Distribution and Determinants of Post-partum Amenorrhea in a Slum of Kolkata

Dr. Sweta Suman; Dr. Lina Bandyopadhyay; Dr. Tania Pan

Volume : IX, Issue : III, March - 2019

Distribution and Determinants of Post-partum Amenorrhea in a Slum of Kolkata

Dr. Sweta Suman, Dr. Lina Bandyopadhyay, Dr. Tania Pan

Abstract :

Background: The interval after termination of conception and before the resumption of ovulation is known as postpartum amenorrhea (PPA) period. The fecundability of a woman is temporarily suspended during this period thus helping in birth spacing. Objective: The study was conducted to explore determinants of PPA. Methodology: A community based observational study among the mothers of children aged 6–23 mothers in a slum of Kolkata was done during April 2016–June 2016. Simple random sampling was done to obtain the study participants. Data collection was done using a structured questionnaire on socio–demographic characteristics, during of PPA, EBF duration, contraceptive practices etc. Data was analyzed using SPSS (version 16). Linear regression was done to establish the association. Results:A total of 112 mothers were approached in the study duration. Mean duration of PPA was 3.5 (± 2.1) months and ranging from 0–8 months. Mean PCI was INR 2052. Mean age at marriage was 19.6 (± 1.9) years. 22.3% mothers gave history of abortion. 84.8% mothers initiated EBF but 78.9% of them continued till 6 months. Unmet need was 61%. Duration of east feeding (SE–0.06, P–value <0.00001) and the socioeconomic status (SE–0.16, P–value 0.002) were found to be significantly associated. Conclusion: NFHS 4 data shows current use of any family planning method in the urban areas of west Bengal is 69%, unmet need being 8.4%. PPA is an important biological factors that maintain proper spacing if awareness about determinants are promoted. This area needs to be focused on by the social scientists.