Abstract
Aim
To assess knowledge and attitude of women toward postpartum intrauterine contraceptive device (PPIUCD) and analyze reasons of refusal.
Setting and Design
Hospital-based cross-sectional study for 1 year.
Materials and Methods
550 women were enrolled in the study. Sociodemographic characteristics, knowledge, and attitude toward contraception especially PPIUCD were noted, and the reasons for refusal of PPIUCD were analyzed.
Statistical Analysis
SPSS version 17.0 is used. Continuous variables were reported using mean, and categorical variables were reported using percentages.
Observations
PPIUCD insertion rate was 9.1 %. 78.6 % of women in the study belonged to the age group of 20–30 years, with 79.2 % having education of Class X and above. The overall contraceptive knowledge was 94.4 %. Although 48.4 % women were aware of Cu T as a method of contraception, only 21.9 % of 48.4 %, however, were aware of PPIUCD. None of the women had ever used it before. The commonest prevalent myths regarding Cu T were fear of malignancy (38 %) and fear of menorrhagia (36.4 %). The husband and mother-in-law played important roles in decision regarding PPIUCD insertion and refused the same in 59 % of cases.
Conclusion
The study shows that awareness of PPIUCD is low in this region despite good education, leading to high refusal rates. The commonest reason is lack of appropriate counseling, and not only the woman but the husband and mother-in-law also must be provided the knowledge of it as they play important roles in our society.
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Compliance with Ethical Requirements and Conflict of Interests
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all the individual participants included in the study. Aruna Nigam, Ayesha Ahmad, Anshu Sharma, Poonam Saith, and Swaraj Batra declare that they have no conflicts of interest.
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Aruna Nigam is working as an Associate Professor in the Department of Obstetrics and Gynaecology at Hamdard Institute of Medical Sciences and Research; Ayesha Ahmad is an Assistant Professor in the Department of Obstetrics and Gynaecology at Hamdard Institute of Medical Sciences and Research; Anshu Sharma is a Senior Resident in the Department of Obstetrics and Gynaecology at Hamdard Institute of Medical Sciences and Research; Poonam Saith is a Family Welfare Officer in the Department of Obstetrics and Gynaecology at Hamdard Institute of Medical Sciences and Research; Swaraj Batra is a Professor in the Department of Obstetrics and Gynaecology at Hamdard Institute of Medical Sciences and Research.
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Nigam, A., Ahmad, A., Sharma, A. et al. Postpartum Intrauterine Device Refusal in Delhi: Reasons Analyzed. J Obstet Gynecol India 68, 208–213 (2018). https://doi.org/10.1007/s13224-015-0714-9
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DOI: https://doi.org/10.1007/s13224-015-0714-9