A Retrospective Study on Acceptability and Complications of Ppiucd Insertion

Doley, Runjun; Pegu, Bornali

doi:10.14260/jemds/2016/384

Cited by 17 publications

(31 citation statements)

References 10 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was slightly comparable with findings in Central India (11.9%), tertiary care center, Indore (10.0%), but lower than other studies conducted in Zenana hospital, Jaipur (21.8%), Jorhat tertiary care hospital, Assam (36.6%), Faridabad district, India (39.0%) and Cuttack medical college, Odisha (25.32%) [22–26]. It was also higher than Jay Kay Lon hospital, Kota (2.94%) [16].…”

Section: Discussionsupporting

confidence: 83%

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Gonie

Worku

Assefa

et al. 2018

Contracept Reprod Med

View full text Add to dashboard Cite

BackgroundThe postpartum intrauterine contraceptive devices (PPIUCD) is the only family planning method for couples requesting highly effective, reliable, inexpensive, non-hormonal, immediately reversible, and long-acting contraceptive that can be initiated during the immediate postpartum period and it has no a negative effect on lactation. Despite these benefit, the acceptance and utilization of immediate PPIUCD were very low and the reasons for rejecting immediate PPIUCD usage have not been characterized in Southeast Ethiopia. Therefore, this study determined the level of acceptability and factors associated with immediate PPIUCD use among women who gave birth at Bale zone health facilities, Southeast Ethiopia.MethodsA facility based cross-sectional study was conducted from March to July 2017 in Bale zone health facilities. Four hundred twenty-nine women were successfully interviewed using structured and pre-tested questionnaire. Health facilities were selected by lottery method. Study participants were selected systematically. Data were entered into Epi data version 3.1 and exported into SPSS version 21 for analysis. Logistic regression analyses were done. A significant association was declared at a p-value less than 0.05.ResultsThe acceptance of immediate PPIUCD usage was 12.4%. Non-acceptors reported their reasons for rejecting PPIUCD use; concern and fears of complications (24.8%), religious beliefs (19.8%), and husband refusal (17.7%). Respondents who had completed secondary education were more likely to accept PPIUCD usage than those who had no formal education (AOR = 3, CI = 11.81, 53.91). In addition, the odds of accepting PPIUCD insertion was higher among women who attended 3 antenatal care visits than those who did not attend antenatal care visits for the current birth (AOR = 1.81, CI = 0.34, 0.85).ConclusionsThe acceptance of immediate PPIUCD usage was still low. This might be attributed to the low achievement of education, perceived concern and fears of complications towards IUCD insertion. The male partner’s refusal and religious beliefs also have a role in the usage of postpartum IUCD. Due attention should be given to enhancing educational level of women and effective IUCDs counseling should be given during antenatal care visits to correct misconceptions and fears of complication about PPIUCD insertion.Electronic supplementary materialThe online version of this article (10.1186/s40834-018-0071-z) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionsupporting

confidence: 83%

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Gonie

Worku

Assefa

et al. 2018

Contracept Reprod Med

View full text Add to dashboard Cite

show abstract

“…Acceptance rate in present study was found to be 18% which was higher than findings in central India (11.9%), tertiary care centre Indore (10%), but lower than other studies conducted in Zenana hospital Jaipur (21.8%), Johrat tertiary care hospital, Assam (36.6%), Faridabad district, (39%), Cuttack medical college, Odisha (25.32%). [11][12][13][14][15] Present study findings are also supported by Kathpalia SK, Mustafa MS who reported that knowledge and acceptance of postpartum insertion is low among antenatal women. 16 Present study was also supported by Nigem et al who showed overall contraceptive knowledge of 94%, although 48.4% women were aware of IUCD and only 21.9% were aware of PPIUCD.…”

Section: Discussionsupporting

confidence: 77%

Study of knowledge, attitude, practices regarding PPIUCD among antenatal women at a tertiary care centre in Northern India

