scholarly journals Comparison of Depot Medroxyprogesterone Acetate and Postpartum Intrauterine Contraceptive Device in a Teaching Institute of Rural Bengal: A Longitudinal Cohort Study

2021 ◽  
Author(s):  
Sougata Kumar Burman ◽  
Jayeeta Mukherjee ◽  
Ranita Roy Chowdhury ◽  
Soumen Deb
Keyword(s):  
Cohort Study ◽  
Post Partum ◽  
Statistical Significance ◽  
Intrauterine Contraceptive Device ◽  
Longitudinal Cohort Study ◽  
P Value ◽  
Contraceptive Device ◽  
Postpartum Contraception ◽  
Longitudinal Cohort ◽  
Intrauterine Contraceptive

Introduction: Contraception is one of the proximate determinants of fertility and the most important predictor of fertility transition. Depot Medroxy Progesterone Acetate (DMPA) and Intrauterine contraceptive device share some common features- both are Long Acting and Reversible Contraceptives (LARC), but the mechanisms are different. DMPA is a noninvasive, hormonal manoeuvre IUCD is an invasive, nonhormonal one. Aim: To compare the acceptance and reasons for refusal or non-compliance between DMPA and Postpartum Intrauterine Contraceptive (PPIUCD). Materials and Methods: A longitudinal cohort study was done in which total of 110 post partum women (55 in each group) using either DMPA or IUCD were selected randomly and were interviewed and followed up for minimum of six months. Data (variables- number of candidates accepting or refusing PPIUCD or DMPA) from the questionnaires were entered in Microsoft Office Excel 2007 and was transferred to IBM SPSS software, version 20.0 (SPSS Inc. Chicago, IL, USA). Pearson’s Chi-square test was used for variables and p-values were calculated using to find out the statistical significance of the variables and p-value <0.05 was considered statistically significant. Results: The overall acceptance of DMPA (87.3%) was found to be much more than that of PPIUCD (63.6%). In respect to different age groups, the acceptances of both PPIUCD and DMPA were significantly higher in women of age group 21-25. In respect to parity, acceptance of PPIUCD was more in women with one child, whereas the acceptances of DMPA were almost similar in women with either one or two children. Women using PPIUCD, 36.4% refused to continue with the method, whereas only 12.7% of DMPA users refused further injections, the main reason for both the groups being the same irregular bleeding. Conclusion: The acceptance as well as compliance of DMPA as a method of postpartum contraception is much better than PPIUCD in women of this part of part of rural Bengal.

Utilization of Immediate Postpartum Intrauterine Contraceptive Device and Associated Factors among Women Who Gave Birth at Government Hospitals of Gamo Zone, Southern Ethiopia, 2019

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Gebremedhin M ◽  
◽  
Alemayehu A ◽  
Yihune M ◽  
Melis T ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Family Planning ◽  
Associated Factors ◽  
Post Partum ◽  
Intrauterine Contraceptive Device ◽  
Southern Ethiopia ◽  
P Value ◽  
Contraceptive Device ◽  
Government Hospitals ◽  
Intrauterine Contraceptive

Background: An intrauterine contraceptive device is suitable for women of all reproductive age groups for preventing unwanted pregnancies. Immediate post partum family planning services need to be emphasized where in the woman leaves the hospital with safe and effective contraception in place. Despite the accepted demand for post partum family planning, many women do not access the services they need prevent unintended pregnancies. Objective: To assess utilization of immediate postpartum intrauterine contraceptive device and associated factors among women who gave birth at government hospitals of Gamo Zone, Southern Ethiopia. Method: Facility-based crosses sectional study was conducted from March 1 to 30 of 452 participants were studied using systematic random sampling technique. Data were entered into Epi-data v. 4.2.2.1 and exported to SPSS v.23 for analysis. Crude or adjusted odds ratio, and 95% confidence interval were used to assess the strength of association and statistical significance. Variables which had a p-value of ≤0.25 in bivariate analysis were considered as candidates for multivariate regression analysis; variables that had a p-value of ≤0.05 in the multivariate analysis were considered as independent factors associated with utilization of immediate postpartum intrauterine contraceptive device among parturients in the final multiple logistic regression analysis. Results: This finding revealed that about 161 (36%) of the respondents had showed willingness to use immediate PPIUD, however, only about 62 (14%) of study participants were utilized immediate PPIUCD. Mothers who did not plan to have another child (AOR = 2.84, 95% CI, (1.12, 7.21), undecided plan to have another child (AOR = 2.55, 95% CI, (1.21, 5.35), counselled about PPIUCD (AOR=4.35, 95% CI, (2.11, 8.96) and completed ANC follow up (AOR=2.43, 95% CI, (1.28, 4.60) were associated with immediate post partum contraceptive device utilization. Conclusion and Recommendation: Even though 58% and 53% of the mothers were counselled and completed antenatal service respectively but efforts need to improve antenatal care service and integrate counselling service through the whole cascade of pregnancy.

