Title: PPIUCD- Acceptance Analysis in Patna Medical College hospital
Authors: Dr Rupam Sinha, Dr Ruchi Prasad, Dr Pinky Priya
Indian women have more children than desired and often too closely together, due to limited choice and awareness of available family planning services. Intra uterine contraceptive devices have been used by women in India since decades for spacing pregnancy. Our study intended to determine the acceptance and refusal of PPIUCD after structured counseling in mother delivering at our institute .We have also analyzed various barriers for not accepting PPIUCD insertion as method of contraception.
Methods: An interventional study was carried among 200 pregnant mothers visiting RCH clinic of P.M.C.H during the period of January 2018 to December 2018 (1 year).They were counseled about the need and choice available for post partum contraceptive methods including PPIUCD. All these 200 mothers met the eligibility criteria. Her willingness to PPIUCD use and in case she refuses, reasons for rejection were noted .Data was analyzed and statistical inferences were drawn by applying test of significance such as chi square test etc.
Results: Acceptance for PPIUCD among participants before counseling was 14.8%. Most common reasons for rejecting PPIUCD was fear of malignancy in 110 women (62%).With the help of counseling acceptance increased to 48%. Among all these women who accepted PPIUCD antenatally, 60 women (30%) allowed post partum insertion. So the actual PPIUCD insertion rate comes to 30%.
Interpretation & Conclusion: Well structured and balanced counseling provided during antenatal period significantly increases acceptance rate of PPIUCD. Fear of side effects of IUCD was the major hurdle for rejection noted during the study.
Keywords: PPIUCD, Family Planning, Post partum contraception.