A cross sectional knowledge, attitude and practice study for copper IUCD in a tertiary care centre in New Delhi

Authors

  • Arpita Mohapatra Department of Obstetrics and Gynecology, Maulana Azad Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20231525

Keywords:

Multiparous, Postpartum, PPIUCD

Abstract

Background: The postpartum period is one of the most sensitive period in a woman’s life. To prevent unwanted pregnancies and promote optimal interpregnancy interval, effective contraception should be discussed and offered at that time. The aim of this study was to assess the knowledge, attitude and practice of postpartum intrauterine device in antenatal patients attending OPD.

Methods: A cross sectional, hospital based descriptive study was conducted from the month of September to November 2021 in the department of Obstetrics and Gynaecology in Maulana Azad Medical College, New Delhi. The total number of patients recruited in the study were 750. A total of 600 patients delivered and 150 were lost to follow up. The antenatal patients attending the OPD were provided with a structured questionnaire to assess the knowledge and attitude to copper IUCD usage.

Results: Most of the patients belonged to the age group of 20-25 years. The majority of the patients   were Illiterate and multigravidas (65%). Around 71% of the patients attending OPD were aware of Copper IUCD as a method of contraception. Whereas only 31% of patients were convinced of the safety of Copper IUCD. About 62% were apprehensive to use Copper IUCD. Of the 600 patients delivered in our hospital, PPIUCD was inserted in 216 (36%) patients.

Conclusions: The study reveals good knowledge and favorable attitude of patients for PPIUCD as method of contraception. But it also depicts a low acceptance and usage of the same. The various reasons for this are mainly illiteracy, ignorance, social and religious taboos etc. Hence it is suggested that community education, addressing unwarranted fears of patients, incorporation of family planning in maternal and child health services etc. should be done to improve the acceptance and thereby usage of PPIUCD in patients.

References

Margulies L. History of intrauterine devices. Bulletin New York Acad Med. 1975;51(5):662.

Xu X, Ruan X, Rabe T. Intrauterine contraception and menstrual bleeding. Global Heal J. 2021;5(2):66-9.

Stoddard A, McNicholas C, Peipert JF. Efficacy and safety of long-acting reversible contraception. Drugs. 2011;71(8):969-80.

d'Arcangues C. Worldwide use of intrauterine devices for contraception. Contraception. 2007;75(6):S2-7.

Newton JR. Copper intrauterine devices: evaluation for long‐term use A review. BJOG: Inter J Obstet Gynaecol. 1982;89(suppl 4):20-31.

Kaneshiro B, Aeby T. Long-term safety, efficacy, and patient acceptability of the intrauterine Copper T-380A contraceptive device. Inter J Women's Health. 2010:211-20.

Ochsendorf FR. Infections in the male genital tract and reactive oxygen species. Human Reprod Update. 1999;5(5):399-420

Malhan R, Nath J, Bhusan AK. Study of knowledge, attitude and practice of copper T as a method of contraception among antenatal women. International J Reprod Contracep Obstet Gynecol. 2021;10(5):1851-6.

Pattnaik T, Samal S, Behuria S. Obstetric admissions to the intensive care unit: a 5-year review. Int J Reprod Contracept Obstet Gynecol. 2015;4(6):1907-13.

Kerketta S, Kumar A. Knowledge of family planning and current use of contraceptive methods among currently married women in Uttar Pradesh, India. Int J Comm Med Pub Health. 2015;2(4):449-55.

Saluja N, Sharma S, Choudhary S, Gaur D, Pandey S. Contraceptive knowledge, attitude and practiceamong eligible couples of rural Haryana. Int J Health. 2011;12(1):1-6.

Kumar A, Bhardwaj P, Shrivastava JP, Gupta P. Family planning practices and methods among women of urban slums of Lucknow City. J Commun Heal. 2011;23(2):80-7.

Bendhari ML, Korade RS, Haralkar SJ. Contraceptive prevalence and usage of different contraceptive methods and its correlates in an urban slum area of Western Maharashtra-a cross sectional study. Indian J Matern Child Health. 2015;17(2):1-0

Fayaz F, Rizvi SM. Knowledge attitude and practice of contraceptives among married women of reproductive age group. Int J Reprod Contracept Obstet Gynecol. 2022;11:3119-22.

Bamniya J, Patel D, Singh P, Chakravarti N. A study of knowledge, awareness, and acceptance of contraception among reproductive age women at tertiary care hospital, Ahmedabad. Int J Reprod Contracept Obstet Gynecol. 2022;11(1):206-10.

Downloads

Published

2023-05-26

Issue

Section

Original Research Articles