Published: 2021-09-27

Effect of postpartum counseling on adoption of family planning within six months in women delivered in SSG Hospital: an interventional study

Sangita V. Patel, Swapnil Malkhede, Maitri Shah, Latika Chugh, Jesal H. Patel, Ajay Parmar


Background: Increased family planning helps to reduce maternal mortality and infant mortality. Unmet need is spacing of birth for younger women and is the limitation of births for older women; both of which can be fulfilled by rigorous counseling. so the present study was conducted to measure the proportion of targeted women adopting family planning methods after postpartum counseling and to find out the type and timing of adoption.

Methods: A Non-randomized control trial was conducted. The study was carried out at the postpartum delivery ward of the obstetrics and gynecology department of SSG Hospital. 103 participants in the intervention group and 103 participants in the control group were interviewed.

Counseling and leaflet were given to the intervention group. The washout period was kept for one week. In the next week in the control group usual counseling was given by the counselor (standard of care). Second interview of the same participants was done telephonically or home visits after the 6 months to see the adoption of family planning method.

Results: Within six months of delivery, acceptance of contraceptive methods was more in intervention group (72.85%) than in control group (48.52%). Condom was the most common type of contraceptive intervention used in both interventional group (51.45%) and control group (36.76%) followed by Copper T use which was 14.21% in interventional group and 8.82% in control group. Majority of the women adopted contraceptives within two months of intervention.

Conclusions: Counseling may help in adoption of family planning methods among postpartum women.


Family planning, Postpartum counseling, Contraceptive methods, Central Gujarat, Government hospital

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World bank location. Available at: Accessed on 20 May 2021.

Muttreja P, Singh S. Family planning in India: The way forward. Indian J Med Res. 2018;148(1):S1-9.

Family planning annual report 2014-15. Available at: Accessed on 20 May 2021.

Cowman W, Hardy-Fairbanks A, Endres J, Stockdale CK. A select issue in the postpartum period: contraception the importance of providing postpartum contraception counseling. Proc Obstet Gynecol Proc Obs Gynecol. 2013;3315(1):105-9.

Lauria L, Donati S, Spinelli A, Bonciani M, Grandolfo ME. The effect of contraceptive counselling in the pre and post-natal period on contraceptive use at three months after delivery among Italian and immigrant women. Ann Super Sanita. 2014;50(1):54-61.

Ram F, Shekhar C, Chowdhury B. Use of traditional contraceptive methods in India & its socio-demographic determinants. Indian J Med Res. 2014; 140(1):S17-28.

Yilmazel G, Balci E. Preferences and related factors for postpartum contraception in pregnant women. Iran J Reprod Med. 2013;11(10):801-6.

Mengesha ZB, Worku AG, Feleke SA. Contraceptive adoption in the extended postpartum period is low in Northwest Ethiopia. BMC Pregnancy Childbirth. 2015;15:160.

Kumar A, Bhardwaj P, Srivastava JP, Gupta P. A study on family planning practices and methods among women of urban slums of Lucknow city. Indian J Commun Health. 2011;23(2):75-7.

Bhattathiry MM, Ethirajan N. Unmet need for family planning among married women of reproductive age group in urban Tamil Nadu. J Family Community Med. 2014;21(1):53-7.

Mesfin G. The role of men in fertility and family planning program in Tigray Region. Ethiopian J Health Develop. 2002:247-55.

Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa- what the evidence suggests. Pan Afr Med J. 2014;19:349.

Addis A, Tilahun B, Asefa G, Alganesh H, Woldegebriel G. Assessment of the role of men in family planning utilization at Edaga-Hamuse Town, Tigray, North Ethiopia,. Am J Nurs Sci. 2015;4(4): 174-81.

Thakor N, Prajapati D, Nayak S, Chauhan J. A cross sectional study on gender bias in fertility and family planning choices in a Rural area of Patan district of Gujarat, India. Int J Interdiscip Multidiscip Stud. 2014;1(7):77-84.

Kumar A, Bhardwaj P, Srivastava JP, Gupta P. A study on family planning practices and methods among women of urban slums of Lucknow city. Indian J Community Health. 2011;23(2):75-7.

Nibret MG, Simegn A, Dereje A, Gebrehana H, Getie A, Getnet B, et al. Postpartum modern contraceptive utilization and associated factors among women who gave birth in the last 12 months in Addis Zemen, South Gondar, Ethiopia: Community-Based Cross-Sectional Study. Int J Womens Health. 2020;12:1241-