{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:25:51Z","timestamp":1787775951789,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Women are highly motivated and receptive to accepting family planning methods during the antenatal period. Hence, we conducted this study to evaluate the refusal rate and reasons for the refusal of postpartum Intrauterine Contraceptive Devices (PPIUCD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>The present cross-sectional study was conducted in the Department of Obstetrics and Gynaecology, at a tertiary Care Centre, on 400 antenatal women from November 2023 for 2 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In present study, 331 (82.8%) subjects were knowing condom as contraceptive, followed by 310 (77.5%) subjects knowing about copper T. 282 (70.5%) subjects were knowing tubectomy, 264 (68.5%) were knowing oral contraceptives, 264 (66%) were knowing vasectomy, 205 (51.2%) were knowing natural methods, 179 (44.8%) were knowing injectable contraceptive, 83 (20.8%) were knowing Saheli, and 27 (6.8%) subjects were not knowing any contraceptive method. In total, 185 (46.5%) subjects knew that Copper T could be inserted immediately after delivery followed by 83 (20.9%) who knew that copper T could be inserted after menses. Sixty-nine (17.3%) knew that copper T could be inserted during a cesarean section. A total of 352 (88%) subjects refused postpartum copper T as a method of contraception. Only 48 (12%) subjects were willing to insert postpartum copper T. After counseling, the rate of acceptance of copper T insertion increased from 48 (12%) to 102 (25.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Knowledge of PPIUCD in the present study was good, but the refusal rate was high. The commonest reason was fear of side effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_131_24","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T09:04:24Z","timestamp":1736759064000},"page":"377-381","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Why women refuse Postpartum IUCD?"],"prefix":"10.4103","volume":"14","author":[{"given":"Jayshree J.","family":"Upadhye","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Gyn and Obs, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smita K.","family":"Parate","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Gyn and Obs, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditi J.","family":"Upadhye","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Upadhye Children Hospital, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasika D.","family":"Zade","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Gyn and Obs, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"R1-20260109","first-page":"432","article-title":"Post placental intrauterine device insertion a five-year experience at a tertiary care center in north India","volume":"136","author":"Shukla","year":"2012","journal-title":"Indian J Med Res"},{"key":"R2-20260109","doi-asserted-by":"crossref","first-page":"5933","DOI":"10.14260\/jemds\/2016\/1340","article-title":"Post-placental insertion of IUCD in a tertiary care center-Acceptance and safety","volume":"5","author":"Nisha","year":"2016","journal-title":"J Evol Med Dent Sci"},{"key":"R4-20260109","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.18203\/2320-1770.ijrcog20190889","article-title":"Study of knowledge, attitude, practices regarding PPIUCD among antenatal women at a tertiary care centre in Northern India","volume":"8","author":"Asnani","year":"2019","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R6-20260109","doi-asserted-by":"crossref","first-page":"3195","DOI":"10.18203\/2320-1770.ijrcog20163011","article-title":"A prospective study to assess the safety and expulsion rate of copper T380A in an immediate post-partum period during cesarean section","volume":"5","author":"Bedi","year":"2016","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R7-20260109","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1055\/s-0041-1725053","article-title":"Postplacental placement of intrauterine devices: Acceptability, reasons for refusal and proposals to increase its use","volume":"43","author":"Kraft","year":"2021","journal-title":"Rev Bras Ginecol Obstet"},{"key":"R8-20260109","first-page":"278","article-title":"Incidence of acceptance and reasons of refusal of PPIUCD in a tertiary care hospital","volume":"14","author":"Ghafoor","year":"2020","journal-title":"PJ M H S"},{"key":"R9-20260109","first-page":"682","article-title":"Awareness of postpartum intrauterine contraceptive device (PPIUCD) and reasons for refusal of the postpartum intrauterine contraceptive device (PPIUCD)","volume":"11","author":"Reshma","year":"2022","journal-title":"Int J Sci Res"},{"key":"R10-20260109","doi-asserted-by":"crossref","DOI":"10.1177\/20503121231157212","article-title":"Immediate postpartum intrauterine contraceptive device use among pregnant women attending antenatal clinics in Jimma town public healthcare facilities, Ethiopia: Intentions and barriers","volume":"11","author":"Terefe","year":"2023","journal-title":"SAGE Open Med"},{"key":"R11-20260109","first-page":"116","article-title":"Present scenario of PPIUCD versus other contraceptive method in large tertiary healthcare centre in Bikaner, Rajasthan\u2014KAP study","volume":"4","author":"Prakash","year":"2021","journal-title":"Pan Asian J Obs Gyn"},{"key":"R12-20260109","first-page":"3623","article-title":"Why women refuse ppiucd? Study of acceptability and complications with postpartum IUCD insertion in a tertiary hospital in North East India","volume":"4","author":"Agarwal","year":"2018","journal-title":"Int J Curr Med Pharm Res"},{"key":"R13-20260109","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.18203\/2320-1770.ijrcog20220911","article-title":"Cross-sectional study on analysis of reasons for refusal of PPIUCD at GIMS, Gadag","volume":"11","author":"Supritha","year":"2022","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R14-20260109","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1007\/s13224-015-0714-9","article-title":"Postpartum intrauterine device refusal in Delhi: Reasons analysed","volume":"68","author":"Nigam","year":"2018","journal-title":"J Obstet Gynaecol India"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_131_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:46:49Z","timestamp":1787773609000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_131_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_131_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-01-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}