PMID- 34893054 OWN - NLM STAT- MEDLINE DCOM- 20220113 LR - 20220126 IS - 1471-2393 (Electronic) IS - 1471-2393 (Linking) VI - 21 IP - 1 DP - 2021 Dec 10 TI - Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol. PG - 820 LID - 10.1186/s12884-021-04294-3 [doi] LID - 820 AB - BACKGROUND: Postpartum family planning (PPFP) helps women space childbirths, increase exclusive breastfeeding and prevent unintended pregnancies, leading to reduction in maternal, infant and child morbidities and mortality. Unmet need of family planning is highest among women in the postpartum period due to lack of knowledge, cultural and religious barriers, access barriers and low antenatal care service utilization. However, in spite of low prevalence of postpartum family planning practices, birth-to-birth interval is reportedly high in Delhi, India. This study explores the postpartum contraception practices and the relationship between use of postpartum contraception and subsequent child linear growth. METHODS: This is a mixed method cohort study on PPFP and is nested within an ongoing "Women and Infants Integrated Interventions for Growth Study" (WINGS). Married women aged 18-30 years who have delivered a live baby are recruited for quantitative interviews at 6 weeks, 6, 12, and 24 months postpartum. In-depth interviews are conducted with a randomly selected sub-sample of women at each of the four time points, 35 husbands and 20 local service providers to understand their perspectives on PPFP practices. DISCUSSION: The findings from the study will provide useful insights into couples' contraception preferences and choice of contraception, modern and traditional, initiation time and the effect of birth spacing and contraception use on subsequent linear growth of the child. This knowledge will be of significant public health relevance and will help in designing appropriate interventions for appropriate postpartum contraception use and delivery strategies. The study aims to work address the Sexual and Reproductive Health and Rights goal of promoting reproductive health, voluntary and safe sexual and reproductive choices for women. TRIAL REGISTRATION: Trial registration number: CTRI/2020/03/023954 . CI - (c) 2021. The Author(s). FAU - Roy, Nivedita AU - Roy N AD - Centre for Health Research and Development, Society for Applied Studies, 45 Kalu Sarai, New Delhi, 110016, India. FAU - Adhikary, Priyanka AU - Adhikary P AD - Centre for Health Research and Development, Society for Applied Studies, 45 Kalu Sarai, New Delhi, 110016, India. FAU - Kabra, Rita AU - Kabra R AD - World Health Organization, Geneva, Switzerland. FAU - Kiarie, James AU - Kiarie J AD - World Health Organization, Geneva, Switzerland. FAU - Mburu, Gitau AU - Mburu G AD - World Health Organization, Geneva, Switzerland. FAU - Dhabhai, Neeta AU - Dhabhai N AD - Centre for Health Research and Development, Society for Applied Studies, 45 Kalu Sarai, New Delhi, 110016, India. FAU - Chowdhury, Ranadip AU - Chowdhury R AD - Centre for Health Research and Development, Society for Applied Studies, 45 Kalu Sarai, New Delhi, 110016, India. FAU - Mazumder, Sarmila AU - Mazumder S AUID- ORCID: 0000-0003-4200-6112 AD - Centre for Health Research and Development, Society for Applied Studies, 45 Kalu Sarai, New Delhi, 110016, India. sarmila.mazumder@sas.org.in. LA - eng GR - 001/WHO_/World Health Organization/International PT - Journal Article PT - Observational Study DEP - 20211210 PL - England TA - BMC Pregnancy Childbirth JT - BMC pregnancy and childbirth JID - 100967799 SB - IM MH - Adolescent MH - Adult MH - Birth Intervals/ethnology MH - Child Development MH - Child, Preschool MH - *Clinical Studies as Topic MH - Cohort Studies MH - Contraception/*methods MH - Contraception Behavior/*ethnology MH - Family Planning Services/*methods MH - Female MH - Humans MH - India MH - Postpartum Period/*ethnology MH - Urban Population MH - Young Adult PMC - PMC8662907 OTO - NOTNLM OT - Child health OT - Cohort OT - Maternal health OT - Mixed-method OT - Modern contraception methods OT - Postpartum family planning OT - Traditional contraception methods COIS- The authors declare that they have no competing interests. EDAT- 2021/12/12 06:00 MHDA- 2022/01/14 06:00 PMCR- 2021/12/10 CRDT- 2021/12/11 05:24 PHST- 2021/10/27 00:00 [received] PHST- 2021/11/25 00:00 [accepted] PHST- 2021/12/11 05:24 [entrez] PHST- 2021/12/12 06:00 [pubmed] PHST- 2022/01/14 06:00 [medline] PHST- 2021/12/10 00:00 [pmc-release] AID - 10.1186/s12884-021-04294-3 [pii] AID - 4294 [pii] AID - 10.1186/s12884-021-04294-3 [doi] PST - epublish SO - BMC Pregnancy Childbirth. 2021 Dec 10;21(1):820. doi: 10.1186/s12884-021-04294-3.