Change in Post Partum Family Planning Behaviour Observed in Pakistani Men and Women in a Squatter Settlement in Karachi: A Pre-Post Observational Study

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Background: Unfortunately, in Pakistan, there are many myths associated with family planning practices hence general reluctant perception of couples is observed especially just after childbirth. In fact, post partum is the most vulnerable period to discuss contraception. In our study, we aimed to see the change in post partum contraceptive behaviours after thorough counselling to individuals in a squatter settlement in Karachi, Pakistan. Methods: This is a pre-post observational study done from September 1st 2018 until November 15th 2018 in a squatter settlement in Sikanderabad Karachi. A total of 1023 subjects, both males and females of reproductive age group were recruited in the study. The base line knowledge was assessed by using pre-prepared extensive questionnaire adapted from Best Paper Practice (BPP) PPFP (Post Partum Family Planning) Royal College of Obstetrics and Gynaecology (RCOG) about contraceptive behaviours, after taking informed consent and providing privacy. After filling the pre-test forms, an awareness talk describing the advantages and disadvantages of all methods of contraception currently available in Pakistan, was discussed in detail. Data was analyzed using SPSS 20 filled a post-test questionnaire consisting of the same questions. Mc-Nemar’s test was used to see the difference in the pre and post questionnaire. p-value <0.05 was considered significant. Results: Knowledge of use, side effects and efficacy of all the contraceptive methods was enhanced considerably post session showing statistically significant results (p-value <0.00). Conclusion: It is clearly seen that giving contraceptive education helped couples to choose the appropriate contraceptive method to give birth spacing.