Temporary Contraceptive Methods Research Articles

Knowledge and practice of family planning among pregnant tribal women in Southern India: an observational study

BackgroundThere are over 700 Scheduled Tribes (ST) living in 30 Indian states. As with other indigenous groups across the world, Indian ST have some of the poorest infant and child health outcomes of any communities in India. A child born to an ST family is 19% more likely to die in the first month of life and has a 45 percent risk of dying in their first year compared with other Indian populations. Research suggests that early conception, high fertility, and low use of family planning methods are large contributors to these disparities.MethodsA cross sectional survey in Kannada was conducted among 303 pregnant tribal women in Mysore, India after obtaining informed consent. Univariate and multivariable analyses were carried out to determine the demographic and psychosocial factors associated with knowledge of contraceptive methods using Stata 14.0.ResultsThere was widespread knowledge about female sterilization, while only 39.3% of women reported hearing about one or more forms of temporary contraception, and 36.3% knew where to get them. The largest proportion of women had heard about copper-T (33.0%), followed by oral contraceptive pills (23.8%), condoms (11.9%), and injectables (4.6%). Only 2.7% of women reported ever using any form of temporary contraception. Results from the multivariable logistic regression indicated that knowledge of at least one form of temporary contraception was linked to higher age (adjusted odds ratio[AOR]: 1.09; 95% CI: 1.02, 1.17), greater number of years of marriage (AOR: 0.90; 95% CI: 0.85, 0.96), and last birth in a government facility (AOR: 3.67; 95% CI: 1.99, 6.82).ConclusionsThe study revealed poor knowledge and utilization of temporary contraceptive methods among a tribal population in rural Mysore, India. Interventions aiming to increase knowledge of contraceptive options are important for birth spacing in this population and should target younger women and those without contact with government health facilities.

Role of Artistic Copper-T Shiksha Model to sensitize women for the use of Copper–T as a safe contraceptive

The contraceptives are integral part of healthy sexual life. The choice of contraceptives depends on family planning and will of couple specially woman. Copper-T, an intrauterine device (IUD) is one of the most effective, cheapest and reversible contraceptive methods. It can be used for both spacing and birth control and it has minimum side effects as compared to other contraceptives. But it is highly neglected contraceptive though Copper- T has High pearl index and has less failure rate than other temporary contraceptive methods. As most of women are unaware of its potential significance & refuse it after misconception of perforation of uterus and expulsion. Copper-T Shiksha Model is innovative way of contraceptive counselling by artistic presentation to female and her family even in presence of children. It is based on the Arts Integration Approach and Neuro-linguistic programming. Copper-T is promoted as ornament of uterus instead of sharp object and displayed beautifully with a framed painting with significant meaning of contraception by famous artist Rahul Bhandare. Woman is also warned of side effects of Copper-T and conditions like excessive bleeding. It boosts up faith and confidence in contraceptive method. Both hand cards and clinic model is used in awareness. 400 women were selected randomly in group meets, door to door survey and individual counselling.

A Study to Assess the Effectiveness of Video Assisted Teaching Programme on Knowledge Regarding Temporary Contraceptive Methods among College Going Females in Selected College at Lucknow, Uttar Pradesh

A Study to Assess the Effectiveness of Video Assisted Teaching Programme on Knowledge Regarding Temporary Contraceptive Methods among College Going Females in Selected College at Lucknow, Uttar Pradesh

Utilization of modern temporary contraceptive methods and its predictors among reproductive-aged women in India: insights from NFHS-5 (2019-21).

