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.
Visit https://www.obstetricgynecoljournal.com for more groundbreaking research in this field.
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%.
A detailed analysis can be found in the main journal article.
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.
The American College of Obstetricians and Gynecologists (ACOG) supports such educational initiatives, emphasizing that comprehensive contraceptive counselling during antenatal visits enhances postpartum family planning outcomes.
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.
Additionally, leveraging peer-reviewed insights from resources like our Sister Journal on Prenatal Health can help reinforce clinical practices.
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.
You can access the full study via https://doi.org/10.29328/journal.cjog.1001044
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