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Acceptance of postpartum intrauterine contraceptive device among women attending antenatal care in a low‐resource setting in Nigeria
Author(s) -
Ezugwu Euzebus C.,
Achara John I.,
Ezugwu Onyinye C.,
Ezegwui Hyginus U.
Publication year - 2020
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13027
Subject(s) - medicine , polyclinic , family medicine , interview , health care , obstetrics , gynecology , political science , law , economics , economic growth
Objective To assess the level of awareness, acceptance, and any identifiable barriers to the use of postpartum intrauterine devices ( PPIUD s) among pregnant women receiving care in a low‐resource setting in Nigeria. Methods A pretested interviewer‐administered questionnaire was used to obtain relevant data from all consenting pregnant women receiving antenatal care at Polyclinic and Uwani health center in the city of Enugu from January 1 to March 31, 2018. Data were entered and analyzed using Epi Info statistical software. P <0.05 was considered statistically significant. Results About two‐thirds (65.6%) of the 620 respondents were unaware of PPIUD s. After counseling, about one‐third (36.8%, n=228/620) of the respondents accepted having an immediate PPIUD , while the majority (63.2%, n=392/620) declined. The identified barriers towards accepting immediate PPIUD s were fear of side effects (57.9%), religious reasons (20.7%), and preference for other contraceptive methods. None of the respondents had ever inserted a PPIUD previously. Conclusion The low level of acceptance of PPIUD s in the study appears to be a reflection of the low level of awareness of PPIUD s in the region. Efforts in creating awareness and health education to dispel the myths and misconceptions about PPIUD s are required in order to promote its uptake in the region.