Evidence from various studies on modern contraceptive methods shows that the utilization varies greatly. The present study aimed to estimate the magnitude and determinants for temporary modern contraceptive utilization among reproductive-aged (15-49 years) women in India. We analysed National Family Health Survey-5 data using the "svyset" command in STATA software. Modern contraception utilization was estimated using the weighted prevalence, and its correlates were assessed by multivariable regression by reporting an adjusted prevalence ratio (aPR) with 95% confidence interval (CI). QGIS 3.2.1 software was used for spatial analysis of different temporary modern contraceptives. The mean (SD) age of 359,825 respondents was 31.6 (8.5) years with 75.1% (n = 270,311) and 49.2% (n = 177,165) of them being from rural area and having completed education up to secondary school, respectively. The overall utilization of modern temporary contraception was 66.1% [95%CI: 65.90-66.35, n = 237,953]. Multigravida (vs. nulligravida) [aPR = 2.13 (1.98-2.30)], higher education of husband (vs. not educated) [aPR = 1.20 (1.14-1.27)], urban (vs. rural) [aPR = 1.06 (1.03-1.10)], watching television less than once a week (vs. not at all) [aPR = 1.04 (1.01-1.08)], divorced (vs. married) [aPR = 0.65 (0.45-0.94)], and Scheduled Tribe (ST) (vs. unreserved) [aPR = 0.92 (0.88-0.96)] were significant independent determinants. The highest utilization of male condoms, IUCDs, pills and injections were in Himachal Pradesh (86%), Nagaland (64%), Tripura (85%), and Ladakh (20%), respectively. Out of every ten reproductive-aged (15-49 years) women in India, six are using temporary modern contraceptive methods. More intervention strategies should be planned, considering factors like gravida, education, residence, health promotion and caste to attain replacement fertility level.

Knowledge, Attitude, and Practice of Contraception in Rural Area of Vidarbha

Knowledge of use of contraceptives is necessary to prevent unwanted pregnancies and for optimal spacing, especially when it comes to rural populace. It is essential to create awareness and educate them regarding the proper usage of contraceptives and facilitate their usage. Family planning has two main objectives; firstly, to have only the desired number of children and secondly, proper spacing of pregnancies. India has undergone fertility transition and important feature of this transition is the fact that contraceptive use has spread to even uneducated women. Family planning is widely discussed topic on the national stage, with lot of government machinery to help implement it, yet there exist lot of disparity in its execution. In our study, the knowledge of contraception was upto 60%, while its acceptance was seen in 50% of the population, knowledge of contraceptives was very much likened to the level of education the populace has received as well as due to efforts of mother and child health and family planning services in the rural area, lack of use contraceptives was mainly attributed to fear of side-effects, which were mainly due to hearsay. Our study highlights the fact that even though our study was based in rural area, it involved women belonging to all stratas of society, and women had more predilection towards temporary methods of contraception rather than going for permanent contraception. It is concluded from the present study that 60% women had knowledge and were aware of the contraceptives but lacking information about their availability at health care centers.

“We wish to have good medical care”: findings from a qualitative study on reproductive and maternal health of internally displaced women in India

Internally displaced women are underserved by health schemes and policies, even as they may face greater risk of violence and unplanned pregnancies, among other burdens. There are an estimated 450,000 internally displaced persons in India, but they are not formally recognised as a group. Displacement has been a common feature in India’s northeast region. This paper examines reproductive and maternal health (RMH) care-seeking among Bru displaced women in India. The study employed qualitative methodology: four focus group discussions (FGDs) were held with 49 displaced Bru women aged 18–45 between June and July 2018; three follow-up interviews with FGD participants and five in-depth interviews with community health workers (Accredited Social Health Activists – ASHAs) in camps for Bru displaced people in the Indian state of Tripura. All interviewees gave written or verbal informed consent; discussions were conducted in the local dialect, recorded, and transcribed. Data were indexed deductively from a dataset coded using grounded approaches. Most women were unaware of many of the RMH services provided by health facilities; very few accessed such care. ASHAs had helped increase institutional deliveries over the years. Women were aware of temporary contraceptive methods as well as medical abortion, but lacked awareness of the full range of contraceptive options. Challenges in accessing RMH services included distance of facilities from camps, and multiple costs (for transport, medicines, and informal payments to facility staff). The study highlighted a need for comprehensive intervention to improve RMH knowledge, attitudes, and practices among displaced women and to reduce access barriers.

