An Observational Prospective cohort study to assess acceptability of Post Placental Insertion of Intrauterine Contraceptive Device (PPIUCD)

BACKGROUND: Despite the fact that contraceptive methods are widely available, they are not much accepted due to a lack of knowledge and ignorance. PPIUCD has the potential to be a key differentiator in India's Family Planning Programme. The present study is to assess the acceptance rate among the women attending antenatal clinics in CMC Vellore. And to see the level of acceptance with single and multiple counselling with the different cadre. METHODS: This was an observational cohort study done to assess the acceptance of immediate PPIUCD insertion among the antenatal women who had delivered in Christian Medical College, Vellore. Participants was recruited in antenatal clinic from 32 weeks of gestation of pregnancy by Block randomization method. Method specific Counselling on PPIUCD was done by different cadre: Consultants (more than 5 years experience), Postgraduate registrar and group counselling. At the time of delivery all the study participants who accepted and gave documented consent, had CuT-375 as PPIUCD inserted by the treating clinician in Labour Room and Analysis was done on the data collected. RESULTS: The acceptance rate of PPIUCD in this study was 9.5%. Acceptance after counselling in the consultant group was 9.0% and in the Registrar group was 10%. Among the participants who agreed to use PPIUCD antenatally, the acceptance in Single counselling was 14%, in Group counselling was 9.1% and in multiple counselling was 5.2%. CONCLUSION: Our society’s awareness and acceptance of PPIUCD is still very low. Counselling antenatal women and their families are beneficial for PPIUCD acceptance. Even after effective counselling, the most common reason for the non-acceptance of PPIUCD is family refusal and apprehension about complications