Contraceptive methods adopted by women in immediate post-partum period in a tertiary care centre in Northern India: an observational study

Authors

  • Suvidha Saurabh Department of Obstetrics and Gynaecology, ESIC Medical College and Hospital, Bihta, Patna, Bihar, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241305

Keywords:

PPIUCD, Permanent sterilisation, Depo provera, Contraception, Medical termination of pregnancy

Abstract

Background: Contraception is the need of the hour in India. The family planning program in India offers a basket of choices. These choices are governed by the decisions of their partners, socio economic status of patients and even wishes of other family members.

Methods: This observational study was carried out in obstetrics and gynaecology department of ESIC medical college and hospital for a period of 1 year from March 2023 to February 2024. All the patients who were in immediate post-partum period after normal vaginal delivery, caesarean section and medical termination of pregnancy were included in the study.

Results: With the introduction of PPIUCD in national family programs more women are inclining towards long term spacing methods and not resorting to permanent sterilisation alone.

Conclusions: It is undeniable that most women do not desire a pregnancy immediately after delivery but are not informed enough about the methods of contraception they can use.

References

Bhuyan K, Ali I, Barua SJ. Role of no scalpel vasectomy in male sterilization. Indian J Surg. 2012;74(4):284-7.

de Oliveira IT, Dias JG, Padmadas SS. Dominance of sterilization and alternative choices of contraception in India: an appraisal of the socioeconomic impact. PLoS One. 2014;9(1):e86654.

Jain R, Muralidhar S. Contraceptive methods: needs, options and utilization. J Obstet Gynaecol India. 2011;61(6):626-34.

Joshi R, Khadilkar S, Patel M. Global trends in use of long-acting reversible and permanent methods of contraception: seeking a balance. Int J Gynaecol Obstet. 2015;131(1):S60-3.

Hooda R, Mann S. Immediate Postpartum Intrauterine Contraceptive Device Insertions in Caesarean and Vaginal Deliveries: A Comparative Study of Follow-Up Outcomes. Int J Reprod Med. 2016;2016:7695847.

Halder A, Sowmya MS, Gayen A, Bhattacharya P. Prospective Study to Evaluate Vaginal Insertion and Intra-Cesarean Insertion of Post-Partum Intrauterine Contraceptive Device. J Obstet Gynaecol India. 2016;66(1):35-41.

Celik A, Kansu H. Female sterilization by tubal ligation during C-Section in Women with a history of 2 or More C-Sections. Gynecol Obstet Reprod Med. 2018;24(1):21-9.

Dhanapal M. Postpartum sterilization: a five years retrospective study. Int J Reprod Contracept Obstet Gynecol. 2018;7(7):2878.

Jani PS. Prospective study on outcomes of postpartum intrauterine contraceptive device including safety, efficacy and expulsion at GMERS Medical College, Dharpur-Patan, Gujarat, India. Int J Reprod Contracept Obstet Gynecol. 2018;7(8):11-8.

Banerjee SK. Associations Between abortion services and acceptance of postabortion contraception in six Indian states. Int J Reprod Contracept Obstet Gynecol. 2015;46(4):387-403.

Orji E.O., Onwudiegwu U. Prevalence and determinants of contraceptive practice in a defined Nigerian population. J Obstet Gynaecol. 2002;22:540-3.

Ashoke S, John S, Jayanti MT. The KAP-gap in Nepal: reasons for non-use of contraception among couples with an unmet need for family planning. Asia Pac Popul J. 2000;6:25-38.

Srivastava R, Srivastava DK, Jina R. Contraceptive knowledge, attitude and practice. J Obstet Gynecol. 2005;55:546-50.

Downloads

Published

2024-05-16

Issue

Section

Original Research Articles