Study on Status of Use of Modern Contraceptive Methods and Factors Determining their Selection by Women in Extended Postpartum Period
- Gunjan Razdan
- Agency : Contraceptive, Postpartum Period, Women
- Objective : The objective of this
study is to examine status of use of the contraceptive methods and
factors determining their use by women in the extended post partum period.
- Background : The extended
postpartum period is the time which is usually given less emphasis
regarding family planning by policy makers, service providers and users.
However, it is a time with a rising risk of unwanted conception and an
often-frustrated desire for contraceptive protection. The contraceptive
behavior of women in the extended postpartum period is usually different from
other times in a woman's life cycle due to breast feeding, postpartum
amenorrhea, postpartum sexual abstinence or concerns of women on the effect of
contraceptives on breast milk. Understanding the contraceptive behaviors, needs
and preferences of women in this period is important to design an effective
family planning program in the postpartum period.
- Methodology : A community based cross sectional study was conducted in Vyara block of district Tapi, Gujarat. All the PHCs of the block were included in the study taking two villages from each PHC.A total of 105 women who were in the first year after delivery were interviewed using a structured data. (It was entered, and analyzed using SPSS version 12.)
- Findings : The prevalence of
modern contraceptive use was found 40 percent among women in the
extended postpartum period. This study shows that women in the extended postpartum
period preferred using long term family planning methods (namely tubectomy)
more than any other method. Twenty five (59.5%) of the total contraceptive
users had adopted sterilization (tubectomy) as the method for family planning.
It was seen that 60 percent women were not using any modern contraceptive
method with half of them quoting fear of side effects and lack of awareness as
main reasons for non-use of contraceptives in extended postpartum period. In
this study, 40 percent of currently breastfeeding women were practicing a
modern contraceptive method while 60 percent were not using any modern method
- Recommendations : Number of living
children, resumption of sexual intercourse and counseling during the
postpartum period were found to have significant association with use of family
planning methods in the extended postpartum period. The majority of the study
participants have had ANC care, counseling, institutional delivery and
postnatal counseling which are potential times for convincing women to use
contraceptives in extended post partum period. The findings of this study show
the importance of the postpartum period in relation to postpartum family
planning, lactation and postpartum amenorrhea.