DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191202

Study of knowledge, attitude and practices of contraception in breast-feeding mothers

Aiyleen Shiza Shawl, Vidya Thobbi

Abstract


Background: In India, as in many other countries, postpartum family planning is usually initiated after 6 weeks postpartum. Early resumption of sexual activity coupled with early and unpredictable ovulation leads to many unwanted pregnancies in the first year postpartum. Increase in hospital deliveries provides an excellent opportunity to sensitize women and provide effective contraception. Hence the present study was done at our tertiary care centre to assess the knowledge, attitude, practice regarding contraception and to find out the relationship between knowledge and attitude regarding contraception among breast feeding mothers.

Methods: A hospital based observational study. The patients admitted at our tertiary care centre in the Department of Obstetrics and Gynecology.

Results: Majority of the participants (72%) were in the age group of 21-25 years. 21.2% of the study group was educated up to primary level while 33.2% and 18.4% of the participants studied till SSC and HSC respectively. Majority of participants were from middle class (50%) followed by lower class (36.4%) and upper class (13.6%). 69.6% participants resided in rural areas while 30.4% participants were from urban areas. It was observed that age, education and mode of delivery were the significant factors.

Conclusions: As the government gives incentives to couples who opt for permanent sterilization, which is an effective drive, it should also give incentives to couples who follow temporary methods and delay pregnancies. Couples who adopt one child norm or 2 children norm should be encouraged by benefits either in the form of children’s education or health insurance.


Keywords


Breast feeding, Millennium development goals, National rural health mission

Full Text:

PDF

References


Tsui AO, Wasserheit JN, Haaga JG. Reproductive health in developing countries: Expanding dimensions, building solutions (Panel on Reproductive Health, Committee on Population, Commission on Behavioral and Social Sciences and Education, National Research Council). Washington, DC: National Academy Press, 1997.

Truitt ST, Fraser AB, Grimes DA, Gallo MF, Schulz KF. Combined hormonal versus nonhormonal versus progestin-only contraception in lactation. Cochrane Database Syst Rev. 2003;2:CD003988.

Truitt ST, Fraser AB, Gallo MF, Lopez LM, Grimes DA, Schulz KF. Combined hormonal versus nonhormonal versus progestin‐only contraception in lactation. Cochrane Database System Rev. 2003(2).

Conde-Agudelo A, Belizán JM. Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study. BMJ. 2000;321(7271):1255-9.

Park JE. Park’s Textbook of Preventive and Social Medicine, 20th edition 2009, p421.

Dabral S, Malik SL. Demographic Study of Gujjars of Delhi: IV. KAP of Family Planning. J. Hum. Ecol. 2004;16(4):231-7.

Park K. Social and Preventive Medicine. India: Bhanot Publishers, 2015.

India at Glance - Population census 2011. Census organization of India, 2011. Accessed: 2015.

Post-partum. IUCD reference manual. New Delhi: Family Planning Division, Ministry of Health and Family Welfare, Government of India, 2010.

Leete R, Alam I. Asias demographic miracle: 50 years of unprecedented change. Asia-Pacific Populat J. 1999;14(4):9-20.

Sherpa SZ, Sheilini M, Nayak A. Knowledge, Attitude, Practice and Preferences of Contraceptive Methods in Udupi District, Karnataka. J Fam Reproduct Health. 2013;7(3):115-20.

Pal AC, Mukhopadhyay DH. Knowledge, Attitude and Practice of Breastfeeding in a Rural Community of Bankura District, West Bengal, India. IOSR J Dent Med Sci (IOSR-JDMS). 2014;13(11):24-8.

Ekpenyong CE, Daniel NE, Uwah AF, Ettebong EO, Ibu JO. Lactational amenorrhoea method of contraception: An in-depth study of awareness, knowledge and practice by breast feeding mothers with unintended pregnancies. Int J Med Sci. 2013;5(1):6-13.

Rao BS, Mathada VC. Awareness and Determinants of Contraceptive use among Nursing Mothers in Bellary, Karnataka. J Clinic Diagnos Res: JCDR. 2016;10(1):QC15-QC19.

Mahawar P, Anand S, Raghunath D, Dixit S. Contraceptive knowledge, attitude and practices in mothers of infant: a cross-sectional study. Natl J Community Med. 2011;2:105-7.

Santoso IB, Surya R. Knowledge, Attitude, and Practice of Contraception among Pregnant Women in Ende District, East Nusa Tenggara, Indonesia. J South Asian Fed Obstet Gynaecol. 2017;9(2):110-8.