Contraception Methods: Acceptance and practices among women attending a tertiary care centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Contraception Methods: Acceptance and practices among women attending a tertiary care centre Introduction: India is the world’s seventh largest country by area with 2.4% of the world surface .It is the second most populous country in the world and supports 17.5% of the world population. In spite of various methods of contraception, the unplanned pregnancy is high. Most widely used contraceptive method in INDIA is still female sterilization. With this background the study was done to understand the awareness and preferences of women for accepting different methods of family planning who visited the hospital. Material and Method: It was an observational study which was carried on women of reproductive age group who attended family planning OPD. It was done between April 2018 and June 2018 in the department of obstetrics and Gynaecology, Osmania Medical College Hyderabad. A total of 232 women gave consent to participate in the study. Questions were included regarding awareness of different methods of family planning and reasons for accepting or not accepting certain method. Discussion : In the study group of 232 women, 219 numbers of women (93.96%) had knowledge regarding any method of contraception. 13 (5.60 %) women were not aware of different methods available for contraception. In this study 74.13 % of women were using a contraceptive at the time of study. Tubal ligation was the most common method for limiting family size which similar to national statistics. 20.03% women accepted PP IUCD while 8.13% women used IUCD for spacing .women were more receptive for usage of contraceptives for spacing if proper counseling was done during antenatal period. OCP was used by only 10.46% of women as there were many misconceptions regarding its side effects. Injectable contraceptive was used by 4.65 % of women which shows that by increasing awareness and educating women about benefits will give women choice in spacing pregnancy. Barrier method was used by 2.9% of couples and 1.74% used natural methods like withdrawal method. Dependence on permanent method of family planning stresses the fact that counseling and motivation of young women regarding interval methods has to be done to improve the acceptance of reversible method of contraception. There was no case of vasectomy Myths and misconception regarding vasectomy should be dealt with proper counseling of both partners. Conclusion: Despite the socioeconomic progress of the country there is high rate of unmet need for contraception in our country. The acceptance of a contraceptive method by a woman is based not only on her medical and obstetric history but also on her education, occupation, religious and cultural beliefs. Education and occupation of husband, gender preference and family influence the acceptance of family planning method. It is important to counsel the woman and her husband and clarify doubts and myths related to different methods by the health care provider to prevent unplanned pregnancies.
Authors and Affiliations
Dr K Vijaya, Dr Archana singh
Keywords
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- EP ID EP406732
- DOI 10.9790/0853-1710126265.
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