Determinants of intrauterine device acceptance among married women in coastal Karnataka, India

Research output: Contribution to journalArticle

Abstract

Introduction: Intrauterine Devices (IUDs) are the most effective long term, temporary method of contraception which have many benefits such as low cost, minimal side effects, etc. Despite this, IUD use is not prevalent in India; though, the expanding population stresses the dire need for effective contraceptive use. Aim: To determine the reasons for acceptance and use of IUDs among the women and the side effects experienced by them, to utilise this information to further increase the rate of acceptance of IUDs. Materials and Methods: The present cross-sectional study was done in three health care facilities: a Government Maternity Hospital, a private tertiary care hospital and a Community Health Centre (CHC), associated with Kasturba Medical College (KMC), Mangalore, Karnataka, India. Before conducting the study, ethical clearance was obtained from the Institutional Ethics Committee (IEC) of KMC, Mangalore. Participant information sheets and informed consent forms were distributed. We studied 110 married women who had IUDs inserted. Demographic details, source of information, factors motivating IUD use, reasons for use of IUDs and side effects were assessed using a questionnaire. Results: The mean age of the study participants was 26.65±4.0. 77% were Hindus, 99.1% of the participants were literate and 86.4% were housewives. Only 2.7% of the husbands were illiterate and 53.6% were employed in semiskilled professions. Almost 91% of the husbands and 82% of the families were favourable towards the use of contraceptives. For 89% of the participants, the health care provider served as a chief source of information about IUDs. Out of all the participants, 68.2% were using IUDs for child spacing and 29.1% were using it for prevention of pregnancy. Around 36% of the women experienced side effects due to IUD use, out of which 61.5% complained of vaginal bleed. Conclusion: IUDs are being accepted in our society. Benefits of use outweigh the risk involved. Health care providers play an effective role in promoting IUD use in society.

Original languageEnglish
Pages (from-to)LC05-LC09
JournalJournal of Clinical and Diagnostic Research
Volume12
Issue number6
DOIs
Publication statusPublished - 01-06-2018

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Intrauterine Devices
Health care
India
Contraceptive Agents
Health
Spouses
Health Personnel
Costs
Consent Forms
Community Health Centers
Maternity Hospitals
Ethics Committees
Private Hospitals
Health Facilities
Tertiary Healthcare
Contraception
Tertiary Care Centers
Cross-Sectional Studies

All Science Journal Classification (ASJC) codes

  • Clinical Biochemistry

Cite this

@article{5663c8c0ae8046568539b7c26d69da26,
title = "Determinants of intrauterine device acceptance among married women in coastal Karnataka, India",
abstract = "Introduction: Intrauterine Devices (IUDs) are the most effective long term, temporary method of contraception which have many benefits such as low cost, minimal side effects, etc. Despite this, IUD use is not prevalent in India; though, the expanding population stresses the dire need for effective contraceptive use. Aim: To determine the reasons for acceptance and use of IUDs among the women and the side effects experienced by them, to utilise this information to further increase the rate of acceptance of IUDs. Materials and Methods: The present cross-sectional study was done in three health care facilities: a Government Maternity Hospital, a private tertiary care hospital and a Community Health Centre (CHC), associated with Kasturba Medical College (KMC), Mangalore, Karnataka, India. Before conducting the study, ethical clearance was obtained from the Institutional Ethics Committee (IEC) of KMC, Mangalore. Participant information sheets and informed consent forms were distributed. We studied 110 married women who had IUDs inserted. Demographic details, source of information, factors motivating IUD use, reasons for use of IUDs and side effects were assessed using a questionnaire. Results: The mean age of the study participants was 26.65±4.0. 77{\%} were Hindus, 99.1{\%} of the participants were literate and 86.4{\%} were housewives. Only 2.7{\%} of the husbands were illiterate and 53.6{\%} were employed in semiskilled professions. Almost 91{\%} of the husbands and 82{\%} of the families were favourable towards the use of contraceptives. For 89{\%} of the participants, the health care provider served as a chief source of information about IUDs. Out of all the participants, 68.2{\%} were using IUDs for child spacing and 29.1{\%} were using it for prevention of pregnancy. Around 36{\%} of the women experienced side effects due to IUD use, out of which 61.5{\%} complained of vaginal bleed. Conclusion: IUDs are being accepted in our society. Benefits of use outweigh the risk involved. Health care providers play an effective role in promoting IUD use in society.",
author = "Avinash Kumar and Alwani, {Anam A.} and B. Unnikrishnan and Rekha Thapar and Prasanna Mithra and Nithin Kumar and Vaman Kulkarni and Ramesh Holla",
year = "2018",
month = "6",
day = "1",
doi = "10.7860/JCDR/2018/34146.11637",
language = "English",
volume = "12",
pages = "LC05--LC09",
journal = "Journal of Clinical and Diagnostic Research",
issn = "2249-782X",
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TY - JOUR

