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. 2017 Jan-Mar;6(1):21-24.
doi: 10.4103/2249-4863.214991.

Contraceptive behavior of couples undergoing sterilization in an Eastern State of India

Venkatarao Epari  1 , Lipilekha Patnaik  1 , Deepa Prasad  2 , Trilochan Sahu  1 , Arunkiran Soodireddy  1 , Arabinda Acharya  2
Affiliations

Contraceptive behavior of couples undergoing sterilization in an Eastern State of India

Venkatarao Epari et al. J Family Med Prim Care. 2017 Jan-Mar.

Abstract

Background: As a part of a larger study for evaluating the effectiveness of a community-based family welfare program, this study assessed the contraceptive behavior of couples preceding sterilization and termination of pregnancies, if any during the interim period.

Methods: During May-June 2013, a cross-sectional study was undertaken in three districts of Odisha, an eastern state of India with poor maternal health indicators. Using a 15 × 14 cluster design with probability proportionate to size sampling 15 village clusters from each district were selected. Seven beneficiaries from the catchment area of two Accredited Social Health Activist of the selected villages were interviewed (14 respondents from each village) using a pretested predesigned questionnaire.

Results: A total of 630 clients with either of the partner having undergone sterilization were interviewed. Male partner having undergone vasectomy was < 1% (n = 3). The mean age (standard error mean [SEM]) of the respondent women was 34.54 ± 0.26 years. The mean age of the women at the time of sterilization was 27.12 (standard deviation [SD], 3.8, SEM 0.15 and median 26.83 years) years. Women as young as 22 years had undergone sterilization. Average family size was 2.81 with about 29 respondents (4.5%) having 5 or more children. The average duration between the last childbirth (LCB) to the date of sterilization was 18.37 months (range: 1-142 months, SD: 24 months, SE: 10 months). Seventy-two percent of the respondents did not use any method of contraception during this period. Methods adopted for contraception among the users was pill (20%) followed by condom (7%), and intrauterine contraceptive device (IUCD) was least used (0.2%). Ten percent of the women had undergone abortion before sterilization either once (7.9%) or more than once (2.1%).

Conclusion: There was a gross delay in sterilization after LCB. Postpartum sterilization or IUCD were also not used frequently.

Keywords: Birth control; contraception; contraceptive usage; fertility; tubectomy.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. WHO, UNICEF, UNFPA. The World Bank and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2013. 2014
    1. UNFPA, Joint Press Release. Maternal Mortality Declining in Middle-Income Countries; Women Still Die in Pregnancy and Childbirth in Low-income Countries. 2007. [Last accessed on 2014 Jan 10]. Available from: https://www.unfpa.org/public/News/pid/332 .
    1. Hunt P. Report of the Special Rapporteur on the Right of Everyone to the Enjoyment of the Highest Attainable Standard of Health. 2008. Jul, [Last accessed on 2014 Jun 16]. p. 20. Available from: https://www.righttomaternalhealth.org/sites/iimmhr.civicactions.net/file... .
    1. SRS 2012. Office of Registrar General and Census Commissioner, India, Sample Registration System Report, 2012, Ministry of Home Affairs, Government of India, New Delhi, India. 2012
    1. NFHS – III, Ministry of Health and Family Welfare, Government of India (2005-06), National Family Health Survey-III, International Institute for Population Sciences, Mumbai, India. 2005-06