Indian Journal of Obstetrics and Gynecology Research


Barriers for non–acceptance of permanent method of family planning among eligible couples in a Teaching Hospital- A cross sectional study


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Author Details: Sunil Kumar Samal, Setu Rathod, Seetesh Ghose, P. Pallavee

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 161

Article End Page : 165


Abstract

Background: Although, sterilization during postpartum period has many advantages including technical simplicity and completion of two events delivery and sterilization simultaneously thus by saving time and resources, it has not achieved full acceptance.
Aims & Objective: The aim of the study to estimate the numbers of eligible couples who do not accept a permanent method of family planning during postpartum period [Female- Puerperal sterilization and Male- NSV/Vasectomy] and to identify the factors for non-acceptance of a permanent method of family planning
Materials & Methods: This was a cross sectional study conducted from November 2015 to October 2016[one year]. The study was conducted in postnatal ward, department of Obstetrics & Gynaecology. The study subjects include postpartum mothers with their spouse who have completed their families but declined to adopt any method of permanent sterilization (Non-acceptors).
Results: Among the non-acceptors, most common reasons in case of wife were feeling of lack of strength for surgery (59%), fear of not able to do hard work after surgery(51.5%) and fear of lack of people in the home to look after surgery(33.3%). For males, loss of masculinity or libido (66.6%), belief of not able to do hard work after surgery (61.3%) and fear of not having enough strength for surgery (33.3%) were the major barriers for acceptance. In case of Muslim couples (21.2%) religious reason is one of the important causes for non-acceptance. The factor of having at least on male child was a major deciding factor for acceptance of any method of permanent sterilization.
Conclusion: Lower socioeconomic status, ignorance about the procedure due to lack of knowledge, deep-rooted belief of weakness caused due to operation and preference for at least one male child are some of important barriers for acceptance of any permanent family planning method among eligible couples. Awareness, counseling and motivation about family planning methods and clearing the myths about family planning procedures and promotion of small family norm should be followed to help the eligible couples to select any method of permanent family planning.

Keywords:
Contraception, Family planning, Tubectomy, Sterilization