Aim: To determine the incidence of acceptance and the reasons of refusal of
PPIUCD in antenatal and post natal women .
Study Design:Cross sectional study.
Place & duration of study: The study
was conducted in the department of Obs. &Gynae ,Avicenna Hospital , Lahore
for the period of One year (Jan 2019 to Dec 2019).
Methodology: After approval from the ethical committee of Avicenna
Hospital Lahore, 108eligible pregnant women attending the OPD and labor room
were enrolled in the study. Informed consent was taken. Non-probability
convenience sampling technique was used. Afterwards they were counseled for
PPIUCD and a validated questionnaire including age, parity, educational and
socioeconomic status, awareness of PPIUCD, willingness for PPIUCD insertion and
reasons of refusal was used to collect data. Logistic regression analysis was
used to find out significance of the above-mentioned factors.
Results: The mean age of the woman was 26.7 years
with the standard deviation of 4.4.Only 24 % women were aware of PPIUCD
. Acceptance rate of PPIUCD was 12.96 % and 67.59 % refused PPIUCD , while
19.44 % were convinced but wanted to discuss the family .Prior awareness of
PPIUCD was a strong predictor for acceptance therefore the women who had no
prior knowledge about the method were the most to refuse 69.04 %
. On enquiring husband / Family's disagreement was found to be the most
frequent reason for refusal .( 29.7 % ) .Many of the ladies wanted Permanent
Method for contraception and other were more
concerned regarding the risk of complication . Refusal rate was highest
amongst P0 and Primipara ladies ,64.28 % and 62.50 % respectively .
Conclusion: The awareness about availability of PPIUCD
is quite low because it is recently introduced in the family planning methods.
The acceptance rate of PPIUCD after dedicated counseling is good despite low
awareness. The most frequent reason of refusal is husband and family
disagreement. The acceptance can further be enhanced by dissemination of
information and appropriate counseling in antenatal clinic.
Key words: Awareness, Acceptance, Reasons Of Refusal,