A study on awareness and acceptance of contraceptive methods in postpartum women in a tertiary care institute


  • Sowmyanarayanan Lavanya Department of Obstetrics and Gynaecology, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India
  • Rajyalakshmi Talapala Department of Obstetrics and Gynaecology, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India
  • Swetha Munivenkatappa Department of Obstetrics and Gynaecology, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India




Contraception, Postpartum, Intra uterine contraceptive device


Background: Contraception is an important tool to reduce unwanted pregnancy and promote healthy living. The benefits of family planning program are recognized worldwide to improve health, social and economic status of families. The objective of the study is to estimate the prevalence of awareness for various contraceptive methods among postpartum women, to find the acceptance of different contraceptive methods and evaluate the factors affecting the same.

Methods: The study is a cross-sectional observational study conducted among postpartum women who delivered in Narayana medical college hospital over a period of 1 year. The awareness, acceptance and reason or refusal for contraception was assessed. The data obtained was analyzed to generate graphs and tables.

Results: A total of 61% women were aware of at least one method of contraception. 74% were using a contraceptive at the time of study. 39% were unaware of any contraceptive method. 49% preferred intrauterine contraceptive device. Main reason for non-acceptance of contraceptive was couple’s desire for a male child. Health professionals were the main source of imparting the knowledge of birth spacing.

Conclusions: Regular antenatal counselling to all pregnant women must be done in every hospital in a village to tertiary care centres. Information should be provided about various contraceptive methods and patient should be able to choose a method of her own choice. A strong motivation is required to adopt a suitable method individualised to each woman.


New Delhi: Registrar General & Census Commissioner of India. Census of India, 2011. Available at: http://censusindia.gov.in. Accessed on 05 May 2020.

Conde-Agudelo A, Belizan JM. Maternal morbidity and mortality associated with inter-pregnancy interval: a cross-sectional study. Br Med J. 2000; 321(7271):1255-9.

National population policy 2000, cited 3rd march 1991.

Size, growth rate and distribution of population- census of India. 2011.

Shah IH, Say L. Maternal mortality and maternity care from 1990 to 2005: uneven but important gains. Reprod Health Matt. 2007;15(30):17-27.

Ashoke S, John S, Jayanti MT. The KAP-Gap in Nepal: reasons for non-use of contraception among couples with an unmet need for family planning. Asia-Pac Popul J. 2000;6(1):25-38.

Saini NK, Singh M, Gaur DR, Kumar R. Awareness and practices regarding spacing methods in urban slums of Rohtak. Indian J Comm Med. 2006;31(2):84-5.

Thyagarajan S, Reji B, Viswan SP. Determinants of contraceptive usage in India. Int J Interdiscipl Multidiscipl Stud. 2014;1(10):88-97.

Chaudhary RH, The influence of female education, labour force participation and age at marriage on fertility behavior in Bangladesh. Soc Biol. 1984; 31(1-2):59-74.

International institute of population science (IIPS). District Level Household and Facility Survey (DLHS-3), 2007-08: India. Mumbai: IIPS; 2010.

Sharma SK, Pratap KC, Ghimire DR. Ethnic differentials of the impact of the Family Planning program on contraceptive use in Nepal. Demogr Res. 2011;25(27):837-68.

Thapa S, Rani A, Mishra CP. Knowledge, attitude and belief about contraception in post-partum and post abortal women in a tertiary care centre. Int J Reprod Obstet Gynaecol. 2014;3(3):533-9.

Ghike S, Joshi S, Bhalerao A, Kawthalkar A. Awareness and contraception practices among women an Indian rural experience. J Sout Asia Federat Obstet Gynaecol. 2010;2(1):19-21.

National Family Health Survey (NFHS-3), India Available at: http://rchiips.org/nfhs/nfhs3.shtml. Accessed on 05 May 2020.

Singh M, Mehla S, Ranjan R, Das B. Awareness and acceptance of contraception in post-partum women in a tertiary care hospital Delhi. Int J Reprod Obstet Gynaecol. 2015;4(3):690-5.

Mahmood SE, Srivastava A, Shrotriya VP, Shaifali I, Mishra P. Postpartum contraceptive use in rural Bareilly. Ind J Commun Heal. 2011;23(2):56-7.

Shrivastav A, Khan MS, Chauhan CR. Knowledge, attitude and practices about contraceptive among married reproductive females. Int J Sci Stud. 2014;1(5).






Original Research Articles