DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20183457

Assessment of knowledge and attitude towards emergency contraception among postnatal mothers in Bruhat Bengaluru Mahanagara Palike referral hospital

Ramegowda Chethana, Puttaiah Thejaswini

Abstract


Background: Unintended pregnancy is an important public health issue in developing countries like India. Emergency contraception (EC) is one of the method for preventing such pregnancies. Awareness regarding EC is necessary for postnatal mothers since delay in contraceptive use during postpartum period until return of menstruation might subject them to risk of unintended pregnancy. Hence, the present study was undertaken.

Methods: The study was conducted at Bruhat Bengaluru Mahanagara Palike (BBMP) referral hospital, Bengaluru from March 2016 to May 2016. A total of 100 postnatal mothers, were included in the study. A pre-tested semi-structured proforma was administered and information about socio-demographic profile, knowledge and attitude towards use of emergency contraception was obtained.

Results: Among the study subjects, 28% were aware of emergency contraception, friends (57%) were the major source of information about EC. Overall knowledge regarding methods, time limit and dosage was low. There was a significant association between the educational level (p=0.01) and previous planned delivery (p<0.001) with awareness about EC. 51.4% had favourable attitude towards its use as an additional contraception whenever necessary.

Conclusions: There is lack of knowledge and unfavourable attitude towards EC among post natal mothers.The factors such as education and previous planned deliveries had significant association with the awareness about EC. Hence health education regarding emergency contraception is necessary.

 


Keywords


Emergency contraception, Unintended pregnancy, Postnatal women, Knowledge, Attitude

Full Text:

PDF

References


Marston C, Cleland JC. Do unintended pregnancies carried to term lead to adverse outcomes for mother and child? An assessment in five developing countries. Population Studies. 2003;57:77–93.

Gipson JD, Koenig MA, Hindin MJ. The effects of unintended pregnancy on infant, child and parental health: A review of the literature. Studies in Family Planning. 2008;39:18-38.

Takkar, Goel P, Saha PK, Dua D. Contraceptive practices and awareness of emergency contraception in educated working women. Indian J Med Sci. 2005;59(4):143-9.

Laurie Barclay. CDC updates guidelines for postpartum contraceptive use. Medscape, 2011. Available at: http://www.medscape.com/viewarticle/ 746177. Accessed on 6 May 2016.

Vernon R. Meeting the family planning needs of postpartum women. Stud Family Planning. 2009;40(3):235-45.

International Institute for Population Sciences (IIPS).The third national family health survey (NFHS-3), India, 2005-06. Int Insti Popul Sci Mumbai.2007;2:1-168.

Ali SA, Ali SA. Unmet need for contraception and unintended pregnancies among women of reproductive age group: a situation analysis. Elective Med J. 2014;2(3):259-65.

Trussell J. The cost of unintended pregnancy in the United States. Contraception. 2007;75:168–70.

Kamal M, Islam A. Prevalence and socioeconomic correlates of unintended pregnancy among women in rural Bangladesh. Salud Publica Mex. 2011;53(2):108-15.

Adhikari R, Soonthorndhada K, Prasartkul P. Correlates of unintended pregnancy among currently pregnant married women in Nepal. BMC Int Health Hum Rights. 2009;9:17.

Singh S, Cavigon JV, Hossain A, et al. Estimating the level of abortion in the Philippines and Bangladesh. Int Fam Plann Perspect. 1997;23:100–7.

Jackson R, Schwarz EB, Freedman L, Darney P. Knowledge and willingness to use emergency contraception among low-income post-partum women. Contraception. 2000;61:351-7.

Lakshmidevi M, Venkatesh S, Saxena RK, Pandey P. Knowledge, experience and opinion on emergency contraception among urban educated women. J Evol Med Dent Sci. 2014;34(3):9039-45.

Dahiya K, Mann S, Nanda S. Women’s Knowledge and Opinions regarding Emergency Contraception. J South Asian Federation Obstetrics Gynaecol. 2012;4(3):151-4.

Srivastav A, Khan MS, Chauhan CR. Knowledge, Attitude and Practices about Contraceptive among Married Reproductive Females. Int J Scientific Study. 2014;1(5):2-4.

Nath J, FarzanaIslam. A Study on the Knowledge, Attitude and Practice about Contraception in Postpartum Women of North India. International J Sci Res. 2015;4(12):465-8.

Thapa S, Rani A, Mishra CP. Knowledge, attitude and belief about contraception in post-partum and post abortal women in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2014;3(3):533-9.

Mishra VK, Retherford RD, Nair PS, Feeney G. Reasons for discontinuing and not intending to use contraception in India. National Family Health Survey Subject Report No 13. Mumbai, India: International Institute for Population Sciences and USA, Hawaii, Honolulu: East-West Center, Population and Health Studies; 1999: 36.

Singh V, Thakur P, Nayak PK, Agrawal S. Knowledge attitude and practice (KAP) of emergency contraceptive pills among women of reproductive age group attending AIIMS OPD Raipur (C.G). Int J Adv Med. 2014;1:105-12.

Arora P, Bajpai RC, Srivastava R. Emergency Contraception: A Study to Assess Knowledge, Attitude and Practices among Female College Students in Delhi. Natl J Community Med. 2013;4(2):282-5.

Rahaman H, Renjhen P, Kumar A. A study on emergency contraceptive practice among nursing staff in Sikkim, India-A cross sectional study. Australian Med J. 2010;3(10):667-71.

Relwani N, Saoji A, Kasturwar NB, Nayse J, Junaid M, Dhatrak P. Emergency Contraception: Exploring the knowledge, attitude and practices of engineering college girls in Nagpur district of central India. National J Community Med. 2012;3(1):14-9.