Hema Divakar1,2, Ajey Bhardwaj3, Chittaranjan Narhari Purandare4, Thelma Sequeira3, Pooja Sanghvi3. 1. Federation of Obstetric and Gynaecological Societies of India, Mumbai, 400013 India. 2. Divakar's Speciality Hospital, 220, 2nd Phase, JP Nagar, Bengaluru, 560078 India. 3. Avni Health Foundation, 2nd Floor, Amarsons Bhavan, 68 Misquitta St, Vile Parle East, Mumbai, 400057 India. 4. 3International Federation of Gynecology and Obstetrics, FIGO House, London, SE1 8ST UK.
Abstract
OBJECTIVE: To determine critical factors and barriers to postpartum intrauterine contraceptive device (PPIUCD) use in India in order to guide programs aimed at reducing maternal and child mortality. METHODS: All pregnant women were enrolled for contraception counseling during their visit to the antenatal outpatient clinic. Women who opted for PPIUCDs were enrolled in the study and offered PPIUCD insertion, irrespective of mode of delivery. Those who withdrew consent when in labor or soon after delivery, experienced severe bleeding, or exhibited unstable vital signs were excluded, as were febrile women and those diagnosed with chorioamnionitis. RESULTS: A total of 66,508 women were enrolled in the study. 86.1% indicated they discussed family planning options with their partners/husbands before making a decision. 178 respondents (0.3%) could not mention one advantage of PPIUCDs, while 23.1% could not mention one disadvantage. 13.9% of the women withdrew consent. Family member objections (43.44%), husband/partner objection (27.94%), and deciding on another method (15.59%) were the main reasons for consent withdrawal. CONCLUSIONS: Awareness of PPIUCDs is not a limiting factor in women's consent to PPIUCD insertion. As a woman's decision to use a PPIUCD is significantly influenced by family members and her partner/husband, awareness initiatives that target these populations should be considered.
OBJECTIVE: To determine critical factors and barriers to postpartum intrauterine contraceptive device (PPIUCD) use in India in order to guide programs aimed at reducing maternal and child mortality. METHODS: All pregnant women were enrolled for contraception counseling during their visit to the antenatal outpatient clinic. Women who opted for PPIUCDs were enrolled in the study and offered PPIUCD insertion, irrespective of mode of delivery. Those who withdrew consent when in labor or soon after delivery, experienced severe bleeding, or exhibited unstable vital signs were excluded, as were febrile women and those diagnosed with chorioamnionitis. RESULTS: A total of 66,508 women were enrolled in the study. 86.1% indicated they discussed family planning options with their partners/husbands before making a decision. 178 respondents (0.3%) could not mention one advantage of PPIUCDs, while 23.1% could not mention one disadvantage. 13.9% of the women withdrew consent. Family member objections (43.44%), husband/partner objection (27.94%), and deciding on another method (15.59%) were the main reasons for consent withdrawal. CONCLUSIONS: Awareness of PPIUCDs is not a limiting factor in women's consent to PPIUCD insertion. As a woman's decision to use a PPIUCD is significantly influenced by family members and her partner/husband, awareness initiatives that target these populations should be considered.
Authors: Hendrik C C de Jonge; Kishwar Azad; Nadine Seward; Abdul Kuddus; Sanjit Shaha; James Beard; Anthony Costello; Tanja A J Houweling; Ed Fottrell Journal: BMC Pregnancy Childbirth Date: 2014-12-24 Impact factor: 3.007
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