scholarly journals Immediate post placental insertion of intrauterine contraceptive device at caesarean delivery: a prospective study

2020 ◽  
Vol 9 (6) ◽  
pp. 2244
Author(s):  
Sravani Mukka ◽  
Madhavi Y.
Keyword(s):  
Family Planning ◽  
Prospective Study ◽  
Post Partum ◽  
Unmet Need ◽  
Intrauterine Contraceptive Device ◽  
Efficacy Rate ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
A Prospective Study

Background: In India almost 65% of the women have an unmet need for family planning in the first postpartum year. Increasing rates of institutional deliveries creates an opportunity for providing quality post-partum family planning services. Post-partum Intrauterine contraceptive device (PPIUCD), a form of long acting reversible contraception (LARC) is one of the most affective and safest method available. The present study aims at evaluating the safety, efficacy, rate of acceptance and rate of discontinuation of Intra caesarean inserted contraceptive device Copper T-380A.Methods: This was a prospective study conducted at ESIC Medical College, Sanathnagar in women delivered by caesarean section during the period between March 2018 to February 2019. Recruitment was done based on the WHO medical eligibility criteria (MEC) for PPIUCD and also their willingness to participate in the study. Follow-up visits were scheduled at 6 weeks, 3 months and 6 months.Results: Of the 265 women fulfilling the WHO MEC, 180 (67.92%) were willing to participate in the study. Total acceptance rate was 67.7%. Majority of them belonged to the age group 21-30 years (80%) and para 2 (53.88). 93.3% of the women were literates. 12 (6.66%) cases lost to follow up and the complications were studied in the rest 168 women. During follow up -38.69% had missing strings, 12.5% menstrual disturbances, 4.76% abdominal pain and spontaneous expulsion in 4.1%. No cases of perforation and pregnancy were reported. Total continuation rate was 84%.Conclusions: PPIUCD is a safe and convenient option of contraception with low expulsion rates and high continuation rates.

scholarly journals Knowledge, attitude and practice study on immediate postpartum intrauterine contraceptive device method of family planning

2017 ◽  
Vol 4 (8) ◽  
pp. 2981
Author(s):  
Nidhi Gupta ◽  
Renuka Sinha ◽  
Abha Mangal
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Planning Method ◽  
Family Planning Method ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Intrauterine Contraceptive ◽  
Knowledge Attitude And Practice

Background: The objectives of the study were to assess knowledge, attitude and practice in post-partum intrauterine contraceptive device method of family planning and to know about willingness for post-partum intrauterine contraceptive device (PPIUCD) when knowledge is provided for the same.Methods: This is a cross sectional observational study including 1200 patients of immediate post-partum period (<48 hrs of delivery), delivered at Safdarjung hospital. Women were evaluated with the help of a pre-designed and pre-tested questionnaire.Results: Out of 1200 women 864 (72%) were aware of some family planning method but only 672 (56%) had used some family planning method in the past. 108 (9%) women had knowledge regarding Post-partum intrauterine contraceptive device (PPIUCD). Among these, 72 (6%) women opted for PPIUCD. After knowledge regarding PPIUCD had been given, 80 more women adopted this as a method of contraception. So total 152 (12.67%) opted PPIUCD.Conclusions: This study highlights that awareness and knowledge does not always lead to use of contraceptives. A lot of educational and motivational activities are needed.

scholarly journals PENGARUH PENYULUHAN PENGGUNAAN IUD DENGAN PENGETAHUAN IBU DALAM MENGGUNAKAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI PUSKESMAS SEKINCAU LAMPUNG BARAT TAHUN 2018

2019 ◽  
Vol 13 (1) ◽  
pp. 48-55
Author(s):  
Rilyani Rilyani ◽  
Riska Hediya Putri ◽  
Desy Lestari
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Intrauterine Device ◽  
Research Result ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Purposive Sampling ◽  
Intrauterine Contraceptive

