A STUDY ON COMPARISON OF ACCEPTANCE AND CONTINUATION OF PPIUCD VERSUS CENTCHROMAN IN POSTNATAL WOMEN

Abstract

Background- Assisting women in maintaining recommended inter-pregnancy intervals is a critical concern for maternal-child health. Centchroman, a non-steroidal selective oestrogen receptor modulator, and postpartum intrauterine contraceptive device (PPIUCD) is commonly used to provide long-term reversible contraception. To have knowledge regarding acceptance and continuation of Centchroman versus PPIUCD among women's of Uttar Pradesh, India this study was carried out. To nd out Objective-1- sociodemographic factors affecting selection for centchroman and PPIUCD among postnatal women's. 2-Compare the side effects and compliance of PPIUCD versus centchroman pills in postnatal women.3- Compare the satisfaction of PPIUCD versus centchroman pills in postnatal women. A Prospective study was conducted in the Department of Obstetrics and Gynaecology, Material and Methods: KGMU, Lucknow. Total of 200 womens were enrolled in the study. They were further divided into two groups, i.e., Group-A consenting for PPIUCD use and Group-B consenting for using Centchroman. These women were followed at intervals of 6 weeks, 3 months, 6 months and one year after delivery and were investigated for their socio demographic variables, side effects, continuation rate and satisfaction from contraceptive used. Conclusion: Acceptance for PPIUCD was found more in less educated , lower socioeconomic class, unemployed, after caeserian section, and residing in rural areas women's. Acceptance for centrchroman was more in educated , middle socioeconomic class, employed, after normal delivery and women's residing in urban area. Continuation rate for centchroman was higher. There was no statistical signicant difference regarding menstrual abnormalities in both groups, menorrhagia was found statistically signicantly higher in centchroman using group, satisfaction and continuation was found higher in PPIUCD using women's .