RESUMEN
Background: The unmet need for contraception remains high in the postpartum period. Postpartum intrauterine contraceptive device (PPIUCD), despite being an effective and well-suited contraceptive method for this period, many women discontinue its use due to various reasons just after a few days or weeks. The study aimed to identify the factors associated with the removal of the same.Methods: A community-based case-control study had been conducted in Nadia district of West Bengal. A multi-stage sampling technique had been applied to identify and interview the cases and controls with the help of a predesigned pretested semi-structured schedule.Results: The overall removal and expulsion rates were found to be quite high (21.5% and 16.3% respectively). Multivariate analysis revealed that acceptors belonging to joint family, educated only up to middle level, if place of delivery and insertion of PPIUCD was BPHC, the same had been inserted by nursing staff, experienced pain after insertion, not given consent before insertion, not counselled ever on PPIUCD, not decided to accept PPIUCD before delivery, not satisfied with its use and undergone no follow up visit after its insertion, were having higher odds of removal of the same.Conclusions: Rigorous counselling during the antenatal period should be focused to achieve a declining trend regarding PPIUCD removal.
RESUMEN
Background: Postpartum intrauterine contraceptive device (PPIUCD) is a safe, highly effective postpartum contraceptive, yet to be popularized at the community level in a diversified developing country like India where still the unmet need for spacing remains high. This study aimed to assess the knowledge regarding PPIUCD among users and the predictors of its retention.Methods: A case-control study had been conducted using multi-stage sampling technique in Nadia district of West Bengal. Face to face interviews of the cases and the controls had been done with the help of a predesigned pretested semi-structured schedule. Data were entered in MS Excel and analysed in SPSS 20.0 version.Results: Majority of the acceptors (55.2%) had poor knowledge regarding PPIUCD. Most of the participants (62.2%) retained their PPIUCD at least for 6 months. Acceptors who belonged to Hindu religion, higher socio-economic class (I and II), nuclear family, educated up to or above secondary level, ever counselled on PPIUCD, satisfied using that in day to day life, undergone follow-up visits and had correct knowledge regarding different aspects of PPIUCD had higher odds of retention of PPIUCD.Conclusions: Regular awareness campaigns, counselling at household level, advocacy are the utmost needs of the hour to motivate the eligible couple for its acceptance and retention.