title: Women's experience with postpartum intrauterine contraceptive device use in India.
abstract: BACKGROUND
  Postpartum intrauterine contraceptive devices (PPIUCD) are increasingly included in many national postpartum family planning (PPFP) programs, but satisfaction of women who have adopted PPIUCD and complication rates need further characterization. Our specific aims were to describe women who accepted PPIUCD, their experience and satisfaction with their choice, and complication of expulsion or infection.
  
  
  METHODS
  We studied 2,733 married women, aged 15-49 years, who received PPIUCD in sixteen health facilities, located in eight states and the national capital territory of India, at the time of IUCD insertion and six weeks later. The satisfaction of women who received IUCD during the postpartum period and problems and complications following insertion were assessed using standardized questionnaires.
  
  
  RESULTS
  Mean (SD) age of women accepting PPIUCD was 24 (4) years. Over half of women had parity of one, and nearly one-quarter had no formal schooling. Nearly all women (99.6%) reported that they were satisfied with IUCD at the time of insertion and 92% reported satisfaction at the six-week follow-up visit. The rate of expulsion of IUCD was 3.6% by six weeks of follow-up. There were large variations in rates of problems and complications that were largely attributable to the individual hospitals implementing the study.
  
  
  CONCLUSIONS
  Women who receive PPIUCD show a high level of satisfaction with this choice of contraception, and the rates of expulsion were low enough such that the benefits of contraceptive protection outweigh the potential inconvenience of needing to return for care for that subset of women.
authors.affiliation: Jhpiego, New Delhi, India. somesh.kumar@jhpiego.org.
authors.forename: Somesh
authors.initials: S
authors.lastname: Kumar
authors.forename: Reena
authors.initials: R
authors.lastname: Sethi
authors.forename: Sudharsanam
authors.initials: S
authors.lastname: Balasubramaniam
authors.forename: Elaine
authors.initials: E
authors.lastname: Charurat
authors.forename: Kamlesh
authors.initials: K
authors.lastname: Lalchandani
authors.forename: Richard
authors.initials: R
authors.lastname: Semba
authors.forename: Bulbul
authors.initials: B
authors.lastname: Sood
mesh_terms: D000293:Adolescent; D000328:Adult; D003268:Contraception Behavior / Q000523:psychology*; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007194:India; D007434:Intrauterine Devices / Q000009:adverse effects*; D008393:Marriage; D017060:Patient Satisfaction; D049590:Postpartum Period
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