Acceptability of contraceptive methods in lactating mothers in a tertiary centre
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20241062Keywords:
Condom, Contraception, Intrauterine contraceptive device, Progesterone only pillAbstract
Background: High fertility rate, high maternal mortality and high infant mortality rates are the shared problems of the all the developing countries of the world. According to Directorate of Health Services surveys, 40% of women who intend to use a family planning method in the first year postpartum are not using one. Contraceptive use is negligible among postpartum women, particularly young mothers. We aimed to determine the reasons for acceptability, non-acceptability, side effects and continuation of four contraceptive methods condoms, Depotmedroxyprogesterone acetate, (DMPA), copper intrauterine contraceptive devices (IUCD), progesterone only pills (POPs) in lactating mother after 6 weeks of delivery.
Methods: A total of 200 healthy nursing mothers, who needed contraception were enrolled in this prospective observational study. Women were explained about all four contraceptive methods used for the study. The reason for accepting a particular method was sought. The study participant were followed up at third and sixth month and side effects, failure rate, continuation rates, reasons for discontinuation of method were assessed.
Results: The most acceptable method was condom (40.5%) followed by DMPA (31%), IUCD (20.5%) and POPs (8%). The most common reason for selection of condom was fear of side effects with other methods (66%). Long acting method like DMPA and IUCD has good continuation rate of 87% and 85% respectively. Failure of contraception was seen only with condoms (2.8%).
Conclusions: This study showed condoms was most acceptable method but had failure whereas DMPA and Cu-IUCD have high continuation rate with no failure.
References
Pati RN. Socio-cultural dimensions of reproductive child health. APH Publishing; 2003.
Family planning India, 2020
Ross J, Winfrey W. Contraceptive use, intention to use and unmet need during the extended postpartum period. Int Fam Plann Perspect. 2001;27(1):20.
International Institute for population sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3), 2005-06. Available at: https://rchiips.org/nfhs/NFHS-3%20Data/VOL-1/India_volume_I_corrected_17oct08.pdf. Accessed on 17th January 2024.
District Level Household and Facility Survey 2007¬-08. Mumbai. Usage of various contraceptive methods in India, 2007-2008. Available at: https://rchiips.org/pdf/INDIA_REPORT_DLHS-3.pdf. Accessed on 17th January 2024.
Alam K, Yousaf A, Yousaf N, Qadir I, Hunana F. Awareness and practice of contraception in child bearing age women. J Rawalp Medi Coll. 2018;22(1):83-6.
Donta B, Begum S, Naik DD. Acceptability of male condoms. An Indian scenario. 2014;140(7):152-56.
Babre VM, Phadke JA. Depot-medroxy progesterone acetate as an effective contraception method in lactating mothers. Int J Reproduct Contracept Obstet Gynaecol. 2016;5(10):3422-5.
Chaudhuri S, Rai B, Giri R, Yadav AS. Acceptability of Depot Medroxy progesterone in women attending general outpatient department: A cross sectional study. Health Renaiss. 2017;13(2):7.
Manna N, Bhattacharjee A, Kundu A, Lahiri A. Non-acceptance of Injectable Contraceptives from Antara Clinic: A Qualitative Study in West Bengal, India. IOSR. 2019;18(3):48-51.
Divya V, Gayathri M, Priyadarshini P. DMPA: compliance and side effects in a tertiary care hospital. Int J Rec Acad Res. 2019;1(6):263-64.
Jairaj S. A cross sectional study on acceptability and safety of IUCD among postpartum mothers at tertiary care hospital, Telangana. J Cli Diagnos Res. 2016;10(1):1-4
Sharma A, Gupta V. A study of awareness and factors affecting acceptance of PPIUCD in South-East Rajasthan. Int J Commu Medi Publ Hea. 2017;4(8):2706-10.
Espey E, Ogburn T, Leeman L, Singh R, Ostrom K, Schrader R. Effect of progestin compared with combined oral contraceptive pills on lactation. Obstet Gynecol. 2012;119(1):5-13.
Worly B, Gur T, Schaffir J. The relationship between progestin hormonal contraception and depression: a systematic review. Contracept. 2018;97(6):478-89.
