Evaluation of postpartum intrauterine device in immediate postpartum period: An audit

Anupa Singhal; Neeru Malik; Dolly Chawla; Ritu Khatuja; Nivedita Sarda

Volume : VII, Issue : IV, April - 2018

Evaluation of postpartum intrauterine device in immediate postpartum period: An audit

Anupa Singhal, Neeru Malik, Dolly Chawla, Ritu Khatuja, Nivedita Sarda

Abstract :

Objective To study the demographic profile and awareness of PPIUCD acceptors and analysis of reasons for refusal.

Material and MethodsAn observational study was conducted in Obstetrics and Gynaecology department of Dr BSA Medical college where women in early labour were counselled for acceptance of intrauterine device. Awareness of PPIUCD, demographic characteristic like age, parity, religion, education and socioeconomic status were noted. Reason for refusal was noted in non acceptors.

Result 44.4% PPIUCD acceptors were in the age group of 21-30 years. Only 8.4% of illiterate women accepted IUCD while acceptance rate was 29.6% in graduates Overall acceptance rate was low at 16.5%. Awareness of PPIUCD was also low at 18%. Myths associated with IUCD were the major reason for refusal with most common being the fear of perforation/migration of the device (27.7%). Family plays a major role in decision for future fertility of the postpartum women.

ConclusionThe postpartum period is an important, yet underutilized, time to initiate contraception. PPIUCD is a promising contraceptive for this period. However acceptance of PPIUCD needs to be increased by strengthening antenatal counseling of couple.