Profile of abortion seekers in the tertiary center of northern hills with review of medical termination of pregnancy act in India

The aim of the present study was to investigate the socio-demographic and obstetric profile of pregnant women, seeking medical termination of pregnancy in accordance with the Medical Termination of Pregnancy (MTP) Act and the reasons for undergoing termination of pregnancy in the tertiary care center of the hilly region of Northern India and to further review the amendments in the Medical Termination of Pregnancy Act 1971 along with its future implications in legalizing abortions in India.
 Materials and Methods: A registry-based retrospective study was carried out among pregnant women, attending the gynecologic outpatient department for termination of pregnancy at the tertiary care teaching hospital and the referral center for Himalayan foothills in Northern India. The records of women, seeking termination of pregnancy during a 1-year period between October 2020 and September 2021, were reviewed and information on their demographic and obstetric profile, reason for undergoing termination of pregnancy, and acceptance of contraception, following termination of pregnancy was recorded in the data sheet. The information obtained was analyzed using SPSS version 20 (IBM, Chicago, USA) for descriptive statistics.
 Results: A total of 400 pregnant women underwent Medical Termination of Pregnancy between October 2020 and September 2021. 30.5 % (122/400) women between 26–30 years of age underwent termination of pregnancy, followed by 27.3 % women aged between 31–35 years. Social reasons for termination of pregnancy were more evident in women aged 26 years and above. 84.09 % pregnancies were terminated in the second trimester (>12 weeks) on eugenic ground, while 65.01 % pregnancies were terminated in the first trimester (6–12 weeks) on social grounds. Only 7.75 % (31/400) women opted for sterilization or family planning after MTP, out of which the majority opted for temporary methods of contraception.
 Conclusion: We conclude from the results of the present study that women in the peak reproductive age (26–30 years) are more likely to seek pregnancy termination and this group of women needs to be the focus of contraceptive counseling and family planning services. Timely ultrasound scans by an expert sonologist may be a step forward towards lowering the rates of late pregnancy termination. There is a need to educate women to avail and use contraceptive methods in an effective manner and to make them aware of utilizing sterilization services, once they complete their families to avoid unwanted pregnancies.

A STUDY OF FACTOR AFFECTING THE USE OF TEMPORARY AND PERMANENT METHODS OF CONTRACEPTION AMONG MARRIED WOMEN

Introduction: According to World Health Organization (WHO), 'Family planning allows individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their births. It is achieved through use of contraceptive methods and the treatment of involuntary infertility'. This study provides the relationship between sociodemographic factors and use of temporary contraceptive methods and permanent contraceptive methods. 1.To de Objectives: termines the factor affecting utilization of temporary and permanent contraceptives among married women. 2. To determine the relationship between socio demographic factors and use of modern contraceptive method among married women.Material & methods: This study was community based descriptive cross sectional study, conducted in urban area of Bilaspur (C.G.). Total 600 married women were interviewed by predesigned and pretested questionnaire. Data were analyzed using SPSS software. Chi-square test and logistic regression was applied to know the association among the various socioeconomic factors and contraceptive practices. In this study 600 married wome Result: n were studied. Out of all 600 respondent (172)28.7% were using sterilization and rest were using temporary method of contraception. Only 8.6% and 32.8% illiterate women were using temporary method and permanent method of contraception and only 42.9% and 21.4% women of lower socio economic class were using permanent method and spacing method of contraception respectively. Signicant association was found between various factors like age, education, parity, socio economic class, and number of living children. In this study choice of method of contrace Conclusion: ption (temporary and permanent methods) was associated with education, occupation, socioeconomic class, number of living children and parity. It was found that the female sterilization (permanent method) was more popular than temporary method. Education and mass media show signicant association in use of temporary methods.

A study to assess the knowledge and practice of temporary contraceptive methods among eligible couple at Kondancherry

A study to assess the knowledge and practice of temporary contraceptive methods among eligible couple at Kondancherry

Prevalence and pattern of contraceptive use and unmet need among women of reproductive age in urban Mysuru

