DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20201003

Study of number of children preferred and knowledge, attitude, practice regarding birth spacing and contraception among primigravida in urban setting

C. G. Raghavendra Vailaya, C. R. Shubha Vailaya

Abstract


Background: Overpopulation is a major problem in 21st century India. 2012 census shows birth rate of 20.97/1000 people and death rate of 7.48/1000 people. Fertility rate in 2019 was 2.28 children per women. Many states implemented 2 child norms. Purpose of study is to understand the number of children preferred.

Methods: A Cross sectional study was done amongst 200 primigravida women who attended antenatal clinic at SMC, Shimoga. A predesigned and pretested standard Questionnaire was used to know the number of children preferred, KAP about birth spacing, contraceptive use and unsafe abortions using objective questions.

Results: Most women preferred 2 child norms across most subclasses. Most Muslims (85.7%) preferred ≥3 children. Though 100% were aware of family planning, only 46% chose to space their next pregnancy. 56.5% were in support of 2-child norm. Family pressure plays crucial role in 83.5% cases and 65.5% still opted sterilization as the first choice for contraception.

Conclusions: India with high population density is staring at demographic disaster due to limited life resources. Right attitude towards birth spacing, contraceptive use, avoidance unwanted pregnancies and unsafe abortions is needed. Better female literacy, societal awareness and good medical facility at last mile is crucial. Male partner’s involvement in every step is vital.


Keywords


Abortion, Contraception, Population growth, Spacing, Total fertility rate

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References


Indian Online Page (2010). India’s Population 2010. Available at: http://www.indiaonlinepage.com/population/india-population.html. Accessed 20 December 2019.

Wikipedia. Demographics of India. Available at: http://en.wikipedia.org/wiki/Demographics_of_India. Accessed on 28 December 2019.

Mortality rate, infant (per 1000 live births). Available at: https://data.worldbank.org/ indicator/ SP.DYN.IMRT.IN?view=map. Accessed 25 December 2019.

Nearly 125 Members of Indian Parliament Back Petition to Introduce A Two Child Policy. Available at: https://www.pop.org/nearly-125-indian-members-0f-parliament-back-petition-to-introduce-a-two-child-policy/PRI. Accessed 5 January 2020.

Supreme Court Seeks Implementation of Two Child Policy. Available at: https://www.news18.com/news/india/population-check-pleas-in-supreme-court-seek-implementation-of-two-child-policy-1667267.html Accessed 25 December 2019.

DESA U. United Nations Department of Economic and Social Affairs/Population Division (2009b): World Population Prospects: The 2008 Revision. Available at: http://esa. un. org/unpp. Accessed 16 September 2010.

Census of India 2011. Available at: http://www.cesus2011.co.in/fertilityrate.php, Accessed 20 December 2019.

Kirk D. Demographic transition theory. Popul Stud. 1996 Nov 1;50(3):361-87.

Pachauri S. Priority strategies for India's family planning programme. Ind J Med Res. 2014 Nov;140(Suppl 1):S137-46.

Family Planning in India. 2019 Available at: http://en.wikipedia.org/ wiki/Family planning in India. Accessed 5 January 2020.

India, Mumbai: IIPS; 2007. International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3). 2005-2006.

Susheela S, Jaqueline D. Adding It Up. Costs and Benefits of Family Planning Services. Guttmatcher Institute: New York; 2012.

Niti Ayog, New Niti New India, available at: http://niti.gov.in/content/sex-ratio-female-1000-males. Accessed 20 December 2019.

Asiimwe JB, Ndugga P, Mushomi J, Ntozi JP. Factors associated with modern contraceptive use among young and older women in Uganda; a comparative analysis. BMC Pub Health. 2014 Dec;14(1):926.

NFHS 4 Latest Factsheet: Available at: https://rchiips.org/nfhs/india.shtml. Accessed 20 Dec 2019.

Two child policy in Indian states. Available at:https://indianexpress.com/ article/india/two-child-policy-in-indian-states-6082879. Accessed 20 Dec 2019.

Printable version Jan29,2020 2:06:42 PM| Available at: https://www.thehindu.com/news/national/ unintended-pregnancy-puts-mother-child-at-risk-who-study-article29816086.ece. Accessed 25 Dec 2019.

World Health Organization. Report of a WHO technical consultation on birth spacing. Department of Reproductive Health and Research. Geneva: World Health Organization; 2005. Available at: http://apps.who.int/iris/bitstream/10665/69855/1/. Accessed 17 July 2017.

Nazli S, Yasemin K, Selcuk A, Mehmet Y, Canan T, Bilge T. Factors Affeecting the Attitudes of Women towards Family Planning. Open access peer-reviewed chapter. 2018:40.

Sharma V, Mohan U, Das V, Awasthi S. Socio demographic determinants and knowledge, attitude, practice: Survey of family planning. J Family Med Prim Care. 2012 Jan;1(1):43.

Dixit P, Ram F, Dwivedi LK. Determinants of unwanted pregnancies in India using matched case-control designs. BMC Pregn Childbirth. 2012 Dec 1;12(1):84.

Mosher WD. Use of contraception and use of family planning services in the United States, 1982-2002. US Depar Health Human Serv, Centers Dis Con Preven, Nati Center Health Statis. 2004;10:1-36.

Nayak AU, Ramakrishnan KJ, Venkateshwar KN, Vijayashree M. Accessing the knowledge, attitude and practice of contraception in rural India: a necessary step in achieving population control. Int J Reprod Contracept Obstet Gynecol. 2017 Jul;26;6(8):3328-31.

Patel A, Pawani C, Patel R. Awareness and acceptance of contraceptive methods among post partem patients. Int J Reprod Contracept Obstet Gynecol. 2016 Jan;5(1):206-9.

Thulaseedharan JV. Contraceptive use and preferences of young married women in Kerala, India. Open Access J XContra. 2018;9:1-10.

Chandna A, Mittal R, Sood A, Sood P. Inter-pregnancy interval and pregnancy outcomes. Inter J Reprod Contra. 2016;5(2):415-8.

Conde-Agudelo A, Rosas-Bermúdez A, Kafury-Goeta AC. Birth spacing and risk of adverse perinatal outcomes: a meta-analysis. Jama. 2006 Apr 19;295(15):1809-23.

Yadav B, Pandey S. Study of knowledge, attitude and practice regarding birth spacing and methods available for spacing in rural Haryana, India. Int J Reprod Contracept Obstet Gynecol. 2018;7:1389-93.

Manika P, Lina B, Aparajitha D. Unplanned Pregnancy Among Married Women: An Exploratory Study in A Rural Area Of Bengal. Int J Com Med And Pub Health. 2017;4(11):134-5.