Publication:

Acceptance and factors linked with postpartum IUCD use in women delivering at a tertiary care hospital

Background Postpartum intrauterine contraceptive devices (PPIUCD) offer highly effective, reliable, non-hormonal, and immediately reversible contraception, with no adverse impact on lactation. Despite these advantages, their acceptance remains low, with factors influencing rejection not fully understood, particularly in specific regions like Vadodara. This study aimed to assess the acceptability and associated factors of immediate PPIUCD use among women in SSG hospital, Vadodara.

Methods A cross-sectional study was conducted from 1st to 30th March 2024, involving 170 postpartum women in SSG hospital, Vadodara. Participants were selected using a systematic approach, and data were collected through structured questionnaires.

Results Acceptance of immediate PPIUCD usage was found to be 12.7%. Reasons for non-acceptance included concerns about complications (24.8%), bad experience in the past (10℅), and husband’s refusal (17.7%). Women with secondary education were more likely to accept PPIUCD, as were those who attended four or more antenatal care visits.

Conclusions Despite the benefits of immediate PPIUCD, its acceptance remains low, influenced by educational level, concerns about complications, and cultural factors such as male partner’s refusal and religious beliefs. Enhancing women’s education and providing effective counselling during antenatal care visits are crucial for addressing misconceptions and fears surrounding PPIUCD, thereby promoting its utilization in postpartum family planning.