Analysis of awareness, acceptance, safety and continuation rate of post-placental and intra-caesarean insertion of intrauterine contraceptive device

Barala, Shivani; Maheshwari, Sunita; Sharma, Praveen

doi:10.18203/2320-1770.ijrcog20161701

Cited by 12 publications

(18 citation statements)

References 2 publications

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“…This was similar, as reported in a study in Embu District of Kenya, where a continuation rates of 87.6% at 6 months has been reported. 6 A higher continuation rate of 92% has been reported at 6 months follow up by Barala et al 18 In the present study no women had pelvic inflammatory disease, perforation, pregnancy or any other complication. All women who had complaints were examined and all of them responded well to conservative treatment.…”

supporting

confidence: 43%

“…17 Barala et al has reported missing strings in 8% in their study. 18 In our study 5 women (6.8%) had removal of PPIUCD for pain in abdomen and bleeding PV. This is in corroboration with study by Barala et al who reported a removal rate of 6%.…”

mentioning

confidence: 61%

“…This is in corroboration with study by Barala et al who reported a removal rate of 6%. 18 Morrison C et al in their study on the clinical outcomes of two early post-partum IUD programmes in Africa found that removal occurred in 1% and 7% of Kenyan and Malian acceptors respectively. 19 Continuation rate of PPIUCD in our study was 86.9%.…”

mentioning

confidence: 99%

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Post-partum intrauterine contraceptive device: acceptability and safety

Tomar¹,

Saini

Gupta³

2018

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONIndia stands as the second largest populated country in the world with a population of 1.32 billion estimated in 2017. It is projected to contribute 17.74% to world's population in 2018.1 27% of births are spaced less than 24 months apart. Short birth intervals less than 24 months are associated with increased health risk for mother and baby.2 Any pregnancy that occurs within 24 months of last child birth increases the risk of adverse outcomes for mother, her baby and her new pregnancy like anemia, abortions, premature labor, PPH, low birth weight babies, fetal loss and maternal death.3 61% of women in 0-23 months postpartum have an unmet need for family planning in a data from recent Demographic and Health Surveys (DHS) conducted in 21 low-and middle-income countries to examine patterns of inter-pregnancy intervals, unmet need, pregnancy risk where family planning method use only 31%. 4 Postpartum women express a desire to prevent pregnancy during first two years after delivery but the majority are not using any contraception (UNMET NEED). Antenatal, postnatal ABSTRACT Background: Antenatal period is the ideal time for counselling regarding contraception. PPIUCD is a long term reversible method for unmet need of contraception in women of reproductive age. The objectives of this study were to determine proportion of women accepting PPIUCD insertion, their socio-demographic, obstetrics characteristics, reason for acceptance, denial, rates of expulsion, complications and continuation rate till 10 weeks after insertion. Methods: A prospective descriptive study on 300 consented women was done in 2012-2013. A structured questionnaire and performa were used to obtain data. PPIUCD (CuT380A) was inserted in these women and were followed up till 10 weeks post insertion. Results: Out of 300 women counselled, only 85 accepted PPIUCD giving an acceptance rate of 28.33%. Women who had short inter-conceptional period or those who had previously used interval IUCD were significantly associated with greater acceptance. Fear of pain, heavy bleeding and infertility when planning next pregnancy were the most common reasons for denial. Continuation rate was 86.89% at 10th week after insertion. No major complication was observed i.e. perforation, infection and pregnancy. Conclusions: PPIUCD is quite safe method of contraception. Adequate counselling and clarification of myths associated with PPIUCD use can help acceptance and meet the unmet needs of contraception in post-partum period and even later in reproductive age women.

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supporting

confidence: 43%

mentioning

confidence: 61%

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Post-partum intrauterine contraceptive device: acceptability and safety

Tomar¹,

Saini

Gupta³

2018

Int J Reprod Contracept Obstet Gynecol

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“…2 Barala S et al found in their study, 13.8% wants another method, 13.9% convinced with interval IUD, 27.8% had fear of compilications, 28.2% not accepted due to family pressure, myth of not getting pregnant early was 25% and 1.8% of religious belief. 3 Maluchuru S et al found in their study, majority were preferred another family planning method (46.68%) followed by fear of complications (32.89%) and due to family refusal (20.42%). 6 Landge JA et al in their study found reasons for not accepting contraceptives were namely no acceptance by husband and family members 47%, religious belief 38%, Fear of side effect 8.4%, Incomplete family 4.8% and No need 1.3%.…”

