Aruna Nigam1,2, Ayesha Ahmad1, Anshu Sharma1, Poonam Saith1, Swaraj Batra1. 1. Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, 110001 India. 2. 2Reader's Flat No. 4, Lady Hardinge Medical College Campus, Shaheed Bhagat Singh Marg, New Delhi, 110001 India.
Abstract
AIM: To assess knowledge and attitude of women toward postpartum intrauterine contraceptive device (PPIUCD) and analyze reasons of refusal. SETTING AND DESIGN: Hospital-based cross-sectional study for 1 year. MATERIALS AND METHODS: 550 women were enrolled in the study. Sociodemographic characteristics, knowledge, and attitude toward contraception especially PPIUCD were noted, and the reasons for refusal of PPIUCD were analyzed. STATISTICAL ANALYSIS: SPSS version 17.0 is used. Continuous variables were reported using mean, and categorical variables were reported using percentages. OBSERVATIONS: PPIUCD insertion rate was 9.1 %. 78.6 % of women in the study belonged to the age group of 20-30 years, with 79.2 % having education of Class X and above. The overall contraceptive knowledge was 94.4 %. Although 48.4 % women were aware of Cu T as a method of contraception, only 21.9 % of 48.4 %, however, were aware of PPIUCD. None of the women had ever used it before. The commonest prevalent myths regarding Cu T were fear of malignancy (38 %) and fear of menorrhagia (36.4 %). The husband and mother-in-law played important roles in decision regarding PPIUCD insertion and refused the same in 59 % of cases. CONCLUSION: The study shows that awareness of PPIUCD is low in this region despite good education, leading to high refusal rates. The commonest reason is lack of appropriate counseling, and not only the woman but the husband and mother-in-law also must be provided the knowledge of it as they play important roles in our society.
AIM: To assess knowledge and attitude of women toward postpartum intrauterine contraceptive device (PPIUCD) and analyze reasons of refusal. SETTING AND DESIGN: Hospital-based cross-sectional study for 1 year. MATERIALS AND METHODS: 550 women were enrolled in the study. Sociodemographic characteristics, knowledge, and attitude toward contraception especially PPIUCD were noted, and the reasons for refusal of PPIUCD were analyzed. STATISTICAL ANALYSIS: SPSS version 17.0 is used. Continuous variables were reported using mean, and categorical variables were reported using percentages. OBSERVATIONS: PPIUCD insertion rate was 9.1 %. 78.6 % of women in the study belonged to the age group of 20-30 years, with 79.2 % having education of Class X and above. The overall contraceptive knowledge was 94.4 %. Although 48.4 % women were aware of Cu T as a method of contraception, only 21.9 % of 48.4 %, however, were aware of PPIUCD. None of the women had ever used it before. The commonest prevalent myths regarding Cu T were fear of malignancy (38 %) and fear of menorrhagia (36.4 %). The husband and mother-in-law played important roles in decision regarding PPIUCD insertion and refused the same in 59 % of cases. CONCLUSION: The study shows that awareness of PPIUCD is low in this region despite good education, leading to high refusal rates. The commonest reason is lack of appropriate counseling, and not only the woman but the husband and mother-in-law also must be provided the knowledge of it as they play important roles in our society.
Entities:
Keywords:
Contraception; Family planning; Intrauterine contraceptive device; Postpartum
Authors: J K Kanojia; N C Nirbhavane; V S Toddywala; S S Betrabet; S B Patel; S Datte; L Gaur; B N Saxena Journal: Natl Med J India Date: 1996 May-Jun Impact factor: 0.537
Authors: Danielle M Harris; Anita Dam; Kate Morrison; Chastain Mann; Ashley Jackson; Shannon M Bledsoe; Andrea Rowan; Kim Longfield Journal: Stud Fam Plann Date: 2022-08-03