Empowering Antenatal Mothers How Prenatal Counselling Improves Acceptance of Post Placental IUDs

Introduction

Access to reliable contraception during the postpartum period is a key factor in improving maternal and child health. Despite the availability of effective methods like the Post-Placental Intrauterine Contraceptive Device (PPIUCD), many mothers remain unaware or hesitant to adopt them. A recent study by Shanthini et al. shines a light on how prenatal intensive counselling can bridge this gap by enhancing mothers’ knowledge, attitude, and acceptance of PPIUCDs.

How Prenatal Counselling Transforms Awareness

The study conducted at a hospital in Puducherry, India, involved 70 antenatal mothers and used a pre-test/post-test research design. Before the intervention:

  • Most mothers lacked adequate knowledge about PPIUCD.
  • Acceptance was low due to myths, fear of side effects, and lack of education.

After intensive counselling, the post-test results showed a statistically significant increase in all three parameters:

  • Knowledge scores rose from 9.98 to 14.91.
  • Attitude scores improved from 34.67 to 44.27.
  • Acceptance rates increased from 11% to 29%.

The Role of Effective Prenatal Intervention

Prenatal intensive counselling sessions were carefully designed to:

  • Dispel myths about intrauterine devices.
  • Explain the benefits and side effects transparently.
  • Emphasize how PPIUCD insertion on the delivery table avoids additional clinical procedures.

This approach empowered mothers to make informed choices. The study also found that decision-making dynamics within familiesespecially involvement from spouses or mothers-in-law strongly influenced acceptance rates.

Practical Implications for Healthcare Providers

Healthcare professionals, especially midwives and obstetricians, can use the insights from this study to:

  • Integrate structured counselling into routine antenatal care.
  • Address misconceptions proactively.
  • Foster a supportive environment for informed decision-making.

Further Reading and Resources

  • Counselling is most effective when done during the third trimester.
  • Health personnel remain the most trusted source of information on PPIUCD.
  • Family planning awareness must include all decision-makers within the household.

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