Knowledge, attitude and belief about contraception in post-partum and post abortal women in a tertiary care centre

Shreya Thapa, Anjali Rani, C. P. Mishra


Background: In this modern era where women have achieved the highest positions in politics, corporate world and conquered the moon, on the other side she is still fighting for her right, i.e. health. For this the women should become economically independent. The concept of waiting for a son preference by the society should be discouraged. Postpartum and post abortal period are very crucial for a women especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel. Hence counseling should be given to all patients at this time.

Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of sir Sunder Lal hospital between August 2013 to October 2013. 230 post-partum and post abortal women were interrogated and counseled about various methods of contraception. Awareness about emergency contraception pill and MTPill was also noted.

Results: Only 69% had heard about various methods of contraception. IUCD and OCP were known to most patients. Most patients knew about contraception from television and doctors. After counseling 97% patients wanted contraception. Most patients opted for IUCD, Barrier method and DepoProvera. 20% patients knew about emergency contraception pill and 34.4% patients about MTPill.

Conclusions: There is lack of awareness of contraception, emergency contraception and medical abortion in women under study. Regular counseling is a must to all post-partum and post abortal women. Information should be provided about various methods and patients should be given a choice to choose the method of contraception.


Contraception, Knowledge, Postpartum women, Post abortal women, MTPill, Emergency contraception

Full Text:



Laurie Barclay. CDC updates guidelines for postpartum contraceptive use. Medscape, 2011. Available at:

R. Vernon. Meeting the family planning needs of postpartum women. Stud Family Planning. 2009;40(3):235-45.

John A. Ross, William L. Winfrey. Contraceptive use, intention to use and unmet need during the extended postpartum period. Int Family Planning Persp. 2001;27(1):20-7.

Hobcraft J. Demographic and health surveys. In: Hobcraft J, eds. The Health Rationale for Family Planning: Timing of Births and Child Survival. 1st ed. New York: United Nations; 1994: 112.

International Institute for Population Sciences (IIPS). The third national family health survey (NFHS-3), India, 2005-06. Int Insti Popul Sci Mumbai. 2007;2:1-168.

World Health Organization. Report of a WHO technical consultation on birth spacing. In: WHO, eds. WHO Report. Geneva: WHO; 2006: 1-37.

Rutstein, SO. Effects of preceding birth intervals on neonatal, infant and under-five years mortality and nutritional status in developing countries: evidence from the demographic and health surveys. Int J Gynecol Obstet. 2005;89:S7-24.

Conde-Agudelo A, Belizán J. Maternal morbidity and mortality associated with interpregnancy interval. Br Me J. 2000;321:1255-9.

Husain, Zakir, Dutta, Mousumi, Ghosh. Population report: meeting unmet need, new strategies. Series J. 1997 Jun;43:3-9.

MPRA Paper No. 30790. Contraceptive use among illiterate women in India: does proximate illiteracy matter? Available at:

Goel S, Bhatnagar I, Khan ME, Hazra A. Increasing postpartum contraception in rural Uttar Pradesh. J Family Welfare. 2010;56:57-64.

Syed Esam Mahmood, Anurag Srivastava, Ved Prakash Shrotriya, Iram Shaifali, Payal Mishra. Post-partum contraceptive use in rural Bareilly. Indian J Comm Health. 2011 Jul-Dec;23(2):56-7.

Agarwal AK. Social classification: The need to update in the present scenario. Indian J Comm Med. 2008;33:50-1.

International Institute for Population Sciences and Macro International. National Family Health Survey-3, 2005-2006. Int Insti Popul Sci Mumbai. 2007;2:1-168.

Kiran G. Makade, Manasi Padhyegurjar, Shekhar B. Padhyegurjar. Study of contraceptive use among married women in a slum in Mumbai. National J Comm Med. 2012 Jan-Mar;3(1):40-3.

Murarkar SK, Soundale SG. Epidemiological correlates of contraceptive prevalence in married women of reproductive age group in rural area. National J Comm Med. 2011;2(1):78-81.

Chankapa YD, Tsering D, Kar S, Basu M, Pal R. Socio-demographic variables of contraceptive practice in Sikkim. J Pharm Bioall Sci. 2011;3(3):368-74.

Barber SL. Family planning advice and postpartum contraceptive use among low-income women in Mexico. Int Family Planning Persp. 2007;33(1):6-12.

Hotchkiss DR, Magnani, RJ, Rous JJ, Azelmat M, Mroz TA, Heikel J. The effects of maternal-child health service utilization on subsequent contraceptive use in Morocco. J Biosoc Sci. 1999;31(2):145-65.

Zerai A, Tsui AO. The relationship between prenatal care and subsequent modern contraceptive use in Bolivia, Egypt and Thailand. Afr J Reprod Health. 2001;5(2):68-82.

Ahmed S, Mosley WH. Simultaneity in the use of maternal-child health care and contraceptives: evidence from developing countries. Demography. 2002;39(1):75-93.

Hotchkiss DR, Rous JJ, Seiber EE, Berruti AA. Is maternal and child health service use a causal gateway to subsequent contraceptive use? A multi-country study. Popul Res Policy Rev. 2005;24(6):543-71.

Chopra S, Dhaliwal L. Knowledge, attitude and practices of contraception in urban population of North India. Arch Gynecol Obstet. 2010;281:273-7.

Reddy RS, Premarajan KC, Narayan KA, Mishra AK. Rapid appraisal of knowledge, attitude and practices related to family planning methods among men within 5 years of married life. Indian J Prev Soc Med. 2003 Jan-June;34(1&2):63-7.

Mao J. Knowledge, attitude and practice of family planning: a study of Tezu Village, Manipur (India). Intern J Biol Anthropol. 2007;1(1):1-9.

Basu S, Kapoor A, Basu SK. knowledge, attitude and prevention of family planning among tribals. J Family Welfare. 2004 June;50(1):24-30.

Tripathi R, Rathore AM, Sachdeva J. Emergency contraception: knowledge, attitude, and practices among health care providers in North India. J Obstet Gynecol Res. 2003 Jun;29(3):142-6.

John A. Ross, William L. Winfrey. Contraceptive use, intention to use and unmet need during the extended postpartum period. Int Family Planning Persp. 2001;27(1):20-7.