Acceptance of postpartum intrauterine contraceptive devices in women with focused family planning counselling in antenatal period as compared to routine counselling: A Scoping review.
Ashwini Najan, Prachi Dixit, Savita Somalwar, Amrita Singh, Dipanjali Thombare, Priyanka Dapkekar
Abstract
Open AccessDespite all attempts, postpartum intrauterine contraceptive device (PPIUCD) acceptability in India, particularly in rural regions, is quite less. The acceptance of PPIUCD may be greatly improved by counseling provided during prenatal visits. The objective is to determine the aspects of the adoption right away PPIUCD instillation in females who received prenatal and after-delivery counseling, taking into account their sociodemographic and obstetric features as well as their future plans for getting pregnant. Relevant research were found using scoping review format from database searches like Scopus, Web of Science, and PubMed. 21 papers were found during database searches. A meta-synthesis method and additional case-control research were conducted in a highly specialized care facility were used for synthesizing the results. Compilation of data extracted from previous studies done which showed the effect of counseling on acceptance of PPIUCD in the Antenatal period as compared to routine counseling form which the conclusion of the present study is made. The acceptance of PPIUCD as a choice of contraception is low among women. When focused counseling is done using systematic charts and models then the acceptance increases significantly but is still low. When followed up to 1 year, PPIUCD is a safe contraceptive choice. The reason behind not accepting IUCD is mostly misconceptions. More awareness programs should be conducted for women and families, should be invited to awareness campaigns regarding contraceptive methods.