Case Report

Effectiveness of prenatal intensive counselling on knowledge, attitude and acceptance of post placental intrauterine contraceptive device among mothers

M Shanthini, Manjubala Dash*, A Felicia Chitra, S Jayanthi and P Sujatha

Published: 27 March, 2020 | Volume 3 - Issue 1 | Pages: 021-025

Introduction: Contraception is a method or device used to prevent pregnancy. In the first year of postpartum period around 65% of women are having unmet need of family planning. Post Placental Intrauterine Contraceptive Device is not only advantageous to the women and couples; even the service providers benefit from PPIUCD. PPIUCD insertion on the same delivery table saves time and separate clinical procedure is not required.

Methodology: The Quantitiative Pre-Experimental One Group Pre and Post Test research design was used. 70 Antenatal mothers were selected by using Purposive Sampling Technique who fulfilled the inclusion criteria and who were available during the period of data collection at selected hospital, Puducherrry. Data was collected by using Structured Interview Schedule.

Result: The Pre test mean score of Knowledge was 9.98 ± 2.38 and Post Test mean score of Knowledge was 14.91 ± 1.15. The calculated paired‘t’ value was (-20.82) found to be statistically significant at p < 0.001 level. The Pretest mean score of Attitude was 34.67 ± 5.67 and Post test mean score of Attitude was 44.27 ± 4.70. The calculated paired‘t’ value was (-17.25) found to be statistically significant at p < 0.001 level. The Pretest mean score of Acceptance was 0.11 ± 0.320 and Post Test mean score of Acceptance was 0.29 ± 0.455. The paired‘t’ value of t = -3.778 found to be statistically significant at p < 0.001 level. The Demographic and Obstetrical Variables like age at marriage, previous childbirth and decision maker of family about family planning have shown significant association with Post Test level of Knowledge, Attitude and Acceptance of PPIUCD at p < 0.05 and p < 0.001.

Conclusion: The researcher concluded that Prenatal Intensive Counselling increases the mother’s Knowledge, Attitude and Acceptance of PPIUCD. So Prenatal Intensive Counselling on PPIUCD can be given to Antenatal Mothers during their antenatal visits to meet the unmet needs of family planning.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001044 Cite this Article Read Full Article PDF


Post placental intrauterine contraceptive Device; Prenatal intensive counselling


  1. Shaanthy TK. A cross sectional study on willingness and acceptability: PPIUCD by primipara mothers at a tertiary care hospital, Tamil Nadu, India. Int J Reproductive, Contraceptive, Obstetrics, Gynecol. 2017; 6: 3030-3034.
  2. IUCD Reference Manual for MOs and Nursing Personnel; 2013. http://www.nrhmtn.gov.in/modules/IUCD_Reference_Manual_for_MOs_and_Nursing_Pwersonne_-Final-Sept_2013.pdf.
  3. Chauhan R. Evaluation of acceptability, safety and expulsion of PPIUCD, India. Int J Reproductive, Contraception, Obstetrics, Gynecol. 2018; 3: 1083-1089.
  4. Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, et al. Family Planning: The unfinished agenda. Lancet. 2006; 368: 1810-1827. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17113431
  5. Janwadkar A. Acceptance, perception, experience and satisfaction of the couple with postpartum intrauterine, contraceptive devices (PPIUCD) insertion, Pune. Asian Pacific J Health Sci. 2016; 3 55-64.
  6. Cwiak C, Gellasch T, Zieman M. Peripartum contraceptive attitudes and practices. Contraception. 2004; 70: 383-386. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15504377
  7. Engin-Ustün Y, Ustün Y, Cetin F, Meydanli MM, Kafkasli A, et al. Effect of postpartum counselling on postpartum contraceptive use. Arch Gynaecol Obstet. 2007; 275: 429-432. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17136370
  8. Akman M1, Tüzün S, Uzuner A, Başgul A, Kavak Z. The Influence of prenatal counselling on Postpartum contraceptive choice, Turkey. J Int Med Res. 2010; 38: 1243-1249. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20925996
  9. Nelson A. Intrauterine contraceptive. J Obstet Gynecol. 2008; 6: 219-224.
  10. Postpartum IUCD Insertion Manual. Nirman Bhavan, New Delhi 110001: Family Planing Division. Ministry of Health and Family Welfare. Government of India; 2010.
  11. Sharma A. A study of awareness and factors affecting Acceptance of PPIUCD in South-East Rajasthan, India. Int J Community Medicine and Public Health. 2017; 4: 2706-2710.
  12. Sanskriti P. Post-partum intrauterine device insertion: the unfinished agenda. New Indian J Surg. 2011; 2: 245-247.
  13. Bhasin SK, Pant M, Mehta M, Kumar S. Prevalence of usage of different contraceptive methods in East Delhi-a cross sectional study. Indian J Community Med. 2005; 30: 53-5.
  14. Katheit G. Evaluation of post-placental intrauterine device (PPIUCD) in terms of awareness, Acceptance and expulsion in a tertiary care centre, Madhya Pradesh. Int J Reproductive, Contraception, Obstetrics, Gynecol. 2013; 2: 539-543.
  15. Deshpande S. Awareness, acceptability and clinical outcome of post placental insertion of intrauterine contraceptive device in Marathwada region, India. Indian J Obstetrics, Gynecol Res. 2017; 4: 77-82.
  16. Darmayanti PA. Differences in Post Placental Intrauterine Device acceptance with and without couples counselling in private practice midwifery clinics, West Denpasar. Public Health and Preventive Medicine Archive. 2018; 6: 4-9.
  17. Ndegwa SW. The effect of two levels of counselling on acceptance, uptake and early outcome of the post placental intrauterine contraceptive device. Nairob. University of Nairob medical library. 2007; 1-30.
  18. Gara M. Effectiveness of Structured teaching Programme on PPIUCD (Post Placental Intrauterine Contraceptive Device among Primigravida Mothers in Selected MCH centre, Tirupati, India. Int J Practical Nursing. 2014; 2: 87-91.

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?