Section: Reasons For Not Accepting Ppiucdmentioning

confidence: 90%

“…2 Barala S et al found in the study conducted at RNT Medical College, Udaipur, Rajasthan where the acceptance rate of PPIUCD was 31.6%. 3 In the study conducted by Kanmani K et al in Vellore Medical College, Tamil Nadu where it was found that postpartum intrauterine contraceptive device acceptance 87.8% in primipara. 4 Kharkwal S et al conducted study in MLB medical college, Jhansi, Uttar Pradesh, India where it was found that 42.15% had postpartum intrauterine contraceptive device in primipara.…”

Section: Acceptancementioning

confidence: 99%

A cross sectional study on willingness and acceptabily: PPIUCD by primipara mothers at a tertiary care hospital, Tamil Nadu

Gunasingh

Meena

Mothilal

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Postpartum intrauterine contraceptive device is a postpartum family planning method which provides spacing to the next pregnancy and also it helps to avoid unwanted / unintended pregnancy during postpartum period. Our aim was to study the willingness and acceptability of Postpartum intrauterine contraceptive device among primi paraous women and compare them as a factor of route of insertion (vaginal versus caesarean).Methods: A cross sectional analytical study was done in a tertiary care teaching institution to know the willingness and acceptance among primi paraous delivery (either vaginal and caesarean deliveries) for the period of three months using the hospital records that a total number of 587 primi paraous deliveries and among them 433 mothers had Postpartum intrauterine contraceptive device over the three months period, were taken as a secondary data and studied for their willingness and acceptance for Postpartum intrauterine contraceptive device.Results: 82.8 % of primi paraous women were showing willingness for Postpartum intrauterine contraceptive device and 73.8 % of them had Postpartum intrauterine contraceptive device insertion. Postpartum intrauterine contraceptive device insertions were more in caesarean deliveries than in vaginal deliveries of mothers with one child.Conclusions: Postpartum intrauterine contraceptive device is a strong weapon in the family planning and should be encouraged in both vaginal and caesarean deliveries. The acceptability of Postpartum intrauterine contraceptive device in women with one child was effective and statistically significant at p value is < 0.05.

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One-year continuation of postpartum intrauterine contraceptive device: findings from a retrospective cohort study in India

et al. 2019

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Objective To evaluate outcomes of a national postpartum (within 48 h of delivery) copper intrauterine device placement (PPCuIUD) program in six “high-focus states” with high unmet family planning need in India. Study design We identified high-volume district hospitals that provided PPCuIUD in six (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh and Chhattisgarh) Indian states (two per state). Each selected hospital maintained a list of PPCuIUD acceptors with contact phone numbers. We randomly selected 100 women at each site for inclusion in a telephone survey of IUD outcomes at 1 year. Questions regarded IUD expulsion, discontinuation because of symptoms (e.g., pain, bleeding, discharge), discontinuation for other reasons and use of alternative contraception if discontinuation reported. Results We could contact 844 of the 1200 randomly selected women, of whom 673 (79.7%) had postplacental insertion (within 10 min of delivery), while 171 (20.3%) had an early postpartum insertion (between 10 min to 48 h after delivery). Of those contacted, 530 women (62.8%) reported continuing with the method beyond 1 year, 63 (7.5%) reported having an expulsion, 163 (19.3%) reported having removals for associated side effects (bleeding, pain and discharge), and 88 (10.4%) reported having removals for other reasons. After removal or expulsion, almost half of the women (46.5%) did not switch to any other modern contraceptive method. Conclusion PPCuIUD continuation rate at 1 year was 62.8%. Most removals within 1 year were due to associated side effects. Almost half of the women discontinuing PPCuIUD did not switch to an alternative modern contraceptive method. Implications The 1-year continuation rate of PPCuIUD achieved through a large-scale national program in India is satisfactory. The program though needs to address the low uptake of other modern contraceptive methods after discontinuation.

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Analysis of awareness, acceptance, safety and continuation rate of post-placental and intra-caesarean insertion of intrauterine contraceptive device

Cited by 12 publications

References 2 publications

Post-partum intrauterine contraceptive device: acceptability and safety

Post-partum intrauterine contraceptive device: acceptability and safety

A cross sectional study on willingness and acceptabily: PPIUCD by primipara mothers at a tertiary care hospital, Tamil Nadu

One-year continuation of postpartum intrauterine contraceptive device: findings from a retrospective cohort study in India

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