Choice of Contraception in Puerperium and Compliance at a Tertiary Care Hospital, Chennai, Tamil Nadu
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 1
Abstract
Background: The puerperium is the period following childbirth during which the body tissues, especially the pelvic organs revert back approximately to the pre- pregnant state both anatomically and physiologically. It begins as soon as the placenta is expelled and lasts for 6 weeks1. Ovulation may resume 3 weeks after delivery even in lactating women. Unfortunately, pregnancy can happen during the amenorrhoeic phase because ovulation. Ovulation occurs in 6% cases before the post partum menstruation2 . Accordingly, the puerperium presents an ideal important opportunity to initiate effective contraception. In this period many women are in search about the family planning methods. But contraceptive options differ depending on women's desires such as cultural and religious believes, partner attitudes, previous contraceptive experiences. The objective of the study is to study the choice of temporary methods of contraception by women in puerperium and to analyze the various factors influencing the acceptance and continuance of the specific mode of contraception. Methods: It is a cross sectional retrospective study on women who were accepted temporary methods of contraception in the puerperal period irrespective of parity, mode of delivery, lactional status and socioeconomic status. The study was conducted at a tertiary care hospital on 1150 woman between July 2008 and June 2010. Results: A total of 1150 women in puerperium were counseled about the need, advantages and side effects on contraception. Of the women counseled total of 602 women in puerperal period wanting contraception were enrolled and studied. The patients were followed up for a total of 6 months duration. The follow up vary for each mode chosen. The mean age group of women observed in this study was 237.2. Total number of women choosing IUD, DMPA, POP, Barrier methods was 58%, 20.9% 3.2% and 17.9% respectively. The effectiveness of contraception was measured by incidence of pregnancy which was high for Barriers and nil for IUD and DMPA. Conclusions: Total number of women who accepted contraceptive use after counseling was 52.3%. The acceptance rate was higher for IUD 58% and least for POPs 3.2%. There were no pregnancies in IUD and DMPA users whereas pregnancy was reported in women using POPs and Barrier. The most common reason cited for discontinuation by most women was menstrual irregularity.
Authors and Affiliations
Mr. R. Mothilal
Keywords
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