Study of awareness of contraception in postnatal women

Jyoti Vikas Rokade, Vinutha R. Hanji


Background: This study was undertaken to know the awareness of contraception in postnatal women in a Government Hospital in Maharashtra.

Methods: Authors conducted a prospective study in Department of Obstetrics and Gynecology at Government hospital, Miraj between January 2015 to September 2016. All postnatal patients in this hospital, willing to participate in the study were included in the study after a thorough written informed consent. Patients were given pre decided questions for answering. Answers were noted, counselling was done.

Results: Out of 4860 women, 97% of the women were aware of at least 1 contraceptive method, the highest being of female sterilization (91%) 20.8% of women had ever used the contraception before and most of them used it in between pregnancies (64.4%). 79.2% had not used any contraception before and main reason for not using was found to be, they wanted to conceive (46%) followed by fear of side effects (24.7%) Regarding willingness to use the contraception after counselling, 48.5% of women said they were not sure. Among rest 51.4% women, female sterilization (32.4%) was preferred method followed by copper-T (22.8%) The most common source of information was by media and books which was 39.3%.

Conclusions: There is a large lacuna between the awareness and practice of contraception. Proper education of both partners, increasing female literacy, socio economic upliftment, effective health care system is needed.


Awareness, Contraceptive methods, Practice, Postnatal women, Source of information

Full Text:



Margaret Sanger. A Parents’ Problem or Woman’s?, Birth Control Review, Margaret Sanger Microfilm. 1919;6-7:S70:817.

Srivastav A, Khan MS, Chauhan CR. Knowledge, attitude and practices about contraceptive among married reproductive females. International Journal of Scientific Study. 2014 Feb 1;1(5):2-4.

Tuladhar H, Marahatta R. Awareness and practice of family planning methods in women attending gyne OPD at Nepal Medical College Teaching Hospital. Nep Med Coll J. 2008:10(3):184-91.

Bongaarts J. The KAP- Gap and Unmet need for contraception. Population and Devt Rev. 1991;17:293-313.

Fawcett JT. Psychology and population behavioral research issues in fertility and family planning. The population Council. New York; 1970.

Nath J, Islam F. A Study on the Knowledge, Attitude and Practice about Contraception in Postpartum Women of North India. International Journal of Science and Research (IJSR), December 2015;4(12):465-8.

Kennedy KI. Postpartum Contraception. Baillieres Clinical Obstetrics Gynaecology. 1996 April;10(1):25-41.

Borda M. William Winfrey. Postpartum Fertility and Contraception: An Analysis of Findings from 17 Countries, March 2010.

Sharma J, Dorairajan G, Chinnakali P. Knowledge and attitude towards contraceptive methods for spacing and decision-making factors regarding its use in postpartum women. Int J of Repr Con Obs and Gynecol. 2017 Feb 8;4(3):750-4.

Di Giacomo P, Sbarlati A, Bagnasco A, Sasso L. Woman's contraceptive needs and preferences in the postpartum period: an Italian study. J of Cli Nursi. 2013 Dec 1;22(23-24):3406-17.

Raj A, Saggurti N, Balaiah D, Silverman JG. Prevalence of child marriage and its effect on fertility and fertility-control outcomes of young women in India: a cross-sectional, observational study. The Lancet. 2009 May 30;373(9678):1883-9.

Singh M, Mehla S, Ranjan R, Das B. Awareness and acceptance of contraception in post-partum women in a tertiary care hospital of Delhi. Int J of Rep Con Obstetrics and Gynecology. 2017 Feb 8;4(3):690-5.

International Institute for Population Sciences (IIPS) and Macro International. National family health Survey (NFHS - 4), 2015-16: India. In: IIPS, eds. IIPS Survey. Volume I. Chap. 5. Mumbai: IIPS; 2007:111-113.

Keyal NK, Moore M. Contraception in eastern Nepal: a study of knowledge and use. J of Uni Coll of Med Scienc. 2014 Sep 27;2(2):15-20.

Vishwakarma K, Yadav K, Bhargava M. A study of awareness and attitude of postnatal and post abortal women towards family planning methods and their use, at rural tertiary care centre. J Evol Med Dental Sci. 2014 May 26;3(21):5849.

Kanojia JK, Nirbhavane NC, Toddywala VS, Betrabet SS, Patel SB, Datte S, et al. Dynamics of contraceptive practice amongst urban Indian women. The Nati Med J of Indi. 1996;9(3):109-12.

Hernandez LE, Sappenfield WM, Goodman D, Pooler J. Is effective contraceptive use conceived prenatally in Florida? The association between prenatal contraceptive counseling and postpartum contraceptive use. Maternal Child Health J. 2012;16(2):423-9.

Hayat H, Khan PS, Imtiyaz B, Hayat G, Hayat R. Knowledge, attitude and practice of contraception in rural Kashmir. The J of Obs and Gyn of Indi. 2013 Dec 1;63(6):410-4.