Publication

Abstract : In our country, the unintended pregnancies resulting from nonuse of contraception in postpartum period have been reported as high as 86%. The postpartum intrauterine contraceptive devices (PPIUCD) is a long-acting, reversible method of contraception that can be used safely and effectively in the immediate postpartum period. The aim is to evaluate the impact of counseling through pre-made video on knowledge, attitude and practice of PPIUCD. Materials and Methods: Group A antenatal women, 36 weeks or more, motivated for postpartum IUCD insertion via premade video on 1:1 basis. Group B antenatal women, 36 weeks or more, motivated for postpartum IUCD insertion via personal counseling. This pilot study was conducted between November 2021 and July 2022 and 50 eligible women were recruited in each arm through random allocation. A validated self- structured questionnaire was used to assess knowledge of the participants. Attitude and acceptance rate was noted. Chi square test was used for analysis and p value <0.05 was considered statistically significant. Result: The pre-counseling knowledge scores of group A and group B were 1.200 ± 0.926 and 1.180± 0.941 respectively (P =0.915). The post-counseling knowledge scores of personal counseling and video method were improved to 3.74 ± 2.57 and 3.48 ± 2.053 respectively (p value = 0.578). The two groups did not differ with respect to attitude towards PPIUCD (p=0.115). 52% participants (n=26) underwent PPIUCD insertion in each arm(p=1.00). Conclusion: Pre made video is an effective tool to improve knowledge, attitude and practice of postpartum intrauterine contraceptive devices and may be utilized in hospitals with huge obstetrics burden. However, larger studies with sufficient power are warranted to draw definite conclusion