KNOWLEDGE IN INTRAUTERINE CONTRACEPTIVE DEVICE (IUD) AMONG USERS OF IUDBackground: Intra Uterine Devices (IUD) is the contraceptive choices that are effective, safe, and convenient for most women.IUD is a reversible contraceptive method most commonly used throughout the world with the use of approximately 100 million women, mostly in China.Purpose: Knowing thateffect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Methods: This research quantitative, with designQuasi Experimental with one group pretest-postes design approach, total population using slovin formula obtained 96 respondents technique in this research is purposive sampling. The research will be conducted at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Instrument with questionnaire research and statistic test usedT-testResults: Finding thataverage knowledge before given counseling that is Mean 8.15 Standar Deaviasi 2.475 (4-12), after counseling Mean 12.91 Standar Deviasi 1.807 (10-17). Statistical test results T-tes obtained p-value 0.000.Conclusion:There is an effect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.. Suggesting to Management of Public Health Services (Puskesmas)this research result can improve mother's knowledge by doing health counseling with media leaflet so it can increase interest users of  IUD.Keywords: Counseling, Knowledge, Contraception, intrauterine contraceptive device (IUD) Pendahuluan: Berdasarkan data hasil survay yang dilakukan di 5 puskesmas di Kabupaten Lampung Barat pada tahun 2016, pemakaian IUD di Puskesmas Sumber Jaya didapat 62 orang (2.6%) dengan pemasangan IUD dari 1.688 pemasangan alat kontrasepsi, Puskesmas Sekincau 34 orang (3.5%) dari 2.288 pemasangan, Puskesmas Lombok 67 orang (3.1%) dari 2.054 pemasangan, Puskesmas Air Hitam 40 pemasangan (2.0%) dari 1.937 pemasangan, dan Puskesmas Buay Nyerupa sebanyak 58 orang (2.2%) dari 2.532 pemasangan (Data Pemasangan IUD Kab. Lampung Barat, 2016).Tujuan: Diketahui pengaruh  penyuluhan   tentang iud terhadap pengetahuan ibu dengan penggunaan kontrasepsi Intra Uterine Device (IUD) Di Wilayah KerjaPuskesmas Sekincau Lampung Barat Tahun 2018.Metode: Jenis penelitian ini adalah kuantitatif, dengan desain penelitian ini adalah Quasi Eksperimental dengan pendekatan one group pretes-postes design, jumlah populasi sebanyak 2.288, dengan menggunakan rumus slovin didapat 96 teknik sampel dalam penelitian ini adalah purposive sampling. Penelitian akan dilakukan di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun2018, dengan instrument penelitian kuisioner dan uji statistic menggunakan ujit-tesHasil: Nilai rata-rata pengetahuan sebelum diberikan penyuluhan yaitu Mean 8.15 Std. Dev 2.475  S. Eror 0.253 nilai benar kuisioner pengetahuan min-max 4-12, setelah penyuluhan Mean 12.91 Std. Dev 1.807 S. Eror 0.184 nilai benar kuisioner pengetahuan min-max 10-17. Hasil uji statistik t-tes didapat nilai p-value 0.000 (<0.05).Simpulan: Terdapat pengaruh penyuluhan  penggunaan IUD dengan pengetahuan ibu dalam menggunakan alat kontrasepsi Intra Uterine Device (IUD) di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun 2018. Saran diharapkan hasil penelitian ini dapat meningkatkan pengetahuan ibu dengan cara melakukan penyuluhan kesehatan dengan media penyajian PPT pada slide melalui LCD sehingga dapat meningkatkan minat pengguna KB IUD.

scholarly journals Postpartum intrauterine contraceptive device use and its associated factors in Ethiopia: systematic review and meta-analysis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Bekalu Getnet Kassa ◽  
Alemu Degu Ayele ◽  
Habtamu Gebrehana Belay ◽  
Adanech Getie Tefera ◽  
Gebrehiwot Ayalew Tiruneh ◽  
...  
Keyword(s):  
Associated Factors ◽  
Post Partum ◽  
Meta Analysis ◽  
Grey Literature ◽  
Random Effect Model ◽  
Database Systems ◽  
Intrauterine Contraceptive Device ◽  
Measurement Tool ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive

Abstract Background The intrauterine contraceptive device, a type of long-acting reversible contraception, is one of the most effective and safe contraceptive methods. In Ethiopia, intrauterine contraceptive device is little known and practised to delay pregnancy. Therefore, this study aimed to assess post-partum intrauterine contraceptive device utilisation and its associated factors among women in Ethiopia. Method In the current meta-analysis, variables were searched from different electronic database systems, including PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were also analysed by using STATA 16 statistical software. I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled utilisation of postpartum intrauterine contraceptive device. Results Twelve full-article studies were included. The pooled prevalence of post-partum intrauterine contraceptive device among women in Ethiopia was 21.63%. Occupation (OR = 4.44, 95% CI, 2.24–8.81), educational level of college and above (OR = 5.93, 95% CI, 2.55–13.8), antenatal care (OR = 2.09, 95% CI, 1.4–3.12), age (OR = 4.8, 95% CI, 2.3–10.04), good knowledge (OR = 4.16, 95% CI, 1.65–10.49), counseling (OR = 3.05, 95%CI, 1.41–6.63), husband support (OR = 11.48, 95% CI, 6.05–21.79) and awareness about IUCD (OR = 3.86, 95% CI, 1.46–10.2) were positively associated with utilization of postpartum intrauterine contraception device. Conclusions Utilisation of post-partum intrauterine contraceptive device was significantly low. Scaling up women’s educational status and ANC use has paramount importance in increasing post-partum IUD use, which further improves maternal and child health in general. This finding may be useful in both reproductive health promotion at an individual level and policy-making regarding this issue.

