Determinants of uptake of post-partum intra-uterine contraceptive device among women delivering in a tertiary hospital, Odisha, India
Keywords:Case-control, Determinants, PPIUCD, Uptake
Background: IUCDs are used by only two percent of the contraceptive users in India. There is a need for identifying the factors which influence the uptake of PPIUCD, so as to plan ways for increasing its usage. To determine the uptake and factors influencing the uptake of PPIUCD among the women delivering in a tertiary care hospital of Odisha
Methods: This was a case control study conducted at the Obstetrics Department of M.K.C.G Medical College, Berhampur. All those who had agreed for and had undergone PPIUCD insertion were included in cases and those who did not undergo PPIUCD insertion were pooled into controls.
Results: 94 cases and 188 controls were recruited. Significantly higher proportions of cases belonged to nuclear families, had one or more male child, did not want any future pregnancies, had heard about it prior to pregnancy and also had received counselling for the same during the antenatal period. The adjusted odds of uptake of PPIUCD in women having at least one male child is 10 (4.3-22.6) times that of mothers with no male children. The most common reasons told by controls for not taking up PPIUCD was disapproval from family members (42.6%), followed by fear of complication (33%) and preference for other methods of contraception (20.2%).
Conclusions: In present study, we found that counselling in the antenatal period was a key point in increasing acceptance of post-partum IUCD. Desire for male child also influenced uptake of postpartum IUCD.
India to surpass China by 2022 to become world’s most populous nation | The Indian Express. Available from: http://indianexpress.com/article/india/india-others/india-to-surpass-china-by-2022-to-become-worlds-most-populous-nation/
Population growth (annual %). Data. Available from: http://data.worldbank.org/indicator/SP.POP.GROW
Government of India M of HA. SRS 2012. Available from: http://www.censusindia.gov.in/vital_statistics/SRS_Reports_2012.html
Government of India. Ministry of health and family welfare. DLHS III,2007-08. Available from: http://rchiips.org/pdf/india_report_dlhs-3.pdf
Government of India. Ministry of health and family welfare. NFHS III, 2005-06. Available from: http://dhsprogram.com/pubs/pdf/FRIND3/FRIND3-Vol 1andVol 2.pdf
Janshankya Sthirata Kosh. Annual Report 2013-14. Available from: http://www.jsk.gov.in/JSK-Annual%20Report%202013-14.pdf
Díaz S, Zepeda A, Maturana X, Reyes MV, Miranda P, Casado ME, et al. Fertility regulation in nursing women: IX. Contraceptive performance, duration of lactation, infant growth, and bleeding patterns during use of progesterone vaginal rings, progestin-only pills, Norplant® implants, and Copper T 380-A intrauterine devices. Contracep. 1997;56(4):223-32.
Agarwal N, Gupta M, Sharma A, Arora R. Antenatal counselling as a tool to increase acceptability of postpartum intrauterine contraceptive device insertion in a tertiary care hospital. Int J Reprod Contracep Obstet Gynaecol. 2015;4(2):1137-41.
Sebastian MP et al. Increasing postpartum contraception in rural India: evaluation of a community-based behaviour change communication intervention. Int Perspectv Sex Reprod Health. 2012;38(2):68-77.
Sanskriti P, Amita T, Pratima M, Rupali D, Jyotsna S, Anita K. Exploring reasons behind Low acceptance for PPIUCD in postnatal women. New Indian J Surg. 2011;2(4):246.
Vital Statistics Division Office of the Registrar General and Census Commissioner, India. AHS 20011-12 Fact Sheet Odisha.
National Health Mission Department of Health and Family Welfare Govt. of Odisha. Odisha health management information system brochure 2015-16.