Abstract

Dr. A. Anandhi and R. Mothilal*

ABSTRACT

Background: IUCD is a temporary method of contraception in use for many years. Our main objective is to find the acceptance of (postplacental intrauterine contraceptive device) PPIUCD in recent years. Methods: Retrospective Analysis was carried out to collect information regarding IUCD insertion in all women delivered at Government Medical College Hospital, Chennai -10 in Tamil Nadu from April 2015 to March 2018. Results: Total women delivered in our hospital were 17,577 over a period of 3 years. Three years comparative study revealed significant increase in acceptance of PPIUCD insertion among primipara from 31.7% TO 64.04%. Acceptance of PPIUCD in delivered mothers was 28.9 % in first year (April 2015 to March 2016) to 54.6% in third year (April 2017 to March 2018). Most of the women were in the age group of 20 to 24 years (49.5%) and the proportion of PPIUCD acceptance was more in caesarian section (59.2%) than in vaginal deliveries (40.8%) and a sudden increase in the acceptance of PPIUCD among vaginal delivery were found in the study period. Conclusions: The present study being retrospective analysis showed sudden increase in coverage rate of PPIUCD from 2015-2016 to 2017-2018. Though the patients were motivated in the same way throughout the period, training and motivation given to the staff nurses, RMNCH Counselor and duty doctors in the labour ward for PPIUCD insertion and daily review instead of weekly had brought the significant increase in the coverage. This clearly shows the role of service provider in the success of a national program though acceptor is always ready in most of the times.