PMID- 36971318
OWN - NLM
STAT- MEDLINE
DCOM- 20230413
LR  - 20230413
IS  - 1473-0782 (Electronic)
IS  - 1362-5187 (Linking)
VI  - 28
IP  - 2
DP  - 2023 Apr
TI  - Usage of postpartum intrauterine contraceptive device (postpartum-IUD) after an 
      increase in the institutional delivery rate in India: time to re-visit the effect 
      of timing of counselling on its acceptance.
PG  - 132-140
LID - 10.1080/13625187.2023.2187249 [doi]
AB  - PURPOSE: While increase in institutional deliveries brings an opportunity to 
      counsel women for postpartum family planning (PPFP), its uptake remains low. 
      Reasons for poor acceptance of postpartum intrauterine contraceptive device 
      (postpartum-IUD), and its relation with the timing of counselling need to be 
      investigated. METHODS: Women attending the antenatal clinic, reporting in labour, 
      and within 48 h of delivery respectively were invited to participate. Eligible 
      women were asked about awareness and choice for PPFP. After counselling, 
      acceptance for PPFP was compared with the baseline. Acceptance and continuation 
      of postpartum-IUD were compared between women counselled in the antenatal, 
      intrapartum, and postpartum periods. RESULTS: Only 23% of 360 women were aware of 
      postpartum-IUD. After counselling, acceptance for PPFP increased from 14% to 97% 
      and for postpartum-IUD, from 0.5% to 33.9%. Acceptance of postpartum-IUD among 
      women counselled in the antenatal, intrapartum and postpartum period was 45%, 35% 
      and 21.7% respectively. Acceptance was higher among the antenatal-counselling 
      group than the postpartum-counselling group (OR 0.45; CI 0.22-0.94; p = 0.03). 
      CONCLUSION: Counselling, irrespective of its timing, improves acceptance for 
      PPFP. Acceptance and continuation of postpartum-IUD are higher following 
      counselling in antenatal period. All eligible women should be counselled 
      irrespective of 'when' they approach the facility.
FAU - Bhagat, Nancy
AU  - Bhagat N
AD  - Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical 
      Education and Research, Chandigarh, India.
FAU - Singla, Rimpi
AU  - Singla R
AD  - Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical 
      Education and Research, Chandigarh, India.
FAU - Rohilla, Minakshi
AU  - Rohilla M
AD  - Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical 
      Education and Research, Chandigarh, India.
FAU - Arora, Aashima
AU  - Arora A
AD  - Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical 
      Education and Research, Chandigarh, India.
FAU - Suri, Vanita
AU  - Suri V
AD  - Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical 
      Education and Research, Chandigarh, India.
LA  - eng
PT  - Journal Article
DEP - 20230327
PL  - England
TA  - Eur J Contracept Reprod Health Care
JT  - The European journal of contraception & reproductive health care : the official 
      journal of the European Society of Contraception
JID - 9712127
SB  - IM
MH  - Female
MH  - Pregnancy
MH  - Humans
MH  - *Postpartum Period
MH  - *Intrauterine Devices
MH  - Counseling
MH  - Ambulatory Care Facilities
MH  - India
OAB - Acceptance for postpartum-IUD is maximum when women are counselled in the 
      antenatal period. With a surge in institutional deliveries, the opportunity to 
      counsel women in the intrapartum and postpartum period should not be missed as 
      this also increases acceptance for PPFP and postpartum-IUD.
OABL- eng
OTO - NOTNLM
OT  - PPFP
OT  - Postpartum-IUD
OT  - acceptance
OT  - awareness
OT  - continuation
OT  - counselling
EDAT- 2023/03/28 06:00
MHDA- 2023/04/13 06:42
CRDT- 2023/03/27 07:32
PHST- 2023/04/13 06:42 [medline]
PHST- 2023/03/28 06:00 [pubmed]
PHST- 2023/03/27 07:32 [entrez]
AID - 10.1080/13625187.2023.2187249 [doi]
PST - ppublish
SO  - Eur J Contracept Reprod Health Care. 2023 Apr;28(2):132-140. doi: 
      10.1080/13625187.2023.2187249. Epub 2023 Mar 27.