title: Acceptance rate, probability of follow-up, and expulsion of postpartum intrauterine contraceptive device offered at two primary health centers, North India.
abstract: BACKGROUND
  Acceptance rate of postpartum intrauterine contraceptive device (PPIUCD) offered through a public health approach is unknown. Our aim was to describe the acceptance rate, expulsion, and follow-up and factors associated with it when PPIUCD was offered to women delivering at two primary health centers (PHCs).
  
  
  METHODS
  We analyzed routine health data of deliveries at two PHCs in district Faridabad, India between May and December 2014, having sociodemographic variables, obstetric history, and during the follow-up check-up at 6-weeks postpartum forin situstatus of intrauterine contraceptive device, side effects, and complications.
  
  
  RESULTS
  The overall acceptance rate among those eligible for PPIUCD was 39% (95% confidence interval [CI]: 35.1-42.9). Independent predictor of acceptance was a monthly family income of <USD75$ (odds ratio [O.R.]: 2.29, 95% CI: 1.58-3.31). The expulsion rate, and removal rate at 6 weeks postpartum was 18.0% and 13.0%, respectively. Expulsion by 6 weeks was associated with, age >25 years (O.R.: 2.21, 95% CI: 1.03-4.73), gravida ≥4 (O.R.: 4.01, 95% CI: 1.28-12.56), and a living previous-child (O.R.: 1.51, 95% CI: 1.04-2.19).
  
  
  CONCLUSIONS
  Acceptance rate of PPIUCD was higher than that reported in literature. Women from lower income family, having at least one living child, and having attended antenatal care clinic were more likely to accept PPIUCD.
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India; Comprehensive Rural Health Services Project, Ballabgarh HDSS, Faridabad, Haryana, India.
authors.forename: Shashi
authors.initials: S
authors.lastname: Kant
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: S
authors.initials: S
authors.lastname: Archana
authors.affiliation: Department of Community and Family Medicine, AIIMS, Bhubaneswar, Odisha, India.
authors.forename: Arvind Kumar
authors.initials: AK
authors.lastname: Singh
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Farhad
authors.initials: F
authors.lastname: Ahamed
authors.affiliation: Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India; Comprehensive Rural Health Services Project, Ballabgarh HDSS, Faridabad, Haryana, India.
authors.forename: Partha
authors.initials: P
authors.lastname: Haldar
keywords: Acceptance; India; expulsion; postpartum intrauterine contraceptive device; primary care; rural