Publication:

A comparative study of postpartum intrauterine contraceptive device acceptance between primiparous and multiparous women in a tertiary care centre

Background According to Census 2011 the population of India on 1 March 2011 was 1, 210, 193, 422. In spite of availability of wide range of contraceptives, the unmet need for family planning in India is estimated to be 21.3% by DLHS III survey. IUDs are the most commonly used method of reversible contraception worldwide.

Methods It was a prospective, comparative, interventional study conducted over a period of one year at department of obstetrics and gynaecology, MLB medical college Jhansi, comprised of 306 women divided into two groups. Females in group A (129) were primiparous and in group B (207) were multiparous. All antenatal women between 36-42 weeks of gestation who anticipate delivery and counseled were included. Medical eligibility criteria were used for client assessment.

Results Majority of the females (around 50%) in both groups counseled prior to caesarean section. Around 43.7% females in both groups were counseled during early labour. Rest 5% females were counseled during their antenatal visits. There were 57.85% multiparous women who accepted PPIUCD. In primiparous women acceptance of PPIUCD was 42.15%. Acceptance of postpartum intrauterine contraceptive devices (PPIUCD) was significantly higher in multipara (57.85%). Most common reason behind acceptance was postpartum family planning (PPFP) counseling (~60%). Most common reason in multiparous women (57.84%) was completed family. Others common reasons were motivated by ASHA (11.11%), 6.54% wanted birth spacing.

Conclusions Acceptance of PPIUCD was significantly higher in multiparous women than primiparous. Most common reason behind this increased acceptance was PPFP counseling.