Women's experience with postpartum intrauterine contraceptive device use in India

Somesh Kumar, Reena Sethi, Sudharsanam Balasubramaniam, Elaine Charurat, Kamlesh Lalchandani, Richard David Semba, Bulbul Sood

Research output: Contribution to journalArticle

Abstract

Background: Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection. Methods. We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires. Results: Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6%) reported that they were satisfied with IUCD at the time of insertion and 92% reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6% by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study. Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

Original languageEnglish (US)
JournalReproductive Health
Volume11
Issue number1
DOIs
StatePublished - Apr 23 2014

Fingerprint

Intrauterine Devices
Postpartum Period
India
Health Facilities
Family Planning Services
Contraceptive Agents
Parity
Contraception
Economics
Infection

Keywords

  • Complications
  • Contraception
  • Family planning
  • Intrauterine contraceptive device
  • Postpartum

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Medicine(all)

Cite this

Kumar, S., Sethi, R., Balasubramaniam, S., Charurat, E., Lalchandani, K., Semba, R. D., & Sood, B. (2014). Women's experience with postpartum intrauterine contraceptive device use in India. Reproductive Health, 11(1). https://doi.org/10.1186/1742-4755-11-32

Women's experience with postpartum intrauterine contraceptive device use in India. / Kumar, Somesh; Sethi, Reena; Balasubramaniam, Sudharsanam; Charurat, Elaine; Lalchandani, Kamlesh; Semba, Richard David; Sood, Bulbul.

In: Reproductive Health, Vol. 11, No. 1, 23.04.2014.

Research output: Contribution to journalArticle

Kumar, S, Sethi, R, Balasubramaniam, S, Charurat, E, Lalchandani, K, Semba, RD & Sood, B 2014, 'Women's experience with postpartum intrauterine contraceptive device use in India', Reproductive Health, vol. 11, no. 1. https://doi.org/10.1186/1742-4755-11-32
Kumar, Somesh ; Sethi, Reena ; Balasubramaniam, Sudharsanam ; Charurat, Elaine ; Lalchandani, Kamlesh ; Semba, Richard David ; Sood, Bulbul. / Women's experience with postpartum intrauterine contraceptive device use in India. In: Reproductive Health. 2014 ; Vol. 11, No. 1.
@article{bda8d6a670704e628f779c662fc8ca60,
title = "Women's experience with postpartum intrauterine contraceptive device use in India",
abstract = "Background: Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection. Methods. We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires. Results: Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6{\%}) reported that they were satisfied with IUCD at the time of insertion and 92{\%} reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6{\%} by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study. Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.",
keywords = "Complications, Contraception, Family planning, Intrauterine contraceptive device, Postpartum",
author = "Somesh Kumar and Reena Sethi and Sudharsanam Balasubramaniam and Elaine Charurat and Kamlesh Lalchandani and Semba, {Richard David} and Bulbul Sood",
year = "2014",
month = "4",
day = "23",
doi = "10.1186/1742-4755-11-32",
language = "English (US)",
volume = "11",
journal = "Reproductive Health",
issn = "1742-4755",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Women's experience with postpartum intrauterine contraceptive device use in India

AU - Kumar, Somesh

AU - Sethi, Reena

AU - Balasubramaniam, Sudharsanam

AU - Charurat, Elaine

AU - Lalchandani, Kamlesh

AU - Semba, Richard David

AU - Sood, Bulbul

PY - 2014/4/23

Y1 - 2014/4/23

N2 - Background: Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection. Methods. We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires. Results: Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6%) reported that they were satisfied with IUCD at the time of insertion and 92% reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6% by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study. Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

AB - Background: Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection. Methods. We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires. Results: Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6%) reported that they were satisfied with IUCD at the time of insertion and 92% reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6% by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study. Conclusions: Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.

KW - Complications

KW - Contraception

KW - Family planning

KW - Intrauterine contraceptive device

KW - Postpartum

UR - http://www.scopus.com/inward/record.url?scp=84903307542&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84903307542&partnerID=8YFLogxK

U2 - 10.1186/1742-4755-11-32

DO - 10.1186/1742-4755-11-32

M3 - Article

VL - 11

JO - Reproductive Health

JF - Reproductive Health

SN - 1742-4755

IS - 1

ER -