scholarly journals Impact of immediate postpartum insertion of TCu380A on the quantity and duration of lochia discharges in Tanzania

2020 ◽  
Author(s):  
Projestine Selestine Muganyizi ◽  
Grasiana Festus Kimario ◽  
France John Rwegoshora ◽  
Patrick Ponsian Paul ◽  
Anita Makins
Keyword(s):  
Cohort Study ◽  
Service Providers ◽  
International Federation ◽  
Teaching Hospitals ◽  
Evidence Based ◽  
Contraceptive Device ◽  
Postpartum Contraception ◽  
Gynecology And Obstetrics ◽  
Intrauterine Contraceptive

Abstract Background The insertion of Intrauterine Contraceptive Device (PPIUD) for the purpose of contraception immediately after delivery is becoming popular in countries where the use of IUD for contraception has been extremely low. Since 2015, Tanzania implemented the initiative by the International Federation of Gynecology and Obstetrics (FIGO) to institutionalize PPIUD. As a result of capacity building and information delivery under the initiative, there have been increased uptake of the method. Working in this context, the focus of the study was to generate evidence on the effect of TCu380A IUD on amount and duration of lochia and equip service providers with evidence-based knowledge which can help them in counselling their PPIUD clients. Objective Establish impact of postpartum TCu380A on amount and duration of lochia.Methods A prospective cohort study of delivered women in two teaching hospitals in Tanzania with immediate insertion of TCu380A or without use of postpartum contraception in 2018. TCu380A models; Optima (Injeflex Co. Brazil) and Pregna (Pregna International, Chakan, India) were used. Follow-up was done by weekly calls and examination at 6th week. Lochia was estimated by Likert Scale 0-4 relative to the amount of lochia on the delivery day. An estimated 250 women sample (125 each group) would give 80% power to detect a desired 20% difference in the proportion of women with prolonged lochia discharges among the Exposed and Unexposed groups. Data analysis was by SPSS. Results 275 women were analysed, 142 Exposed and 133 Unexposed. Medical complaints were reported by 41 (28.9%) Exposed and 37 Unexposed (27.8%), p=0.655. Lack of dryness by end of 6th week was to 32 (22.5%) Exposed and 8 (6.0%) Unexposed, p<0.001. Exposed had higher weekly mean lochia scores throughout with varience most marked in week 5 (F=3.818, p<0.001) and week 6 (F=2.949, p=0.004). Conclusion PPIUD is associated with increased amount of lochia and slows progression to dryness within 6 weeks of delivery. The implications of PPIUD clients’ need to be informed about the possibility of delayed dryness of lochia at the time of counseling are discussed.

scholarly journals Outcome of immediate postpartum intrauterine contraceptive device in caesarean versus vaginal insertion: a comparative study

2017 ◽  
Vol 6 (2) ◽  
pp. 694
Author(s):  
Aswathy Shanavas ◽  
Sujamol Jacob ◽  
Nirmala Chellamma
Keyword(s):  
Tertiary Care ◽  
Significant Risk ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Maternal Child Health ◽  
Chi Square ◽  
Safety And Efficacy ◽  
Vaginal Deliveries ◽  
Intrauterine Contraceptive

Background: Immediate Postpartum Intrauterine Contraceptive device is a novel approach to contraception which integrates Maternal - Child health and family planning services. It is a postpartum method which provides long term reversible contraception to women before discharge from the delivery setting. More research is needed in the field of PPIUCD to enhance awareness and acceptance in the community. This study is designed to compare the safety and efficacy of PPIUCD inserted at cesarean versus vaginal delivery.Methods: This is a prospective study conducted at Sree Avittom Thirunal Hospital, Govt. Medical College, and Kerala – A tertiary care teaching institution. A total of 126 patients with cesarean or vaginal deliveries had PPIUCD insertions and they were followed up for a period of one year. The outcome measures analyzed were safety measures – menstrual irregularities, vaginal discharge, pelvic infection and perforation and efficacy measures - failure, expulsion and removal. Data are expressed in frequency and percentage. Chi square test was used for comparison and P value <0.05 was considered significant.Results: The study shows that PPIUCD is an effective intervention in both cesarean and vaginal delivery with no significant differences in safety and efficacy depending on the route of insertion. There was no case of perforation or failure and no significant risk of infection in either group. Spontaneous expulsion occurred in two cases inserted by vaginal route. Missing string incidence is high in the cesarean group compared to vaginal insertion.Conclusions: PPIUCD is a safe effective and convenient method of contraception and should be encouraged in both vaginal and cesarean deliveries.

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