Asnani

Agarwal

Singh

2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: PPIUCD has been introduced in the national family welfare program since March 2010 in several states. AN IUCD can be inserted in 48 hours postpartum, referred to here as postpartum intrauterine contraceptive device. This study was done to assess the Knowledge, attitude and practice of postpartum Intrauterine contraceptive device in antenatal patients at a tertiary care centre in Northern India.Methods: This is a questionnaire based cross sectional observational study including 350 antenatal women attending antenatal OPD over a period of 6 months.Results: Out of these 350 women, 126 women (36%) had knowledge of PPIUCD. only 30 % of women had previous knowledge about PPIUCD however only 10 % of women practiced it in the past. After appropriate counselling 18% of women agreed for insertion of PPIUCD after this delivery.Conclusions: The study concludes that the antenatal women had poor knowledge regarding PPIUCD. Practices were even worse. This might be attributed to low education , refusal by family especially male partner, and religious beliefs. But once appropriate knowledge and information is provided, attitude gradually changes.

show abstract

“…In a similar study by Doley et al which 43.86% were in the age group of 21-25 years followed by 37.95% acceptors in the age group of <20 years (Table 1). 9 In a study by Borthakur, Shobhasmita, et al, 32% of the acceptors were in the age group of 26-30 years and 39.32% among multipara. 10 Majority studies found similar results to current study this is because IUCD is temporary method that is the reason for acceptance among primi parous women.…”

Section: Age and Paritymentioning

confidence: 96%

“…8 In a similar study by Doley et al, total number of PPIUCD acceptance was 1217 out of 3320 counselled patients. 9 Thus it is seen that education status directly affects the awareness and acceptability regarding PPIUCD.…”

Section: Socio-demographic Factors and Acceptabilitymentioning

confidence: 99%

Knowledge attitude practice and acceptance of postpartum intrauterine devices among postpartal women in a tertiary care center

Yadav

Joshi

Solanki

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

INTRODUCTIONIn 2012 the London Summit on Family Planning was held to bring back the focus on family planning globally. With 60% unmet need for FP in the postpartum period and JSY (conditional cash transfer scheme) bringing women to facilities, PPIUCD is a safe and effective reversible long term birth spacing method that should be available to women. IUCDs are used by only 2% of current users of contraception in India. According to the World Health Organization Medical Eligibility Criteria, an IUCD can be inserted in the 48 hours postpartum, referred to here as a postpartum IUCD (PPIUCD), or after four weeks following a birth. ABSTRACTBackground: PPIUCDs are the only method for couples requesting a highly effective and reversible, yet long acting, family planning method that can be initiated during the immediate postpartum phase. World Health Organization (WHO) medical eligibility criteria state that it is generally safe for postpartum lactating women to use a PPIUCD, with the advantages outweighing the disadvantages. PPIUCDs are cost-effective and they are low-cost intervention that reduces maternal, infant, and under-five Child mortality. Methods: After approval from the ethical committee and consent from the patients, the study was performed on 1000 postpartum women within 10 min. of delivery and up to 6 weeks of delivery at Labour Room of, M.Y. Hospital, Indore. Results: Majority of acceptor (72.5%) belong to age group of 18-25 years and 53% belonged to urban area. Acceptance was more in those who completed their secondary school level education (33%). Working women (55.5%) accepted PPIUCD more than the non-working. Out of 1000 women counselled only 10% agreed for PPIUVD insertion. During the study of 1 year duration (3.5%) of non-acceptors become pregnant and none of the acceptors conceived. Most common reason stated for accepting PPIUCD among acceptors, was that it is a reversible method (66%). Most common reason for not accepting PPIUCD among non-acceptors, because they are interested in Other Method of Family Planning (60%). Conclusions: Verbal acceptance is more than actual insertion of PPIUCD because of adoption of other method of family planning, family pressure, nonacceptance by partner, lack of awareness, fear of complication. Proper counselling can help to generate awareness and compliance for PPIUCD use in postpartum mother who have institutional delivery. Inserting CuT 380A within 10 min after placental delivery is safe and effective, has high retention rate. The expulsion rate was not high, and further can be reduced with practice could not be predicted.

show abstract

A Retrospective Study on Acceptability and Complications of Ppiucd Insertion

Cited by 17 publications

References 10 publications

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Acceptability and factors associated with post-partum IUCD use among women who gave birth at bale zone health facilities, Southeast-Ethiopia

Study of knowledge, attitude, practices regarding PPIUCD among antenatal women at a tertiary care centre in Northern India

Knowledge attitude practice and acceptance of postpartum intrauterine devices among postpartal women in a tertiary care center

Contact Info

Product

Resources

About