Results
A total of 2,733 women were enrolled in the study after
receiving a PPIUCD prior to discharge, and 1,730 women
(63.3%) were interviewed at the six-week follow-up visit.
Table 1 shows the demographic characteristics of study
participants; women that received a PPIUCD in selected
health facilities and were interviewed upon exit. Results
showed that study participants were an average (SD) age
of 24 (4) years, some (about one-quarter) had no formal
education, and around half had one living child. Just over
half (54%) of the interviewed women responded that they
wanted more children. More than half of the participants
were from Uttar Pradesh and Madhya Pradesh states, as
expected from sample estimations.
The period during which women received counseling
and other factors related to decision making are shown in
Table 2. More than half of the women received PPFP counseling
during antenatal care visits. About two-thirds of
women had not previously used family planning methods
in the past. While more than half of the women based their
decision to use a PPIUCD based on discussing with multiple
individuals, more than 70% of the women choosing to
use a PPIUCD as a contraceptive method received PPFP
counseling by a dedicated counselor at the facilities, and
many stated they made the own decision to use a PPIUCD
before delivery, either during antenatal care or before delivery.
Nearly all women were satisfied at the time of interview
about their decision to have a PPIUCD inserted.
Amongst study participants, 54% had heard of IUCDs before
they received PPFP counseling, and of this group, only
7% of those who had heard of IUCDs before had used an
IUCD before.
The timing of PPIUCD insertion and perceptions of pain
are shown in Table 3. About half of the IUCDs were postplacental
insertions and nearly one-third were inserted
during C-section. About three-quarters of women reported
no pain at all during or after insertion. Only a small proportion
of women (1-2%) reported that the insertion was
painful or very painful during or after insertion. At sixweek
follow-up interview, the complications of expulsion
or infection associated with IUCD use are shown in Table 4