BackgroundUncontrolled population growth is an ongoing global concern. Rapid population growth contributes not only to the incidence of poverty but also to the transmission of poverty across generations. Adoption of family planning is crucial to limiting the unsustainable growth of the population. Although family planning services are offered free of cost, the acceptance of contraceptive methods shows wide regional variations. ObjectivesTo determine the prevalence and pattern of contraceptive usage and to determine the magnitude of unmet need among the married women of reproductive age in an urban area of Mysuru. Material and methodsA community based Cross-Sectional study was carried out among 457 married women in the reproductive age group. House to house survey was conducted and data was collected by interview method using a pre-tested, semi-structured proforma after obtaining informed consent. Data was coded and entered into MS Excel 2016 and analysed. ResultsThe prevalence of contraceptive use was found to be 55.1%. The most common contraceptive used was the terminal method of tubectomy. Male Condom was the most common temporary method of contraception used. The unmet need for contraception was found to be 18.16% with an 8.06% unmet need for spacing and a 10.6% unmet need for limiting. ConclusionContraceptive prevalence was 55.1% with 18.16% unmet need for contraception. Misapprehension and fear of side effects was a major reason for non-utilization of contraceptives. Routine Family Planning counselling and peer discussions will go a long way in dispelling the myths associated with family planning.

Deslorelin subcutaneous implants in Oryx dammah males for reproductive control

The aim of this study was to assess the effects of the deslorelin subcutaneous implant as a temporary contraceptive method in the Oryx dammah male. For this purpose, deslorelin at different doses, i.e. 14.1 mg and 9.4 mg, was subcutaneously implanted in three males (Phase 1) and one male (Phase 2) adult Oryx dammah, respectively. Quantitative behavior evaluation and androgen concentrations in feces and plasma were assessed before and after implant application. Fecal androgen concentrations observed in treated males were compared with those measured in one orchiectomized male and two females. Fecal androgen concentrations increased up to 15 days after the implant application, then progressively decreased, reaching the basal level at day150 in Phase 1. In Phase 2, levels remained high until day 60 and returned to basal level on day 120. Plasma testosterone concentration was higher on the day of implant application than three months later, but with variable ranges among males. A general increase of activity levels and hierarchical changes were observed after treatment, in accordance with hormonal variations. Despite males cohabiting with two fertile females during the observation period, no births were recorded. However, between the end of Phase 1 and the beginning of Phase 2, i.e. about 10–11 months after the first deslorelin implant, a fertile mating occurred leading to the birth of a calf. Therefore, we can hypothesize a contraceptive effect up to 10 months after the implant. Testicular histology performed on one male at the end of the Phase 2 showed no spermatogenetic activity.Our results suggest that deslorelin implant can be used to temporarily control reproduction in the Oryx dammah male. Behavior and fecal androgen measurements were useful and repeatable, non-invasive methods to monitor response.

A study on contraceptive use among women attending immunization clinic at McGann teaching hospital, Shimoga

Background: India is the first country to implement National family planning programme in 1952. Use of contraceptives can prevent at least 25% of all maternal deaths by allowing women to prevent unintended pregnancies and unsafe abortions, and protect themselves from sexually transmitting diseases. Even though there is wide availability of various types of contraceptives, the rate of population growth and unplanned pregnancies is still high. The acceptance and knowledge of contraceptive methods varies within the societies and factors responsible operate at the individual, family and community level.Methods: A hospital based, cross-sectional study was conducted during August 2018 at McGann Hospital, Shimoga. The study sample included 200 women in the age group of 20 to 40 years attending immunization clinic with their children. Informed consent was taken from the subjects after explaining the purpose of the study to them. A pre-tested, semi-structured questionnaire was used to collect data by face-to-face interview of the study participants.Results: Out of 200 women 51% were aged between 20 to 24 years of age. Majority (72%) were Hindus. 67.5% were currently using contraception. Among acceptors of family planning 42.3% had undergone tubectomy. OCP was the most commonly used temporary method of contraception. Age of the woman, religion, education, husband’s education and number of children were found to be significantly associated with contraceptive usage.Conclusions: Factors influencing fertility and contraceptive practices should be properly assessed and addressed. Newly married couples should be motivated for accepting spacing methods.

The Rise and Fall of Female Sterilization in Jos, Nigeria: A Cause for Concern.

