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.

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Dr Ruchi Prasad

Senior Resident, Department of Obst. & Gynae, Patna Medical College, Patna