Determinants for Utilization of Post-Partum Intra-Uterine Contraceptive Device: A Cross-Sectional Study

Abstract

Background: India ranks second in terms of population in the world. Sehore district of Madhya Pradesh has total fertility rate more than or equal to 3.0 and is a Mission ParivarVikas district.Objectives:This study assesses the level of satisfaction amongst the acceptors of Post-Partum Intra Uterine Contraceptive Device (PPIUCD), identify the reasons for removal of PPIUCD, assesses the quality of PPIUCD related counselling given to Antenatal women.Methods: A cross-sectional study was conducted between February to July 2018. The sample included 255 beneficiaries of PPIUCD. Only those women who got PPIUCD inserted before six months were part of the study. In addition, 30 counselling session were assessed to evaluate the quality of counselling.Results: Higher acceptance for PPIUCD was seen among primiparous, expulsion was reported in 10.98% of the cases, abdominal pain was a complaint in 12.94% and bleeding in 21.96% of the women. Majority stated bleeding issues as the reason for removal. Gaps observed during counselling werefailure to offer basket of choices, non-involvement of partner or family member emphasizing the advantages and failure to inform about the limitations and side effects of PPIUCD.Conclusion: Government is taking many efforts in bringing down the TFR. With such low expulsion rates, PPIUCD can be the solution for the countries facing population crises. It can help bring down the high maternal and neonatal mortality.Acceptance for PPIUCD can be improved by counselling the women during antenatal period through dedicated family planning counsellors.