Background:Female sterilization is a permanent form of contraception offered to women who have completed their family size. Other methods are all temporary and meant to be reversible. A high-quality female sterilization service was introduced in Jos with the assistance of training in counseling and minilaparotomy under local anesthesia in May 1985. After training, female sterilization became available for couples desiring it on completion of family size.Materials and Methods:This was a retrospective study of all clients who had female sterilization for contraception between 1985 and 2019. The clinic register was retrieved and evaluated for acceptances of all contraceptive methods within the period and trends observed.Results:Over the 35 years, a total of 29,167 new clients accepted modern family planning methods. Out of these, a total of 5167 were female sterilizations, constituting 17.7% of the new acceptors. The temporary methods of contraception constituted 82.3%. The other methods used were the intrauterine device 8357 (28.7%), the oral pills 5125 (17.6%), the injectables 5235 (17.9%), and the contraceptive implants 5283 (18.1%). Although female sterilization was 4th among the five methods studied, there was however a gradual decline in its acceptance from a peak of 36.1% in 1992 to 1.4% in the year 2018.Conclusion:The acceptance of female sterilization rose to a peak in 1992 and declined to the lowest level in 2018, occasioned in part by the introduction of varieties of contraceptive implants providing long acting, reversible, and cheap contraception.

Tubal recanalization following sterilization in the era of IVF

Introduction: Female sterilization remains the most popular contraceptive method among young Indian women. Among the age group of 15-49, 36% use female sterilization as contraception method. Early marriage, sterilization at young age, high infant and child mortality has led to increase in the need of recanalization in 1-3% of women. Objective: To analyze the factors affecting the success rate following recanalization Materials and Methods: A retrospective study done at LGH attached to KMC Mangalore during 2012 to 2017 Results: During the study period 30 subjects underwent tubal recanalization. 14 subjects (47%) conceived. Among the women conceived, laparoscopically sterilized had better chance of conception (78.5%) as compared to pomeroy’s (21.5%) technique. Residual length of the tube was more than 5cm among the women who have conceived. 2 subjects had ectopic pregnancy. Out of 14 subjects who conceived, 12 subjects (84%) had their sterilization operation within 5 years. 11 subjects (78.57%) conceived within 1 year of recanalization. Conclusion: It is not feasible for women of low social economic status to undergo IVF following sterilization if need arises. There is definite role of tubal recanalizatio n following sterilization even in present era of IVF in our country. Women with low parity should be motivated to undergo Laparoscopic sterilization, as tubal damage is less and success rate following recanalization is much better. Nulliparous and primi parawomen should be motivated to use temporary method of contraception. Keywords: Recanalization, Sterilization, Microsurgery.

Knowledge, Attitude and Practice of Temporary Artificial Methods of Contraception Among Women of Child Bearing Age in Awka South Local Government Area

BACKGROUND: Contraception is the procedure of preventing pregnancy when it is not desired (MedicineNet, 2018). It is broadly divided into natural and artificial methods of which the artificial is further subdivided into Temporary and Permanent methods.
 
 METHODS: This research exercise was conducted in Awka South Local Government Area in Anambra State, Nigeria consisting of Nine Towns namely Amawbia, Awka, Ezinato, Isiagu, Mbaukwu, Nibo, Nise, Okpuno and Umuawulu (Wikipedia, 2018). Questionnaires were administered by an interviewer which consists of 5 sections while data was analyzed using SPSS (Statistical Package for Social Sciences) and the results were chi-squared at appropriate times and data were presented in forms like prose, tables, and charts.
 
 RESULTS: 78.9% of the respondents were aware of temporary artificial methods of contraception; 44.3% of correspondents with knowledge of temporary artificial contraceptives got their information from friends while 22.4% of the correspondents got theirs from school which reflects a low level of sex education in our homes and religious institutions. Only 18.4% could actually identify intra-uterine contraceptive devices from a list of options While 43.2% could actually identify a contraceptive pill within a list of options. The study also showed that the oral contraceptive pill most known to 50.4% of the correspondents is postinor-2 while the intra-uterine device most commonly known to those with knowledge of intra-uterine contraceptive device was Mirena which is about 65.8% of the correspondents. Also, this research revealed that 49.2% admitted to having used temporary artificial contraceptives.
 
 CONCLUSION: Despite the high level of awareness of temporary artificial contraceptives methods, its level of practice is quite low in this part of the country and the major factors influencing the knowledge and attitude of the participants towards temporary artificial contraceptives are marital status and educational level.

