Study of Knowledge and Practice About Contraception Among Women Seeking Medical Termination of Pregnancy (original) (raw)
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International Journal of Medical Science and Public Health, 2018
year worldwide, 85 million of 208 million pregnancies (41%) are unintended. [2] Reasons for unplanned pregnancies are either woman's failure to use a contraceptive method or failure to use a method correctly. [3] Today, about 53.4% of eligible couples are still unprotected against conception. [4] Ideally, a child should be born because it is wanted not because it cannot be prevented and this can be made possible by the constructive use of contraceptive methods. [5] According to the World Health Organization, it has been estimated that 210 million women get pregnant every year, and only, two-third of them deliver live infants. The rest one-third ends in stillbirth, miscarriage, and abortion. [6] The old idea of prevention of conception is replaced by control of conception. Unintended pregnancy poses a major challenge to mental, social, and reproductive health of young Background: A safe, effective, and handy method to prevent unplanned pregnancy is available in the form of emergency contraception (EC). By timely and judicious use of EC, 75-85% of the unplanned pregnancies and thereby unsafe abortions can be prevented. It can also play a very important role in reducing maternal and perinatal mortality and morbidity. Knowledge about EC is usually very limited and that too, misleading. Objective: The objective of this study is to assess the knowledge and factors affecting the knowledge of EC among the abortion seekers. Material and Methods: This was a cross-sectional, hospital-based study conducted among the women requesting an induced abortion at medical termination of pregnancy center in a tertiary care hospital over 2 months (May-June, 2016). Data were collected with the help of a preformed and pre-structured questionnaire which a total of 104 cases were enrolled in the study. The data were tabulated and analyzed using Epi Info and MS Excel. Results: Majority of the subjects 66.3% had knowledge of contraception, while 39.4% ever used one or the other method of contraception, most commonly used method was condom; 34 (32.7%) had knowledge of EC, of which 6 (5.8%) had good knowledge. Factors such as women belonging to urban area, education, socioeconomic status, and knowledge of contraception and ever used contraceptive were highly significantly associated with knowledge. Conclusions: This study showed that overall knowledge of EC was poor and that media or the health-care professionals are not providing adequate knowledge of this method. Thus, it is important to improve the knowledge of EC with the help of media, medical or paramedical workers, and NGOs working in the field of health.
Aims: This study was done to assess the use of family planning method among comprehensive abortion care clients in Tribhuvan University Teaching Hospital (TUTH). Methods: A hospital based observational study was conducted in family planning clinic at TUTH from 14 th April 2009 to 14 th June 2010 among one hundred clients who opted for comprehensive abortion care (CAC) at the hospital CAC centre and met the inclusion criteria of this study. Results: Around 98% women had knowledge of different types of modern contraceptive methods. Majority of CAC clients (91%) had ever used contraceptive methods in the past. Injectables were the most common method of contraceptive used by the CAC clients (55%). Almost 22% clients had come for repeat induced abortion. About 43% clients opted CAC service for complete family and 33% for contraceptive failure. Withdrawal method failure was seen in 17% of clients. Almost 86% women intend to use contraceptive after CAC service in future. Conclusions: This study concluded that despite knowledge of modern contraceptive methods and ever uses of different family planning methods, majority of clients had no consistency in use of various contraceptives. Effective family planning counseling along with information of emergency contraceptive is required for each CAC clients to prevent unwanted pregnancy and abortion.
