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Women's experience with postpartum intrauterine contraceptive device use in India.
Reprod Health 2014; 11:32RH

Abstract

BACKGROUND

Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection.

METHODS

We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires.

RESULTS

Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6%) reported that they were satisfied with IUCD at the time of insertion and 92% reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6% by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study.

CONCLUSIONS

Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

Authors+Show Affiliations

Jhpiego, New Delhi, India. somesh.kumar@jhpiego.org.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

24755312

Citation

Kumar, Somesh, et al. "Women's Experience With Postpartum Intrauterine Contraceptive Device Use in India." Reproductive Health, vol. 11, 2014, p. 32.
Kumar S, Sethi R, Balasubramaniam S, et al. Women's experience with postpartum intrauterine contraceptive device use in India. Reprod Health. 2014;11:32.
Kumar, S., Sethi, R., Balasubramaniam, S., Charurat, E., Lalchandani, K., Semba, R., & Sood, B. (2014). Women's experience with postpartum intrauterine contraceptive device use in India. Reproductive Health, 11, p. 32. doi:10.1186/1742-4755-11-32.
Kumar S, et al. Women's Experience With Postpartum Intrauterine Contraceptive Device Use in India. Reprod Health. 2014 Apr 23;11:32. PubMed PMID: 24755312.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Women's experience with postpartum intrauterine contraceptive device use in India. AU - Kumar,Somesh, AU - Sethi,Reena, AU - Balasubramaniam,Sudharsanam, AU - Charurat,Elaine, AU - Lalchandani,Kamlesh, AU - Semba,Richard, AU - Sood,Bulbul, Y1 - 2014/04/23/ PY - 2013/11/05/received PY - 2014/04/09/accepted PY - 2014/4/24/entrez PY - 2014/4/24/pubmed PY - 2014/12/15/medline SP - 32 EP - 32 JF - Reproductive health JO - Reprod Health VL - 11 N2 - BACKGROUND: Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection. METHODS: We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires. RESULTS: Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6%) reported that they were satisfied with IUCD at the time of insertion and 92% reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6% by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study. CONCLUSIONS: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women. SN - 1742-4755 UR - https://www.unboundmedicine.com/medline/citation/24755312/Women's_experience_with_postpartum_intrauterine_contraceptive_device_use_in_India_ L2 - https://reproductive-health-journal.biomedcentral.com/articles/10.1186/1742-4755-11-32 DB - PRIME DP - Unbound Medicine ER -