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Acceptance rate, probability of follow-up, and expulsion of postpartum intrauterine contraceptive device offered at two primary health centers, North India.
J Family Med Prim Care 2016 Oct-Dec; 5(4):770-776JF

Abstract

INTRODUCTION

Acceptance rate of postpartum intrauterine contraceptive device (PPIUCD) offered through a public health approach is unknown. Our aim was to describe the acceptance rate, expulsion, and follow-up and factors associated with it when PPIUCD was offered to women delivering at two primary health centers (PHCs).

METHODS

We analyzed routine health data of deliveries at two PHCs in district Faridabad, India between May and December 2014, having sociodemographic variables, obstetric history, and during the follow-up check-up at 6-weeks postpartum for in situ status of intrauterine contraceptive device, side effects, and complications.

RESULTS

The overall acceptance rate among those eligible for PPIUCD was 39% (95% confidence interval [CI]: 35.1-42.9). Independent predictor of acceptance was a monthly family income of <USD75$ (odds ratio [O.R.]: 2.29, 95% CI: 1.58-3.31). The expulsion rate, and removal rate at 6 weeks postpartum was 18.0% and 13.0%, respectively. Expulsion by 6 weeks was associated with, age >25 years (O.R.: 2.21, 95% CI: 1.03-4.73), gravida ≥4 (O.R.: 4.01, 95% CI: 1.28-12.56), and a living previous-child (O.R.: 1.51, 95% CI: 1.04-2.19).

CONCLUSION

Acceptance rate of PPIUCD was higher than that reported in literature. Women from lower income family, having at least one living child, and having attended antenatal care clinic were more likely to accept PPIUCD.

Authors+Show Affiliations

Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India; Comprehensive Rural Health Services Project, Ballabgarh HDSS, Faridabad, Haryana, India.Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.Department of Community and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India; Comprehensive Rural Health Services Project, Ballabgarh HDSS, Faridabad, Haryana, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28348988

Citation

Kant, Shashi, et al. "Acceptance Rate, Probability of Follow-up, and Expulsion of Postpartum Intrauterine Contraceptive Device Offered at Two Primary Health Centers, North India." Journal of Family Medicine and Primary Care, vol. 5, no. 4, 2016, pp. 770-776.
Kant S, Archana S, Singh AK, et al. Acceptance rate, probability of follow-up, and expulsion of postpartum intrauterine contraceptive device offered at two primary health centers, North India. J Family Med Prim Care. 2016;5(4):770-776.
Kant, S., Archana, S., Singh, A. K., Ahamed, F., & Haldar, P. (2016). Acceptance rate, probability of follow-up, and expulsion of postpartum intrauterine contraceptive device offered at two primary health centers, North India. Journal of Family Medicine and Primary Care, 5(4), pp. 770-776. doi:10.4103/2249-4863.201173.
Kant S, et al. Acceptance Rate, Probability of Follow-up, and Expulsion of Postpartum Intrauterine Contraceptive Device Offered at Two Primary Health Centers, North India. J Family Med Prim Care. 2016;5(4):770-776. PubMed PMID: 28348988.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acceptance rate, probability of follow-up, and expulsion of postpartum intrauterine contraceptive device offered at two primary health centers, North India. AU - Kant,Shashi, AU - Archana,S, AU - Singh,Arvind Kumar, AU - Ahamed,Farhad, AU - Haldar,Partha, PY - 2017/3/29/entrez PY - 2017/3/30/pubmed PY - 2017/3/30/medline KW - Acceptance KW - India KW - expulsion KW - postpartum intrauterine contraceptive device KW - primary care KW - rural SP - 770 EP - 776 JF - Journal of family medicine and primary care JO - J Family Med Prim Care VL - 5 IS - 4 N2 - INTRODUCTION: Acceptance rate of postpartum intrauterine contraceptive device (PPIUCD) offered through a public health approach is unknown. Our aim was to describe the acceptance rate, expulsion, and follow-up and factors associated with it when PPIUCD was offered to women delivering at two primary health centers (PHCs). METHODS: We analyzed routine health data of deliveries at two PHCs in district Faridabad, India between May and December 2014, having sociodemographic variables, obstetric history, and during the follow-up check-up at 6-weeks postpartum for in situ status of intrauterine contraceptive device, side effects, and complications. RESULTS: The overall acceptance rate among those eligible for PPIUCD was 39% (95% confidence interval [CI]: 35.1-42.9). Independent predictor of acceptance was a monthly family income of <USD75$ (odds ratio [O.R.]: 2.29, 95% CI: 1.58-3.31). The expulsion rate, and removal rate at 6 weeks postpartum was 18.0% and 13.0%, respectively. Expulsion by 6 weeks was associated with, age >25 years (O.R.: 2.21, 95% CI: 1.03-4.73), gravida ≥4 (O.R.: 4.01, 95% CI: 1.28-12.56), and a living previous-child (O.R.: 1.51, 95% CI: 1.04-2.19). CONCLUSION: Acceptance rate of PPIUCD was higher than that reported in literature. Women from lower income family, having at least one living child, and having attended antenatal care clinic were more likely to accept PPIUCD. SN - 2249-4863 UR - https://www.unboundmedicine.com/medline/citation/28348988/Acceptance_rate_probability_of_follow_up_and_expulsion_of_postpartum_intrauterine_contraceptive_device_offered_at_two_primary_health_centers_North_India_ L2 - http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=4;spage=770;epage=776;aulast=Kant DB - PRIME DP - Unbound Medicine ER -