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Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol

BACKGROUND: Postpartum family planning (PPFP) helps women space childbirths, increase exclusive breastfeeding and prevent unintended pregnancies, leading to reduction in maternal, infant and child morbidities and mortality. Unmet need of family planning is highest among women in the postpartum perio...

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Autores principales: Roy, Nivedita, Adhikary, Priyanka, Kabra, Rita, Kiarie, James, Mburu, Gitau, Dhabhai, Neeta, Chowdhury, Ranadip, Mazumder, Sarmila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662907/
https://www.ncbi.nlm.nih.gov/pubmed/34893054
http://dx.doi.org/10.1186/s12884-021-04294-3
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author Roy, Nivedita
Adhikary, Priyanka
Kabra, Rita
Kiarie, James
Mburu, Gitau
Dhabhai, Neeta
Chowdhury, Ranadip
Mazumder, Sarmila
author_facet Roy, Nivedita
Adhikary, Priyanka
Kabra, Rita
Kiarie, James
Mburu, Gitau
Dhabhai, Neeta
Chowdhury, Ranadip
Mazumder, Sarmila
author_sort Roy, Nivedita
collection PubMed
description BACKGROUND: Postpartum family planning (PPFP) helps women space childbirths, increase exclusive breastfeeding and prevent unintended pregnancies, leading to reduction in maternal, infant and child morbidities and mortality. Unmet need of family planning is highest among women in the postpartum period due to lack of knowledge, cultural and religious barriers, access barriers and low antenatal care service utilization. However, in spite of low prevalence of postpartum family planning practices, birth-to-birth interval is reportedly high in Delhi, India. This study explores the postpartum contraception practices and the relationship between use of postpartum contraception and subsequent child linear growth. METHODS: This is a mixed method cohort study on PPFP and is nested within an ongoing “Women and Infants Integrated Interventions for Growth Study” (WINGS). Married women aged 18–30 years who have delivered a live baby are recruited for quantitative interviews at 6 weeks, 6, 12, and 24 months postpartum. In-depth interviews are conducted with a randomly selected sub-sample of women at each of the four time points, 35 husbands and 20 local service providers to understand their perspectives on PPFP practices. DISCUSSION: The findings from the study will provide useful insights into couples’ contraception preferences and choice of contraception, modern and traditional, initiation time and the effect of birth spacing and contraception use on subsequent linear growth of the child. This knowledge will be of significant public health relevance and will help in designing appropriate interventions for appropriate postpartum contraception use and delivery strategies. The study aims to work address the Sexual and Reproductive Health and Rights goal of promoting reproductive health, voluntary and safe sexual and reproductive choices for women. TRIAL REGISTRATION: Trial registration number: CTRI/2020/03/023954. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-04294-3.
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spelling pubmed-86629072021-12-13 Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol Roy, Nivedita Adhikary, Priyanka Kabra, Rita Kiarie, James Mburu, Gitau Dhabhai, Neeta Chowdhury, Ranadip Mazumder, Sarmila BMC Pregnancy Childbirth Study Protocol BACKGROUND: Postpartum family planning (PPFP) helps women space childbirths, increase exclusive breastfeeding and prevent unintended pregnancies, leading to reduction in maternal, infant and child morbidities and mortality. Unmet need of family planning is highest among women in the postpartum period due to lack of knowledge, cultural and religious barriers, access barriers and low antenatal care service utilization. However, in spite of low prevalence of postpartum family planning practices, birth-to-birth interval is reportedly high in Delhi, India. This study explores the postpartum contraception practices and the relationship between use of postpartum contraception and subsequent child linear growth. METHODS: This is a mixed method cohort study on PPFP and is nested within an ongoing “Women and Infants Integrated Interventions for Growth Study” (WINGS). Married women aged 18–30 years who have delivered a live baby are recruited for quantitative interviews at 6 weeks, 6, 12, and 24 months postpartum. In-depth interviews are conducted with a randomly selected sub-sample of women at each of the four time points, 35 husbands and 20 local service providers to understand their perspectives on PPFP practices. DISCUSSION: The findings from the study will provide useful insights into couples’ contraception preferences and choice of contraception, modern and traditional, initiation time and the effect of birth spacing and contraception use on subsequent linear growth of the child. This knowledge will be of significant public health relevance and will help in designing appropriate interventions for appropriate postpartum contraception use and delivery strategies. The study aims to work address the Sexual and Reproductive Health and Rights goal of promoting reproductive health, voluntary and safe sexual and reproductive choices for women. TRIAL REGISTRATION: Trial registration number: CTRI/2020/03/023954. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-04294-3. BioMed Central 2021-12-10 /pmc/articles/PMC8662907/ /pubmed/34893054 http://dx.doi.org/10.1186/s12884-021-04294-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Roy, Nivedita
Adhikary, Priyanka
Kabra, Rita
Kiarie, James
Mburu, Gitau
Dhabhai, Neeta
Chowdhury, Ranadip
Mazumder, Sarmila
Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol
title Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol
title_full Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol
title_fullStr Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol
title_full_unstemmed Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol
title_short Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol
title_sort postpartum contraceptive practices among urban and peri-urban women in north india: a mixed-methods cohort study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662907/
https://www.ncbi.nlm.nih.gov/pubmed/34893054
http://dx.doi.org/10.1186/s12884-021-04294-3
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