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Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience.
Med Princ Pract 2003 Jul-Sep; 12(3):170-5MP

Abstract

OBJECTIVES

To evaluate the acceptance of postpartum intrauterine contraceptive devices (PPIUCD) among the inhabitants of Assiut governorate, Egypt and to study the factors that influence this acceptance.

SUBJECTS AND METHODS

Contraceptive counseling was given to 3,541 clients: 1,880 and 1,661 during the antenatal visits and postpartum hospitalization, respectively. Acceptors during antenatal counseling were to receive IUCDs via postplacental insertion in the case of vaginal delivery or transcesarean insertion in case of abdominal delivery. The clients who refused PPIUCD and chose interval IUCD insertion were referred to the Family Planning Clinic after the end of puerperium. Among postpartum counselees, PPIUCD acceptors received predischarge insertion within 48 h of delivery and the interval IUCD were referred to have IUCD inserted after the end of puerperium. The acceptance rate of both PPIUCD and interval IUCD and the percentage of actual insertions were recorded. The causes of both acceptance and refusal were also recorded.

RESULTS

Of the 3,541 clients, 1,024 (28.9%) accepted the use of IUCD after delivery. Acceptance was approximately the same during antenal and postpartum counseling: 26.4 and 31.8%, respectively. Verbal acceptance was higher among women with formal education than among illiterate women. Planning another pregnancy in the near future, preference for another contraceptive method, namely lactational infertility, and complications from previous use of IUCD were the most common reasons for refusing the use of IUCD. Of the 1,024 verbal acceptors, only 243 (23.7%) had the actual insertion of IUCD.

CONCLUSION

Both the acceptance and actual insertion of IUCD were low probably because the use of IUCD is a new concept in the community. For these women, the only opportunity to receive information about contraceptives is during childbirth when they are in contact with medical personnel. Hence, it is suggested that family planning should be integrated with maternal and child-care services in order to effectively promote the use of contraceptive devices in these women who otherwise would not seek the use of such a device.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12766335

Citation

Mohamed, Safwat A., et al. "Acceptability for the Use of Postpartum Intrauterine Contraceptive Devices: Assiut Experience." Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, vol. 12, no. 3, 2003, pp. 170-5.
Mohamed SA, Kamel MA, Shaaban OM, et al. Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. Med Princ Pract. 2003;12(3):170-5.
Mohamed, S. A., Kamel, M. A., Shaaban, O. M., & Salem, H. T. (2003). Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre, 12(3), pp. 170-5.
Mohamed SA, et al. Acceptability for the Use of Postpartum Intrauterine Contraceptive Devices: Assiut Experience. Med Princ Pract. 2003;12(3):170-5. PubMed PMID: 12766335.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. AU - Mohamed,Safwat A, AU - Kamel,Momen A, AU - Shaaban,Omar M, AU - Salem,Hossam T, PY - 2001/10/06/received PY - 2002/03/19/accepted PY - 2003/5/27/pubmed PY - 2003/8/9/medline PY - 2003/5/27/entrez SP - 170 EP - 5 JF - Medical principles and practice : international journal of the Kuwait University, Health Science Centre JO - Med Princ Pract VL - 12 IS - 3 N2 - OBJECTIVES: To evaluate the acceptance of postpartum intrauterine contraceptive devices (PPIUCD) among the inhabitants of Assiut governorate, Egypt and to study the factors that influence this acceptance. SUBJECTS AND METHODS: Contraceptive counseling was given to 3,541 clients: 1,880 and 1,661 during the antenatal visits and postpartum hospitalization, respectively. Acceptors during antenatal counseling were to receive IUCDs via postplacental insertion in the case of vaginal delivery or transcesarean insertion in case of abdominal delivery. The clients who refused PPIUCD and chose interval IUCD insertion were referred to the Family Planning Clinic after the end of puerperium. Among postpartum counselees, PPIUCD acceptors received predischarge insertion within 48 h of delivery and the interval IUCD were referred to have IUCD inserted after the end of puerperium. The acceptance rate of both PPIUCD and interval IUCD and the percentage of actual insertions were recorded. The causes of both acceptance and refusal were also recorded. RESULTS: Of the 3,541 clients, 1,024 (28.9%) accepted the use of IUCD after delivery. Acceptance was approximately the same during antenal and postpartum counseling: 26.4 and 31.8%, respectively. Verbal acceptance was higher among women with formal education than among illiterate women. Planning another pregnancy in the near future, preference for another contraceptive method, namely lactational infertility, and complications from previous use of IUCD were the most common reasons for refusing the use of IUCD. Of the 1,024 verbal acceptors, only 243 (23.7%) had the actual insertion of IUCD. CONCLUSION: Both the acceptance and actual insertion of IUCD were low probably because the use of IUCD is a new concept in the community. For these women, the only opportunity to receive information about contraceptives is during childbirth when they are in contact with medical personnel. Hence, it is suggested that family planning should be integrated with maternal and child-care services in order to effectively promote the use of contraceptive devices in these women who otherwise would not seek the use of such a device. SN - 1011-7571 UR - https://www.unboundmedicine.com/medline/citation/12766335/Acceptability_for_the_use_of_postpartum_intrauterine_contraceptive_devices:_Assiut_experience_ L2 - https://www.karger.com?DOI=10.1159/000070754 DB - PRIME DP - Unbound Medicine ER -