Volume : 7, Issue : 4, April - 2018

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

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

Abstract :

<p class="MsoNormal"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">Objective </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">To study the demographic profile and awareness of PPIUCD acceptors and analysis of reasons for refusal.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><b style="mso-bidi-font-weight:&#10;normal"><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">Material and Methods</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Camia&quot;,&quot;serif&quot;;mso-ascii-theme-font:major-latin;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;mso-hansi-theme-font:&#10;major-latin;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-ansi-language:EN-IN;&#10;mso-fareast-language:EN-IN;mso-bidi-font-weight:bold">An 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.<span style="mso-spacerun:yes">&nbsp; </span></span><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">Awareness of PPIUCD, demographic characteristic like age, parity, religion, education and socioeconomic status were noted. Reason for refusal was noted in non acceptors.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><b style="mso-bidi-font-weight:&#10;normal"><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">Result</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin"> 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.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify"><b style="mso-bidi-font-weight:&#10;normal"><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">Conclusion</span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Camia&quot;,&quot;serif&quot;;&#10;mso-ascii-theme-font:major-latin;mso-hansi-theme-font:major-latin">The 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.<o:p></o:p></span></p>