Preferences and Practices of Postpartum Women about Contraception ; A Study in A Tertiary Care Hospital of Rawalpindi
Methodology: It was a cross-sectional prospective observational study, conducted in Gynaecology unit II of Holy Family Hospital. over a period of six months i.e from 1st Jan 2016 till 30th June 2016. A total of 500 women were interviewed who were in their first week after delivery. The interview was conducted by the registrar who recorded their socio-demographic profile including age, parity, knowledge about contraception, source of information, attitude and practices of contraception along with the factors responsible for its use.
Results: A total of 500 postpartum women were questioned. Although majority of the women had some knowledge about contraception but only 33.6% had correct knowledge regarding the fertility period, 22% had wrong concepts whereas 22% had no idea about it. Even though a larger proportion of patients belonged to the low socio-economic group about 73.6% of the women desired contraception, whereas 26% did not accept it. The main cause of rejecting it was the desire to have more children as seen in 69% of those refusing contraception, followed by husband’s reluctance for it in 36%. The most preferred method of contraception was identified as the natural method used by 28% followed by iucd 23.3% condom 15.38%, ocp 14.3% , injectable 9.5%. A least common option was of BTL which was used by 6.1% of the women desiring family planning.
Conclusion: Although the majority of the women in our study belonged to the low socio-economic strata but despite their low level of education most of the women desired family planning. Thus to fulfill this unmet need there should be counselling of the couple together to convince the husband. Moreover, information regarding the fertility period and details of the contraceptive agents should be disseminated adequately through pamphlets, health care providers and media sources to educate couples. In addition to this, discrimination between sons and daughters should be discouraged
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