DMPA: acceptance and compliance in a tertiary care hospital in Mumbai, India

Michelle Fonseca, Prasad Yeshwant Deshmukh, Deepali Kharat


Background: The use of safe and effective contraception is the need of the hour in India, which has one of the world’s largest and fastest growing population. Contraceptive advice is a vital component of good community health.

Methods: The present study was conducted in one of the premier teaching medical institute of Mumbai. The aim of this study was to assess the acceptance and compliance of DMPA (Depot Medroxy Progesterone Acetate) among women attending family planning OPD. The study was conducted over the period of 3 years. Meticulous follow up was kept for all the women recruited in the study.

Results: The study concluded that DMPA is highly effective contraceptive with low failure rate, when women are effectively counselled. Also, it should be made freely and easily available through health care facilities.

Conclusions: It should be available as a first line method to all who wish to opt for reversible methods of contraceptive.


Acceptance, Contraceptive, Counselling, DMPA

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Finer LB, Zolna MR. Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception. 2011;84:478-85.

Ventura SJ, Abma JC, Mosher WD, Henshaw SK. Estimated pregnancy rates for the United States, 1990-2005: an update. Natl Vital Stat Rep. 2009;58:1-14

Westoff C. Depot medroxyprogesterone acetate injection: a highly effective contraception with proven long term safety. Contraception. 2011;68(2):75-87.

Brownell, Fernandez, Howard, Fisher. A systematic reviewof early postpartum DMPA and breastfeeding ceasetion. Breastfed Med. 2012;7(7):10-8.

ACOG Practice Bulletin no 73. Use of hormonal contraception in women with medical disorders. Obstet Gynecol. 107:1453-72.

Rodrigues MI, Kaunitz AM. An evidence of postpartum use of DMPA in breastfeeding women. Contraception. 2009;80(1):4-6.

Kost K, Singh S, Vaughan B, Trussell J, Bankole A. Estimates of contraceptive failure from the 2002 National Survey of Family Growth. Contraception 2008;77:10-21.

Peipert JF, Zhao Q, Allsworth JE, Petrosky E, Madden T, Eisenberg D, Secura G. Continuation and satisfaction of reversible contraception. Obstet Gynecol. 2011;117:1105-13.

ACOG Committee opinion no. 392. Intrauterine device and adolescents. Obstet Gynecol. 2007;110:1493-1495.