Kashyap Charusheela, Mohanty Ipseeta Ray, Thamke Pratima, Deshmukh Y A
Department of Pharmacology, Mahatma Gandhi Mission Medical College, Kamothe, Navi Mumbai, Maharashtra India.
Department of Obstetrics and Gynecology, Mahatma Gandhi Mission Medical College Hospital for Women and Children, Kalamboli, Navi Mumbai, Maharashtra India.
J Obstet Gynaecol India. 2017 Apr;67(2):91-97. doi: 10.1007/s13224-016-0924-9. Epub 2016 Jul 23.
In India, a large proportion of women with an unmet need for contraception are within their first year after childbirth. Therefore, concentrating efforts to educate postpartum women on the importance of attending contraceptive clinics could have a proportionally bigger impact on increasing postpartum contraception usage.
Hundred and seventy-eight (178) women were followed up to determine the proportion of postpartum women who attended the family planning clinics for contraceptive counseling. The reason for non-attendance, choice and effectiveness of contraceptive method selected was determined.
Out of 178 postpartum women who were followed up, only 12 (6.8 %) attended the contraceptive clinic. IUD, POPs and Inj-DMPA are the preferred contraceptive methods selected by postpartum women. Hundred percent of the postpartum women who attended contraceptive selected a contraceptive method as compared to only 44 % of the postpartum women who did not attend a contraceptive clinic. Only 29.2 % of these postpartum women selected highly effective contraceptive methods as compared to 83.3 % by the postpartum women who attended family planning clinics. The common reasons cited for not attending contraceptive clinic was found to be time constraint (43.9 %) followed by 'stay far away' (39 %), followed by 'already have information' (9.7 %).
Family planning service that is scheduled to be delivered at the 6-week postpartum is rarely attended. The common reason cited by postpartum women for poor attendance in these family planning clinics was time constraint.
在印度，很大一部分有避孕需求但未满足的女性处于产后第一年。因此，集中精力对产后女性进行教育，使其了解前往避孕诊所的重要性，可能会对提高产后避孕措施的使用率产生更大的影响。
对178名女性进行随访，以确定前往计划生育诊所接受避孕咨询的产后女性比例。确定未就诊的原因、所选避孕方法的选择及有效性。
在接受随访的178名产后女性中，只有12名（6.8%）前往了避孕诊所。宫内节育器、复方口服避孕药和注射用醋酸甲羟孕酮是产后女性选择的首选避孕方法。前往避孕诊所的产后女性中有100%选择了一种避孕方法，而未前往避孕诊所的产后女性中只有44%选择了避孕方法。这些产后女性中只有29.2%选择了高效避孕方法，而前往计划生育诊所的产后女性这一比例为83.3%。未前往避孕诊所的常见原因是时间限制（43.9%），其次是“住得远”（39%），然后是“已经了解相关信息”（9.7%）。
计划在产后6周提供的计划生育服务很少有人参加。产后女性未参加这些计划生育诊所的常见原因是时间限制。