Why are temporary methods of contraception not popular even among urban women? - A Qualitative study

Introduction:  Tamil Nadu, has drastically brought down its birth rate (15) and Total fertility rate (1.7). This success could be attributed to increased female sterilization, while use of temporary contraceptives which is essential to avoid unwanted pregnancies and space births continuous to be very low. The main objective of this qualitative study is to understand why temporary methods of contraception are not popular even among urban women and reasons for poor acceptance and high discontinuation rates. Material and Methods: In-depth interviews and Focus group discussions were conducted with women adopting one or other methods of contraceptives and those not adopting any. Focus group discussion was also conducted with service providers of urban health Centre. Results: Inadequate knowledge, fear of side effects and lack of spousal support were reasons for poor adoption and high discontinuation rates of temporary contraceptives. Misconceptions about fertility and opting for abortion to space births are other reasons for not using contraceptives. Service providers recommend women with two or more children to adopt tubectomy and Copper-T for those who should space births, information of other temporary methods is not provided routinely. Service providers hesitate to promote Emergency oral contraceptive pills for fear of routine use by women. Women suggested that couple counselling and information sharing through social media will promote increased use of temporary methods of contraception. Conclusion: Couples should be educated about the various contraceptives available, its side effects, advantages, importance of birth spacing and risks of repeated abortions and given the option to choose. Proper screenings of cases, adoption of correct techniques, efficient couple counselling and a good follow up care will promote increased use of temporary methods of contraception.

A Descriptive Study to assess the knowledge and Attitude regarding Temporary Contraceptive Methods among married women of reproductive age group in Kot Bhalwal, Jammu

Building a family is a shared responsibility between the husband and wife. They must learn about responsible parenthood. Responsibility is the will and the ability to respond to the needs and aspirations of the family and the children. It involves an adequate preparation to plan and decide the number of children they want and when to have them to ensure the health of the whole family. A descriptive study was conducted to assess the knowledge and attitude regarding temporary contraceptive methods among married women of reproductive age group in Kot Bhalwal, Jammu. 100 married women of reproductive age group who fulfil the inclusion and exclusion criteria were selected using purposive sampling technique. A self structured questionnaire with socio demographic variables, knowledge and attitude regarding temporary contraceptive methods was used as a tool. The tool was tested for content validity and reliability prior to the study. Out of 100, 25(25%) married women had inadequate knowledge regarding temporary contraceptive methods, 68(68%) married women had moderate knowledge regarding temporary contraceptive methods, 7(7%) had adequate knowledge regarding temporary contraceptive methods. Out of 100, 1(1%) married women had negative attitude regarding temporary contraceptive methods, 37(37%) married women had neutral attitude regarding temporary contraceptive methods, 62(62%) had positive attitude regarding temporary contraceptive methods.

Family-centric safe motherhood approach for marginalized young married couples in rural India.

Background:India contributes high broaden of maternal and child death globally. Over the past decade, there has been considerably improvement in maternal and child health indicator in India with intervention of national health mission. However, inequalities in basic health outcomes, lack of access and poor quality of medical care still exists. Marginalized, poor, and rural populations have noticeable low health indicators.Aim:The aim of this study isto describe the design, implementation, and baseline findings of “family centric safe motherhood approach among marginalized young married couples in rural India.Settings and Design:To establish a baseline, we completed 1347 interviews in 100 villages from two rural blocks (Balotra and Siwana) of Rajasthan, India.Methods:The progress of health outcomes is to be measured by set of indicators. Based on results, intervention package was developed.Statistical Analysis Used:The data were entered in SPSS 22 version. Bivariate analysis was performed.Results:Around two-fifth of couples (42.9%) used any temporary contraceptive method. Although the percentage of antenatal care (ANC) in the first trimester (77%) was high, but only 10% of them received three or more ANC check-up. Institutional delivery was reported to be 64.5%. Less than 10% of the women reported that they received quality of ANC (7.1%) and 32.7% was tetanus vaccination coverage in the study area. Aware of any contraceptive method was above 92.7% and 64.3% of respondents have an intention to use any family planning method in the next 12 months.Conclusions:These data provide a baseline of crucial information for evidence-based action on maternal and child health at rural inaccessible villages. Our baseline estimates will facilitate the evaluation of interventions and feasibility of scaling up of intervention.

English

English

Female Temporary Contraceptive Method: Availability and Its Effectss

Female Temporary Contraceptive Method: Availability and Its Effectss