Authors: Meher-un-Nisa , Aattiqa Hayat , Nasira Nuzhat , Madiha Khalid , Ayesha Sabrina Aslam

Abstract

Background and Objective:  The immensely increasing rate of population is one of the biggest hindrances in the progress of under developing world including Pakistan. One of the main component of Sustained Millennium Development Goals was to reduce maternal mortality and morbidity by fulfilling the unmet needs of contraception. Keeping these challenges into consideration, program of Post Placental Intrauterine Contraceptive Device (PPIUCD) insertion was initiated at tertiary care hospital settings in Pakistan. Objective of this study is to explore the factors affecting the rate of PPIUCD insertion rate.

Methods:  This cross sectional study was carried out at the Government Teaching Hospital Shahdara Lahore, Pakistan within 15 months (July 2019 to Sep 2020). A total of 4474 pregnant females were included using non probability consecutive sampling. A trained counselorcounselled the patients regarding benefits of PPIUCD and predesigned structured proforma was filled regarding demographic data, obstetric data and other factors related to insertion of PPIUCD. After the subjects were delivered, PPIUCDs were inserted in consenting females. Data was analyzed for statistical inferences.

Results:  Out of the 3292 participants who qualified for insertion, 802 females consented for PPIUCD insertion with an average insertion rate of 24.36%. The main factor affecting rate of PPIUCD insertion was presence of a trained counselor.

Conclusion:  The counseling services by a trained counselor is imperative for success in PPIUCD insertion rate.

Keywords: PPIUCD, Pregnancy, Insertion rate, Trained counselor.