Why women refuse Postpartum IUCD?

Background: Women are highly motivated and receptive to accepting family planning methods during the antenatal period. Hence, we conducted this study to evaluate the refusal rate and reasons for the refusal of postpartum Intrauterine Contraceptive Devices (PPIUCD). Material and Methods: The present...

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Main Authors: Jayshree J. Upadhye, Smita K. Parate, Aditi J. Upadhye, Rasika D. Zade
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_131_24
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author Jayshree J. Upadhye
Smita K. Parate
Aditi J. Upadhye
Rasika D. Zade
author_facet Jayshree J. Upadhye
Smita K. Parate
Aditi J. Upadhye
Rasika D. Zade
author_sort Jayshree J. Upadhye
collection DOAJ
description Background: Women are highly motivated and receptive to accepting family planning methods during the antenatal period. Hence, we conducted this study to evaluate the refusal rate and reasons for the refusal of postpartum Intrauterine Contraceptive Devices (PPIUCD). Material and Methods: The present cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, at a tertiary Care Centre, on 400 antenatal women from November 2023 for 2 months. Results: In present study, 331 (82.8%) subjects were knowing condom as contraceptive, followed by 310 (77.5%) subjects knowing about copper T. 282 (70.5%) subjects were knowing tubectomy, 264 (68.5%) were knowing oral contraceptives, 264 (66%) were knowing vasectomy, 205 (51.2%) were knowing natural methods, 179 (44.8%) were knowing injectable contraceptive, 83 (20.8%) were knowing Saheli, and 27 (6.8%) subjects were not knowing any contraceptive method. In total, 185 (46.5%) subjects knew that Copper T could be inserted immediately after delivery followed by 83 (20.9%) who knew that copper T could be inserted after menses. Sixty-nine (17.3%) knew that copper T could be inserted during a cesarean section. A total of 352 (88%) subjects refused postpartum copper T as a method of contraception. Only 48 (12%) subjects were willing to insert postpartum copper T. After counseling, the rate of acceptance of copper T insertion increased from 48 (12%) to 102 (25.5%). Conclusion: Knowledge of PPIUCD in the present study was good, but the refusal rate was high. The commonest reason was fear of side effects.
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spelling doaj-art-0861c652237146738d08ca73f14826642025-02-11T13:56:25ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352025-01-0114137738110.4103/jfmpc.jfmpc_131_24Why women refuse Postpartum IUCD?Jayshree J. UpadhyeSmita K. ParateAditi J. UpadhyeRasika D. ZadeBackground: Women are highly motivated and receptive to accepting family planning methods during the antenatal period. Hence, we conducted this study to evaluate the refusal rate and reasons for the refusal of postpartum Intrauterine Contraceptive Devices (PPIUCD). Material and Methods: The present cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, at a tertiary Care Centre, on 400 antenatal women from November 2023 for 2 months. Results: In present study, 331 (82.8%) subjects were knowing condom as contraceptive, followed by 310 (77.5%) subjects knowing about copper T. 282 (70.5%) subjects were knowing tubectomy, 264 (68.5%) were knowing oral contraceptives, 264 (66%) were knowing vasectomy, 205 (51.2%) were knowing natural methods, 179 (44.8%) were knowing injectable contraceptive, 83 (20.8%) were knowing Saheli, and 27 (6.8%) subjects were not knowing any contraceptive method. In total, 185 (46.5%) subjects knew that Copper T could be inserted immediately after delivery followed by 83 (20.9%) who knew that copper T could be inserted after menses. Sixty-nine (17.3%) knew that copper T could be inserted during a cesarean section. A total of 352 (88%) subjects refused postpartum copper T as a method of contraception. Only 48 (12%) subjects were willing to insert postpartum copper T. After counseling, the rate of acceptance of copper T insertion increased from 48 (12%) to 102 (25.5%). Conclusion: Knowledge of PPIUCD in the present study was good, but the refusal rate was high. The commonest reason was fear of side effects.https://journals.lww.com/10.4103/jfmpc.jfmpc_131_24contraceptionfamily planningintrauterine contraceptive devicepostpartum
spellingShingle Jayshree J. Upadhye
Smita K. Parate
Aditi J. Upadhye
Rasika D. Zade
Why women refuse Postpartum IUCD?
Journal of Family Medicine and Primary Care
contraception
family planning
intrauterine contraceptive device
postpartum
title Why women refuse Postpartum IUCD?
title_full Why women refuse Postpartum IUCD?
title_fullStr Why women refuse Postpartum IUCD?
title_full_unstemmed Why women refuse Postpartum IUCD?
title_short Why women refuse Postpartum IUCD?
title_sort why women refuse postpartum iucd
topic contraception
family planning
intrauterine contraceptive device
postpartum
url https://journals.lww.com/10.4103/jfmpc.jfmpc_131_24
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AT rasikadzade whywomenrefusepostpartumiucd