International Journal of Medical Science and Public Health, 2015
Background: India is the second most populous country in the world having a rapidly growing population. There is an unmet need of contraception in our country. This is responsible for unintended pregnancy and consequences related to induce abortions. This study is an effort to find out the acceptability and practice of contraceptive methods and induced abortions in married women. Objective: To find out the acceptability and practice of contraceptive methods in married women of reproductive age group and to evaluate the reasons for nonuse of contraception and number of induced abortions because of unintended pregnancy. Materials and Methods: A cross-sectional observational study was carried out in Department of Obstetrics and Gynaecology, SGRRIM&HS, Dehradun, Uttarakhand, India. Totally, 116 married women aged between 18 and 45 years were interviewed. Data were collected, after obtaining consent on a predesigned questionnaire containing sociodemographic details, reproductive profile, use of contraceptive method, side effects, and reasons of not using any contraceptive method. In case of unintended pregnancies, number of induced abortions and their method were also asked from the respondent. Results: In this study, the use of contraceptive methods was 73.28%. The most common method used was condom in 24.23% couples. Totally, 67.05% women did not report any side effect, while 22.35% women reported menstrual disturbance as main side effects with use of contraceptive method. The major reasons for nonuse of contraception were fear of side effects (29.03%), need more children (19.35%), prohibition by the religion (12.90%), and desire for male child (9.67%). A significant number of induced abortion (14.89%) were done without any medical supervision. Conclusion: There are various reasons for the nonacceptance of contraceptives such as fear of side effects, prohibition by religion, and preference for male child. These unintended pregnancies that were getting terminated reveal the unmet need of contraception. Thus, by proper counseling, motivation, and improving facilities at both government and private sectors, the unmet need of contraception can be achieved.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Emergency Contraceptive Pills (ECP) was introduced in National Family Welfare programme of India since 2003 and is easily available. Aim of this study was to assess the awareness and knowledge of ECP in the women undergoing induced abortion, which represent huge number of unintended pregnancies in India which have negative impact on health resources. Methods: This questionnaire based cross-sectional study was conducted for 10 months in Government Medical College in Miraj and included 110 women. Results: 57.2 %, women belonged to 20 to 30 years of age. 89% attended some years of school. 33.6% of patients were not using any contraception while 47.27 % had irregularly used some contraception; only 19.09 % were using contraception regularly. Only 7.2 % patients had ever heard of emergency contraception pills while none had ever used or knew how to use ECPs. None of the patients knew if ECP were available in any government hospitals. Conclusions: The huge number of patients undergoing MTP in represent increased surgical load on the government medical facilities. Majority of literate patients signifies the potential target area for contraception counselling and will be much ready to accept some form of contraception including ECPs as a backup. Only 7.2 % had ever heard of emergency contraception points to the glaring deficits in knowledge and practice of ECP despite government efforts. Government centres should promote ECP aggressively as was done in case of barriers/ CuT methods along with proper counselling.
International Journal of Preventive, Curative & Community Medicine, 2019
Background: Emergency Contraceptives (EC) are used to prevent unplanned pregnancies thereby preventing the occurrence and consequences of unplanned pregnancy. Emergency contraception is widely available in India. Yet the use of EC is very low and abortion rate in cities is high. Objective: To assess the practice and determinants of use of emergency contraceptive pills among women presenting for pregnancy termination in a tertiary care hospital. Material and Methods: This was a Cross-sectional, hospital-based study, conducted among the women of reproductive age group presenting for termination of pregnancy in a tertiary care hospital in Western Maharashtra. The study was conducted for a period of three months from May to July, 2016. Data was collected with the help of a preformed and prestructured questionnaire. A total of 150 cases were enrolled in the study. The data was tabulated and analyzed using Epi Info and MS Excel. Result: The knowledge of emergency contraception was seen in 34.0% subjects, out of which only 7.3% had good knowledge. Attitude wise assessment of emergency contraception showed that 74.7% subjects had favourable attitude towards its use while only 21% participants used emergency contraceptive pills. The study revealed that there is a low trend of use of modern contraceptives. The major reason for low usage was lack of adequate knowledge on the method, misperceptions of the adverse effects of this method, fear of effect on future fertility. Factors like women belonging to urban area, education, socioeconomic status and knowledge of contraception and emergency contraception and ever used contraceptive were the significant determinants of EC use. Conclusion: It is concluded that knowledge and use of emergency contraceptive is low while all had favourable attitude towards its use. Awareness is to be created among the community through information, education and communication so that the its use will be increased.
PPost abortion contraceptive behavior among Indian women
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2017
Background: Unsafe induced abortion contributes significantly to maternal morbidity and mortality. Irrespective of availability of contraceptive services women still seek for repeated induced abortion. This study examined the contraceptive behavior of currently married women who had induced abortion.Methods: Third round of District Level Household and Facility Survey (DLHS-3, 2007-2008) data is used for the study. Bivariate analysis and multivariate logistic regression method were used to examine the contraceptive behavior of women.Results: Contraceptive use is 4.6 percent among women who had at least one induced abortion. Attitude toward the use of contraceptive was found significant among women aged 25-34, who had one and two or more children, urban women, non-poor, couple both literate and women exposed to mass media.Conclusions: This study suggests the need for proper post-abortion contraception counseling and availability of multiple choices of modern methods of contraceptive a...
