long acting reversible contraceptive method in the postpartum period.

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Section: Discussionsupporting

confidence: 80%

“…Almost 95% were educated. Minimum of school education was seen in 55% and intermediate education in 16.66% whereas 23.33% were graduates. Only 5% were illiterate.…”

Section: Resultsmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 98%

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A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Gillella¹,

Kothapally²,

Bhashyakarla³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…This was slightly comparable with findings in Central India (11.9%), tertiary care center, Indore (10.0%), but lower than other studies conducted in Zenana hospital, Jaipur (21.8%), Jorhat tertiary care hospital, Assam (36.6%), Faridabad district, India (39.0%) and Cuttack medical college, Odisha (25.32%) [22–26]. It was also higher than Jay Kay Lon hospital, Kota (2.94%) [16]. This variation of acceptance rate might be due to the difference in the level of awareness, educational level of respondents, religious beliefs and various misconceptions about PPIUCD insertion in the study settings.…”

Section: Discussionmentioning

confidence: 85%

“…Findings from other studies showed that lack of knowledge about the method, lack of trained providers and preference of short-acting contraceptive methods, spousal opposing, and fears of complication were the main reasons for not accepting PPIUCD use [15, 16]. A study in Adesh tertiary hospital, India woman’s and husband’s education, attending antenatal and postnatal visits were significantly associated with IUCDs utilization.…”

Section: Introductionmentioning

confidence: 99%

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Gonie

Worku

Assefa

et al. 2018

Contracept Reprod Med

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BackgroundThe postpartum intrauterine contraceptive devices (PPIUCD) is the only family planning method for couples requesting highly effective, reliable, inexpensive, non-hormonal, immediately reversible, and long-acting contraceptive that can be initiated during the immediate postpartum period and it has no a negative effect on lactation. Despite these benefit, the acceptance and utilization of immediate PPIUCD were very low and the reasons for rejecting immediate PPIUCD usage have not been characterized in Southeast Ethiopia. Therefore, this study determined the level of acceptability and factors associated with immediate PPIUCD use among women who gave birth at Bale zone health facilities, Southeast Ethiopia.MethodsA facility based cross-sectional study was conducted from March to July 2017 in Bale zone health facilities. Four hundred twenty-nine women were successfully interviewed using structured and pre-tested questionnaire. Health facilities were selected by lottery method. Study participants were selected systematically. Data were entered into Epi data version 3.1 and exported into SPSS version 21 for analysis. Logistic regression analyses were done. A significant association was declared at a p-value less than 0.05.ResultsThe acceptance of immediate PPIUCD usage was 12.4%. Non-acceptors reported their reasons for rejecting PPIUCD use; concern and fears of complications (24.8%), religious beliefs (19.8%), and husband refusal (17.7%). Respondents who had completed secondary education were more likely to accept PPIUCD usage than those who had no formal education (AOR = 3, CI = 11.81, 53.91). In addition, the odds of accepting PPIUCD insertion was higher among women who attended 3 antenatal care visits than those who did not attend antenatal care visits for the current birth (AOR = 1.81, CI = 0.34, 0.85).ConclusionsThe acceptance of immediate PPIUCD usage was still low. This might be attributed to the low achievement of education, perceived concern and fears of complications towards IUCD insertion. The male partner’s refusal and religious beliefs also have a role in the usage of postpartum IUCD. Due attention should be given to enhancing educational level of women and effective IUCDs counseling should be given during antenatal care visits to correct misconceptions and fears of complication about PPIUCD insertion.Electronic supplementary materialThe online version of this article (10.1186/s40834-018-0071-z) contains supplementary material, which is available to authorized users.

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A Prospective Multi-centric Study of Acceptance, Insertion and Follow-Up of Postpartum Insertions of IUCD

Gudi

Sachdeva

Manchanda³

et al. 2023

J Obstet Gynecol India

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Purpose of the Study The unmet need for contraception in the postpartum period is a major challenge in our country. Unintended pregnancies are highest in the first year after birth, and postpartum IUCD insertion is an effective way to counter this problem. This study was planned to build up data for acceptance and follow-up of postpartum IUCD insertions. Methods The present study has included data of PPIUCD insertions and follow-up from seven institutions over a period of 6 months. The case recruitment lasted for 3 months, including only those who had PPIUCD insertions in this period, and they were followed up for a period of 6 months. The follow-up of patients was at 6 weeks and 6 months. All issues were addressed including side effects, expulsions, myths surrounding the device, etc., along with routine postnatal care. Results and Conclusion There were 5227 deliveries and 1895 insertions. The acceptance rate was 36%, and a follow-up at 6 weeks and 6 months showed up an expulsion rate of approximately 4% and a removal rate of 5%. Overall, at the end of 6 months we have a continuation rate of 90%. This shows that a dedicated approach to postpartum contraception will definitely bring down incidence of unintended pregnancies.

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A study of awareness and factors affecting acceptance of PPIUCD in South-East Rajasthan

Cited by 21 publications

References 11 publications

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

A prospective interventional study of intra-caesarean copper intrauterine contraceptive devices insertion in a teaching hospital in a rural medical college in Telangana, India

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

A Prospective Multi-centric Study of Acceptance, Insertion and Follow-Up of Postpartum Insertions of IUCD

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