Abstract

To assess the knowledge and attitude towards contraception, especially PPIUCD in women delivering at tertiary care Government Hospital of Madhya Pradesh and to look for awareness and reason of refusal of PPIUCD Method: Study is a cross sectional study carried out in the Department of Obstetrics and Gynaecology, NSCB Medical College Jabalpur Madhya Pradesh India. All postnatal women (delivered at our hospital) consented to participate in the study were included. Patients with Haemoglobin <10 gm%, preterm premature rupture of membranes >18 hours, postpartum haemorrhage, history of fever during labor and delivery, women with fibroid or uterine malformation were excluded from study. A total of 360 women were included in the study. Patient asked to fill questionnaire containing both Likert scale and open-ended questions to assess knowledge and attitude towards post placental IUCD and other methods of contraception. At the time of delivery all women counselled for post placental IUCD, and willing patients had IUCD inserted. Those who refused their reason for refusal were recorded. Data entry was done using SPSS version 17.0 for statistical analysis. Continuous variables were reported using mean (standard deviation), and categorical variables were reported using percentage. Result: In present study, maximum number (65.27%) of patients were unaware of any type of contraception. 30.55% patients were aware of IUCD and 16.38% patients have knowledge of post placental IUCD while only 2.7% have ever used PPIUCD. Among reasons for refusal of PPIUCD, 38.8% patients not willing for PPIUCD, 61.1% others not willing, husband refusal was in 41.6% patents. Common myth associated with PPIUCD is menorrhagia. Conclusion: According to present study, awareness for copper T devices is very less among patients and also patients are not aware of postplacental intra uterine devices. Therefore, counselling of patient especially during their antenatal visits for contraception is very important.

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