Determinants of uptake of post-partum intra-uterine contraceptive device among women delivering in a tertiary hospital, Odisha, India

Background: IUCDs are used by only two percent of the contraceptive users in India. There is a need for identifying the factors which influence the uptake of PPIUCD, so as to plan ways for increasing its usage. To determine the uptake and factors influencing the uptake of PPIUCD among the women delivering in a tertiary care hospital of OdishaMethods: This was a case control study conducted at the Obstetrics Department of M.K.C.G Medical College, Berhampur. All those who had agreed for and had undergone PPIUCD insertion were included in cases and those who did not undergo PPIUCD insertion were pooled into controls.Results: 94 cases and 188 controls were recruited. Significantly higher proportions of cases belonged to nuclear families, had one or more male child, did not want any future pregnancies, had heard about it prior to pregnancy and also had received counselling for the same during the antenatal period. The adjusted odds of uptake of PPIUCD in women having at least one male child is 10 (4.3-22.6) times that of mothers with no male children. The most common reasons told by controls for not taking up PPIUCD was disapproval from family members (42.6%), followed by fear of complication (33%) and preference for other methods of contraception (20.2%).Conclusions: In present study, we found that counselling in the antenatal period was a key point in increasing acceptance of post-partum IUCD. Desire for male child also influenced uptake of postpartum IUCD