PATTERNS OF IUCD USAGE IN A MEDICAL HOSPITAL IN BIHAR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 49
Abstract
BACKGROUND The GOI’s emphasis is now diversifying from birth-limiting sterilisations to birth-spacing methods like intra-uterine contraceptive device. Research is needed to study the current usage of IUCDs, analyse reasons for its low acceptance and formulate policies and programs to increase its acceptance. Our study aims to define the popularity of the IUCD in a population accessing health services in a Medical College in Bihar. The study is conducted in Sri Krishna Medical College, Muzaffarpur, in Bihar which predominantly serves a rural population. It is a retrospective case note analysis. MATERIALS AND METHODS Relevant data over a three-year period was collected from case records and hospital registers. RESULTS Out of 1058 CuT 380A insertions, 962 (90.93%) were postpartum insertions at caesarean sections. IUCDs were also inserted at uterine evacuation procedures and as interval contraception. There were 127 removals. CONCLUSION Our results emphasise the importance of counseling all women about the advantages and availability of IUCDs in government healthcare facilities when they come for delivery, pregnancy termination or miscarriage management, or request contraception as interval procedure. This would drastically reduce the unmet need for contraception of vulnerable women in the reproductive age-group.
Authors and Affiliations
Tripti Sinha
Keywords
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- DOI 10.14260/jemds/2018/1164
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