Knowledge, attitude and practices regarding emergency contraception among married women in Ludhiana, Punjab, India

Shipra Saini, Deepshikha Kamra, Shavinder Singh


Background: An unwanted and unintended pregnancy is a major concern in a women’s life as it has its adverse social and health outcomes. Emergency contraception (EC) is safe and effective method that gives women a second chance to prevent unwanted pregnancy after unprotected intercourse.

Methods: This is a community based cross sectional study done in field practice area under the department of Community Medicine, Christian Medical College, Ludhiana, Punjab. A total of 400 respondents were selected by stratified random sampling from the list of eligible couples residing in the area. The interview was conducted using semi structured questionnaire, after obtaining their informed consent.

Results: The mean age of respondents was 31.44±5.67 years. 68.7% of respondents were using some kind of contraception. Majority (68%) of respondents had heard of emergency contraception and for majority (81.3%) source of information about EC was Media (TV). Out of 272 respondents who had heard of emergency contraception 146 (54.1%) had negative attitude towards emergency contraception and only 30 (8%) had used ECP. Practice of ECP was found to have statistically significant association with employment and history of unwanted pregnancy.

Conclusions: EC has a potential to curb the menace of unintended pregnancy thereby decreasing unsafe abortion and maternal mortality. In spite of reasonable awareness of emergency contraception, as found in present study there is wide gap for its usage. Hence behavioural change strategies should be considered to bring attitudinal change on use of emergency contraception.



Emergency contraceptive pills, Knowledge, Attitude

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Haggai DNP. Emergency contraception: The journey so far. BJOG. 2003;110:339–45.

WHO. Emergency contraception. WHO. 2016.

Blake S, Cody A, Kaur A, Liias N, Lindahl C, Bell E, et al. U. N. Commission on Life Saving Commodities for Women and Children : Country Case Studies Contributors and Acknowledgements. 2012.

Kaushal M, Laxmi Maru AD. Emergency Contraceptive Knowledge, Attitudes and Practices in Women Presenting to Family Planning Outpatient Clinic in Central India. 2014;6:21–4.

Rahman H. Emergency Contraception - A last Chance to Prevent Unintended Pregnancy : What Everyone should know and what Sikkimese knows. 2014;139–52.

Lakkawar NJ, Magon S, Alaganandam P. Assessment of attitude towards use of emergency contraceptives among antenatal women. Int J Reprod Contraception, Obstet Gynecol. 2014;3(4):1067–72.

Mittal S. Emergency contraception ­ Potential for women â€TM s health. 2014;140(Suppl 1):45–52.

Abera H. Knowledge, Attitude, Utilization of Emergency Contraceptive and Associated Factors among Female Students of Debre Markos Higher Institutions, Northwest Ethiopia, 2014. Fam Med Med Sci Res. 2014;3(4):4–11.

Duhan N. The untapped potential of emergency contraception in Table 1 : Sociodemographic characteristics of women in the study Socio Demographic Characteristics of Women. 2012;2(2):239–43.

OpenEpi - Toolkit Shell for Developing New Applications. 2009: 1–2. Available at: papers3://publication/uuid/D1D82709-35D1-4B24-957E-475104C7E873. Accessed on 3 March 2018.

Tilahun D, Assefa T, Belachew T. Knowledge, attitude and practice of emergency contraceptives among adama university female students. Ethiop J Health Sci. 2010;20(3):195–202.

Kose V, Joshi S. Knowledge of emergency contraception among married women of reproductive age in a rural-based teaching hospital of Nagpur, Maharashtra, India. J SAFOG. 2012;4(2):106–9.

Verma A, Singh SV, Gupta VK, Garg S, Meena JK. Attitude, Practice and Need Assessment of Emergency Contraception among Women of Reproductive Age Group in Delhi. J Young Pharm. 2015;7(4):320-7.

International Institute for Population Sciences and Macro International. National Family Health Survey (NFHS-3): Health (San Francisco). 2007;1:56.

Shendge HB, Padhi M, Mishra K. Dynamics of contraceptive use in women attending a tertiary care hospital. Indian J Res Reports Med Sci. 2012;2(4):2–5.

Nigam A, Maheshwari N, Prakash A. Knowledge of emergency contraception and contraceptive practices: representative study from rural uttar Pradesh. Indian J Community Med. 2010;35:449–50.

Dahiya K, Mann S, Nanda S. Women’s Knowledge and Opinions Regarding Emergency Contraception. J SAFOG with DVD. 2012;4:151–4.

Bhaumik A, Mankar M, Relwani N, Anjenaya S, Goel R. Knowledge, Attitude and Practice regarding Emergency Contraception among Engineering College Students of Thane City. Int J Curr Med Appl Sci. 2017;15(1):7-10.

Ibrahim ZM, Ahmed MR, Shaaban MM. Knowledge, attitude and practice of emergency contraception among health care providers in Ismailia, Egypt. Middle East Fertil Soc J. 2013;18(4):246–52.

Rocca CH, Shankar M, Sreevathsa A, Krishnan S. Acceptability and use of emergency contraception among married women in Bangalore, India. Int J Gynaecol Obstet. 2013;121(1):64–8.

Raikar VR, Potdar PA, Potdar AB. Knowledge, attitude and practice regarding emergency contraceptives among married women of urban slum area. 2015;4(4):1008–11.

International Institute for Population Sciences. District Level Household and Facility Survey -4 State Fact Sheet Karnataka. 2014: 1–8.