Antenatal Counselling: Does It Boost The Uptake Of Post Placental Intrauterine Contraceptive Device?

  • Shamaila Hamid Department of Obstetrics & Gynaecology, MCHC, Pakistan Institute of Medical Sciences, Islamabad
  • Qurra-tul-Ain Department of Obstetrics & Gynaecology, MCHC, Pakistan Institute of Medical Sciences, Islamabad
  • Arfa Tabbassum Department of Obstetrics & Gynaecology CMH Kharian Medical College, Kharian
  • Syeda Batool Mazhar Professor of obs and gynae Pakistan Institute of Medical Science, Islamabad
  • Farzana Nawaz Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan.


Objective: To evaluate if antenatal counselling increases the uptake of post placental Intrauterine Contraceptive Device in women delivering at a tertiary level obstetric unit

Design: Quasi-experimental study

Place and Duration of study: Department of Obstetrics & Gynaecology, Maternal and Child Health Center (MCHC), Pakistan Institute of Medical Sciences (PIMS), Islamabad from Nov 1st 2016 to Oct 31st 2017.


Methodology: Intervention group (A)included 125 women fulfilling the inclusion criteria. They  were given repeated sessions of  structured antenatal counselling regarding uptake of post placental Intrauterine contraceptive device (PPIUCD) . These were women of 18-40 years of age, with atleast one alive child, structurally normal, singleton fetus, with no history of preterm labour, pelvic infections or menstrual irregularity. Also women who sustained miscarriage, PROM>18 hours. pregnancy termination or stillbirth were to be subsequently excluded from the study.  The comparative group (B) were 125 consenting women fulfilling the inclusion criterion but were offered routine  counselling  in early labour  and immediate post placental period. After delivery (caesarean section or vaginal delivery) women opting for PPIUCD were fitted with copper IUCD in both groups. Data was entered and analyzed using SPSS 21. Frequency & proportion were recorded for qualitative data. Chi square test was applied to compare both groups. P value of <0.05 was taken as significant.

Results: Out of the 125 women enrolled in group A, 2 were excluded due to PPROM. The number of women who had PPIUCD inserted in group A was 66/123 (53.6%) while that in group B was 46/125(36.8%).  The result was significantly significant p<0.03.

Conclusion: Repeated antenatal counselling results  in significantly higher uptake of post placental IUCD.

Key words: Post placental Intrauterine Contraceptive Device, Counselling, antenatal

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