Journal of Patan Academy of Health Sciences
Introduction: Contraceptive methods are important components to reduce unwanted pregnancy, abortion, maternal and child morbidity mortality. This study aim to identify awareness, attitude and practice on contraception among women attending abortion services at Seti Zonal Hospital, Nepal. Method: Cross-sectional enumeration sampling techniques from Safe abortion Unit of Seti Zonal Hospital, Nepal, from August to September 2018 was taken for structured face to face interview using questionnaire to find out awareness, attitude and practice on contraception among women. Ethical approval was obtained. The SPSS version 16 was used to analyze data. Result: Out of total 94 women, 59 (73.8%) had adequate awareness, 78 (83%) had positive attitude for use of contraception, 44 (46.8%) had inadequate practice of contraception and 19 (20.2%) had adequate practice. There was a significant association between types of family and level of awareness (P<0.001). There was no correlation between awar...
Awareness about emergency contraceptives pill in women who came for medical termination of pregnancy
National Journal of Physiology Pharmacy and Pharmacology, 2011
Objective: Emergency contraception, otherwise known as postcoital contraception, refers to a group of birth control modalities that, which can reduce the chance of unintended pregnancy if taken within the specific time limits. The objective of this study was to determine the level of awareness of emergency contraceptive techniques and fertility awareness in a population of pregnant females who were presenting for medical termination of pregnancy. Methods: The study was carried out in 150 females requesting an induced abortion by MTP (Medical Termination of Pregnancy) clinic which is run by Department of Obstetrics and Gynecology at New Civil Hospital, Suart, over a period of 6 months from November 2009 to April 2010. All the women were interviewed by a trained interviewer with the help of a pre validated & pretested questionnaire. Results-The study comprises of 152 females, and median age was 27 years. 32.89 % were illiterate. Only 36(23.68%) had heard the term ' emergency contraceptive', out of which 3% had exact idea about exact use(it should be taken after unprotected intercourse) of EC pill. The most common source of information was television (100%) in all. Among the users most common method of contraception was condom and oral contraptives (73.68%). Only 7.24% knew the time interval when in the menstrual cycle they were likely to conceive. 30(19.74%) females had previous history of abortion but !" # doctor's prescription. 116 (76.32%) said, sex education should be made compulsory at school level. Conclusion-Knowledge about emergency contraception and fertility awareness is very low among pregnant females coming for induced abortion in New Civil Hospital, Surat. Efforts should be made to increase awareness of emergency contraceptives.
Emergency contraception and prevention of induced abortion in India
Journal of Family Planning and Reproductive Health Care, 2005
Objective Induced abortion is associated with high morbidity and mortality in India. Use of regular contraception with emergency contraception (EC) as backup can reduce the incidence of induced abortion. The study aimed to assess women's knowledge, practice, preference and acceptance of different contraceptive methods with special reference to the causes of induced abortion, and their willingness to use hormonal EC.
Contraception, 2020
Objective: To assess the availability of and practices around postabortion contraceptive services in health facilities, and document women's acceptance of postabortion contraception in six Indian states. Study Design: We conducted a survey of 4001 public and private health facilities that provide abortionrelated care in six Indian states. In this analysis, we assess the availability and range of contraceptive methods offered, the protocols and practices around postabortion contraceptive counseling, the extent to which facilities require women to adopt contraception, and contraceptive uptake among women. Results: Although some contraceptive methods and information were available at a majority of facilities (75-97%), the range of methods was lacking and the information provided to women varied considerably by state. 8-26% of facilities required women seeking induced abortions to accept a modern contraceptive method. Only half to two-thirds of postabortion patients adopted a modern method. Conclusion: The limited number of methods offered in facilities suggests that some women may not obtain the method they desire, or get information about the full range of methods that should be available. While contraceptive uptake should be voluntary, the requirement imposed by some facilities for women to adopt a modern contraceptive method in order to obtain an abortion must be addressed. Implications: Some 15.6 million Indian women had an induced abortion in 2015. Understanding the provision of postabortion contraceptive services in health facilities, including counseling, is necessary to inform policies and practices to better enable women and couples to make informed decisions to prevent future unintended pregnancies.