Awareness, acceptability and clinical outcome of post-placental insertion of intrauterine contraceptive device in Marathwada region, India
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2017, Vol 4, Issue 1
Abstract
Objective: Despite contraception becoming widely available, there is poor acceptance of contraceptive methods either because of ignorance or fear of associated complications. The Marathwada region is an economically backward area of the Maharashtra state in India with a large number of floating populations. Consistent use of family planning methods is difficult in such populations. Post-placental insertion of intrauterine contraceptive device (PPIUCD) has huge potentiality and scope in the Marathwada region. Therefore, our study aimed to assess the awareness, acceptability and clinical outcomes of PPIUCD in a tertiary care hospital. Study design: This was an observational study conducted in the department of Obstetrics and Gynaecology, Government Medical College and Hospital, Aurangabad between January 2015 and December 2015. Subjects were 1944 women visiting the antenatal clinic. A preformed and predesigned questionnaire was applied to determine if these women were aware of the PPIUCD. Acceptability was defined as the number of antenatal women who agreed to undergo insertion of PPIUCD. The primary outcome was safety assessed by pain, bleeding, infection, perforation, expulsion rate, and removal rate. Results: Of 1944 women, only 78(4%) were aware of the PPIUCD. The overall acceptability was found to be 25%. Approximately 37% of women had complications. Not a single woman suffered from uterine perforation. The expulsion and removal rates were 9.2% and 10.2%, respectively. Conclusion: The PPIUCD seems to be a safe, effective option for spacing pregnancies as well as limiting the family size; it can be a useful contraceptive tool for migrant populations. Implications: The Marathwada region in India is an economically backward area with a large number of floating populations. Consistent use of family planning methods is difficult in such populations. The PPIUCD has huge potentiality and scope in the Marathwada region and seems to be a useful contraceptive tool for migrant populations.
Authors and Affiliations
Sonali Deshpande, Shrinivas Gadappa, Kanan Yelikar, Nutan Wanjare, Sumit Andurkar
Keywords
Related Articles
- EP ID EP313041
- DOI 10.18231/2394-2754.2017.0016
- Views 103
- Downloads 0
Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity
Introduction Abnormal uterine bleeding AUB is a common complaint affecting majority of pre and postmenopausal women Endometirum is a dynamic tissue and is affected by a wide range of histopathological lesions The causes...
Risk factors for meconium stained liquor and outcome of neonate in meconium stained amniotic fluid
Background and Objectives: Meconium stained amniotic fluid has been considered a sign of fetal distress in presentations other than breech and associated with poor fetal outcome but others considered meconium passage by...
Three techniques for skin closure in caesarean section (stapler, absorbable subcuticular, non-absorbable subcuticular suture)
Background & Objectives: Caesarean section is the most commonly performed surgery in obstetrics. Skin closure after surgery can have an important bearing on the post operative recovery. This study was done to compare the...
An evaluation and comparison study of ovarian reserve in fertile and infertile south Indian women population
Infertility accounts to nearly onethird of the patients who seek the medical advice of a gynecologist Infertility or otherwise sub fertility is the failure of a couple to conceive after 1 year of regular unprotected inte...
Klippel Trenaunay syndrome with pregnancy – A rare presentation
Introduction: Klippel Trenaunay syndrome (KTS) is a rare congenital disorder, the etiology of which is unknown and it is characterised by vascular malformations. The incidence of pregnancy with Klippel Trenaunay syndrome...