Assessment of the Effect of Combined Antenatal and Postnatal Counselling on Postpartum Modern Contraceptive Use

Combined Antenatal and Postnatal Counselling

  • K Shwetha Assistant Professor, Department of OBG, Subbaiah Institute of Medical Sciences, Shivamogga, Karnataka, India
  • B G Sowmya Assistant Professor, Department of OBG, Subbaiah Institute of Medical Sciences, Shivamogga, Karnataka, India
Keywords: Antenatal Care, Family Planning, Prenatal

Abstract

Background: Postpartum contraception is one of the means to prevent rapid repeat pregnancies to ensure good health outcomes in both mother and baby. The present study was conducted to assess the effect of combined antenatal and postnatal counseling on postpartum modern contraceptive use. Subjects and Methods: 124 pregnant women at more than 24 weeks of gestation were divided into 2 groups. Group I (only prenatal education group). Women in Group II were given additional contraceptive education at six weeks after hospital discharge (both antenatal and postnatal education). Results: Contraceptive methods used before pregnancy were modern seen in 42% and 48%, traditional in 30% and 32% and no method in 28% and 20%in group I and II respectively. After pregnancy was modern seen in 48% and 60%, traditional in 45% and 38% and no method in 7% and 2%in group I and II respectively. The difference was non-significant (> 0.05). Conclusion: Authors found that family planning education should be provided to all pregnant women during antenatal care. There was no improvement in methods of contraception in both groups even after pregnancy.

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References

Moore Z, Pfitzer A, Gubin R, Charurat E, Elliott L, Croft

T. Missed opportunities for family planning: an analysis of pregnancy risk and contraceptive method use among postpartum women in 21 low- and middle-income countries. Contraception. 2015;92(1):31–39. Available from: https://dx.doi.org/10.1016/j.contraception.2015.03.007.

Blencowe H, Cousens S, Jassir FB, Say L, Chou D, Mathers C, et al. National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Global Health. 2016;4(2):98–108. Available from: https://dx.doi.org/10.1016/s2214-109x(15)00275-2.

Collumbien M, Gerressu M, J C. Non-use and use of ineffective methods of contraception. M E, A L, R A, C M, editors; 2004.

Winikoff B, Mensch B. Rethinking postpartum family planning. Stud Fam Plan. 2015;22:294–307.

Glazer AB, Wolf A, Gorby N. Postpartum contraception: needs vs. reality. Contraception. 2011;83(3):238–241. Available from: https://dx.doi.org/10.1016/j.contraception.2010.07.002.

Ali AA, Okuda A. Factors affecting unmet need for family planning in Eastern Sudan. BMC Pub Health. 2013;13:102. Available from: https://doi.org/10.1186/1471-2458-13-102.

Taylor EM, Hayman R, Crawford F, Jeffery P, Smith J. The Impact of Official Development Aid on Maternal and Reproductive Health Outcomes: A Systematic Review. PLoS ONE. 2013;8(2):56271. Available from: https://dx.doi.org/10.1371/journal.pone.0056271.

Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished agenda. Lancet. 2006;368(9549):1810–1827. Available from: https://dx.doi.org/10.1016/s0140-6736(06)69480-4.

Darroch JE, Singh S, Nadeau J. Contraception: an investment in lives, health and development. Issues Brief (Alan Guttmacher Inst). 2008;(5):1–4.

Kulczycki A. Husband-Wife Agreement, Power Relations and Contraceptive Use in Turkey. Int Fam Plan Perspect. 2008;34(03):127–137. Available from: https://dx.doi.org/10.1363/3412708.

Vural F, Vural B, Cakiroglu Y. The effect of combined antenatal and postnatal counselling on postpartum modern contraceptive use: prospective case-control study in Kocaeli. J Clin Diagn. 2016;10(4):4–7. Available from: https://dx.doi.org/10.7860/JCDR/2016/16931.7641.

Tran NT, Seuc A, Tshikaya B, Mutuale M, Landoulsi S, Kini B, et al. Effectiveness of post-partum family planning interventions on contraceptive use and method mix at 1 year after childbirth in Kinshasa, DR Congo (Yam Daabo): a single- blind, cluster-randomised controlled trial. Lancet Global Health. 2020;8:399–410. Available from: https://dx.doi.org/10.1016/s2214-109x(19)30546-7.

Published
2020-12-30
How to Cite
K Shwetha, & B G Sowmya. (2020). Assessment of the Effect of Combined Antenatal and Postnatal Counselling on Postpartum Modern Contraceptive Use. Asian Journal of Medical Research, 9(4), 11-14. Retrieved from http://aijournals.com/index.php/ajmr/article/view/1877
Section
Obstetrics & Gynaecology