Challenges Faced by Obstetricians in Counselling of Patients for PPIUCD Insertion
DOI:
https://doi.org/10.70749/ijbr.v3i5.2570Keywords:
Postpartum intrauterine contraceptive device, Family planning, Contraceptive counseling, BarriersAbstract
Background: Post-partum intrauterine contraceptive device insertion is one contraceptive method highly recommended by healthcare providers, but there are still challenges with its acceptance. Knowledge on factors driving decisions not to use PPIUCD after counseling would contribute to enhanced counseling techniques and contraceptive uptake. Objective: To determine the frequency of factors for not adopting PPIUCD insertion during counseling by obstetricians. Study Design: Cross-sectional observational study. Duration and Place of Study: The study was conducted from November 2024 to April 2025 at the Department of Obstetrics and Gynecology, SKBZ CMH Muzaffarabad. Methodology: A total of 462 women between 25–40 years with more than three parities, who were counselled regarding PPIUCD within six weeks of delivery, were enrolled. Participants were chosen from non-probability consecutive sampling. Information on refusal reasons, such as fear of side effects, opposition from spouse, religion, and preference for tubal ligation, was collected from structured binary responses. Results: The mean age of participants of the study was 32.21±4.14 years, with a mean parity of 5.12±1.10. Factors such as fear of side effects (61.30%), preference for tubal ligation (52.20%), and spousal opposition (27.90%) were major barriers to PPIUCD adoption. Demographic variables such as age, socioeconomic status, and education were significantly associated with these barriers. Conclusion: Our research has determined that there are serious barriers in counseling women towards acceptance and uptake of postpartum intrauterine contraceptive devices.
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