STUDY ON AWARENESS AND ACCEPTANCE OF PPIUCD IN POSTPARTUM WOMEN

Abstract

Background: Postpartum intrauterine contraceptive device (PPIUCD) is one method which is safe and effective method for spacing and also for limiting pregnancy. This study was done to analyse the awareness and rate of acceptance of PPIUCD among post natal women and finding factors affecting the non-acceptance of the PPIUCD.
Materials and Methods: The study was conducted between February 2023 to September 2023 at Viswabharathi Medical College and General Hospital. A total of 300 postnatal women women willing to participate in the study were included. Detailed counselling was done about the PPIUCD and procedure of insertion and the side effects and benefits were explained in detailed and the women were allowed to take their own decision after discussing with the family and husband. The women willing to get PPIUCD were proceeded for insertion and were asked for follow up visits and the women not willing for PPIUCD insertion were enquired about the reasons for not accepting the procedure were discussed. The results were analysed.
Results: Of the 300 women willing for the study a total of 85women were willing for insertion and finally 65 women have undergone PPIUCD insertion and they were under follow up for 3 months with us to know the compliance and the complications were evaluated. Of the 65 women 15 lost follow up 9 women had spontaneous expulsion and 10 had mild dysmenorrhoea and 31women had no complaints. Among the women not willing for the study the main reasons for not accepting were afraid of side effects, religious constraints, and family and husband apposition.
Conclusion: Despite being a minor procedure and a longer-term contraception, PPIUCD was not widely accepted, and while awareness was high, need to accept it was low.