T1 - Determinants of intrauterine device acceptance among married women in coastal Karnataka, India

AU - Kumar, Avinash

AU - Alwani, Anam A.

AU - Unnikrishnan, B.

AU - Thapar, Rekha

AU - Mithra, Prasanna

AU - Kumar, Nithin

AU - Kulkarni, Vaman

AU - Holla, Ramesh

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Introduction: Intrauterine Devices (IUDs) are the most effective long term, temporary method of contraception which have many benefits such as low cost, minimal side effects, etc. Despite this, IUD use is not prevalent in India; though, the expanding population stresses the dire need for effective contraceptive use. Aim: To determine the reasons for acceptance and use of IUDs among the women and the side effects experienced by them, to utilise this information to further increase the rate of acceptance of IUDs. Materials and Methods: The present cross-sectional study was done in three health care facilities: a Government Maternity Hospital, a private tertiary care hospital and a Community Health Centre (CHC), associated with Kasturba Medical College (KMC), Mangalore, Karnataka, India. Before conducting the study, ethical clearance was obtained from the Institutional Ethics Committee (IEC) of KMC, Mangalore. Participant information sheets and informed consent forms were distributed. We studied 110 married women who had IUDs inserted. Demographic details, source of information, factors motivating IUD use, reasons for use of IUDs and side effects were assessed using a questionnaire. Results: The mean age of the study participants was 26.65±4.0. 77% were Hindus, 99.1% of the participants were literate and 86.4% were housewives. Only 2.7% of the husbands were illiterate and 53.6% were employed in semiskilled professions. Almost 91% of the husbands and 82% of the families were favourable towards the use of contraceptives. For 89% of the participants, the health care provider served as a chief source of information about IUDs. Out of all the participants, 68.2% were using IUDs for child spacing and 29.1% were using it for prevention of pregnancy. Around 36% of the women experienced side effects due to IUD use, out of which 61.5% complained of vaginal bleed. Conclusion: IUDs are being accepted in our society. Benefits of use outweigh the risk involved. Health care providers play an effective role in promoting IUD use in society.

AB - Introduction: Intrauterine Devices (IUDs) are the most effective long term, temporary method of contraception which have many benefits such as low cost, minimal side effects, etc. Despite this, IUD use is not prevalent in India; though, the expanding population stresses the dire need for effective contraceptive use. Aim: To determine the reasons for acceptance and use of IUDs among the women and the side effects experienced by them, to utilise this information to further increase the rate of acceptance of IUDs. Materials and Methods: The present cross-sectional study was done in three health care facilities: a Government Maternity Hospital, a private tertiary care hospital and a Community Health Centre (CHC), associated with Kasturba Medical College (KMC), Mangalore, Karnataka, India. Before conducting the study, ethical clearance was obtained from the Institutional Ethics Committee (IEC) of KMC, Mangalore. Participant information sheets and informed consent forms were distributed. We studied 110 married women who had IUDs inserted. Demographic details, source of information, factors motivating IUD use, reasons for use of IUDs and side effects were assessed using a questionnaire. Results: The mean age of the study participants was 26.65±4.0. 77% were Hindus, 99.1% of the participants were literate and 86.4% were housewives. Only 2.7% of the husbands were illiterate and 53.6% were employed in semiskilled professions. Almost 91% of the husbands and 82% of the families were favourable towards the use of contraceptives. For 89% of the participants, the health care provider served as a chief source of information about IUDs. Out of all the participants, 68.2% were using IUDs for child spacing and 29.1% were using it for prevention of pregnancy. Around 36% of the women experienced side effects due to IUD use, out of which 61.5% complained of vaginal bleed. Conclusion: IUDs are being accepted in our society. Benefits of use outweigh the risk involved. Health care providers play an effective role in promoting IUD use in society.

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