Authors :
Ashwini Mahadev Shindhe; Pramilamary A. Dugepogu
Volume/Issue :
Volume 11 - 2026, Issue 8 - August
Google Scholar :
https://tinyurl.com/mv92vcru
Scribd :
https://tinyurl.com/49c6eaxf
DOI :
https://doi.org/10.38124/ijisrt/26aug492
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Family planning constitutes an essential component of maternal and child healthcare, as it enables couples to
make informed decisions concerning the number and interval of pregnancies. The Postpartum Intrauterine Contraceptive
Device (PPIUCD) is considered a secure, highly effective, reversible, and long-acting contraceptive option. Nevertheless,
insufficient awareness among antenatal mothers may hinder its acceptance and utilization. The current research was
conducted to evaluate the extent of understanding of PPIUCD among primigravida mothers, assess the efficacy of a
Structured Educational Initiative, and identify the relationship in the interval of post-assessment comprehension and
selected demographic characteristics. A quantitative research methodology employing a pre-experimental, single-group
preliminary assessment and subsequent evaluation framework was utilized. The investigation was carried out among 50
primigravida mothers attending the Obstetrics and Gynaecology Outpatient Department of HSK Hospital and Research
Centre, Bagalkot. Subjects were selected by purposive sampling.. Information was obtained using a structured knowledge
assessment tool comprising socio-demographic details and 30 multiple-choice items related to PPIUCD. After completion
of the pre-test, The Scheduled Instructional Curriculum was delivered, subsequent to a post-assessment thereafter a
period of seven days. The gathered data were analyzed employing both descriptive and inferential statistical methods.
Findings revealed that during the pre-test, 63.3% of primigravida mothers demonstrated moderate knowledge, whereas
36.7% shown insufficient understanding concerning PPIUCD. After implementation of the Planned Teaching Programme,
86% of participants achieved an excellent level of knowledge and 14% demonstrated good knowledge. The mean
knowledge score enhanced from 15.6 ± 3.14 (50.5%) prior to the intervention to 26.28 ± 1.90 (87.6%) following the
intervention. The obtained paired t value of 20.4 was substantially greater than the critical value of 1.96, demonstrating
that the Planned Teaching Programme produced a statistically significant improvement in knowledge. Furthermore, no A
statistically significant correlation was discovered between post-test knowledge and the selected socio-demographic
characteristics. The study therefore established that primigravida mothers possessed limited knowledge concerning
PPIUCD prior to the educational intervention. The Proposed Instructional Plan was discovered. to be highly effective in
enhancing their understanding of family planning and PPIUCD. Structured educational strategies may therefore be
incorporated to strengthen awareness, encourage acceptance, and improve the utilization of PPIUCD among antenatal
mothers.
Keywords :
PPIUCD, Primigravida Mothers, Family Planning, Planned Teaching Programme, Knowledge, Contraception
References :
- Pillitteri A. Maternal and child health nursing. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2018.
- Park K. Park's textbook of preventive and social medicine. 27th ed. Jabalpur: Banarsidas Bhanot Publishers; 2023.
- World Health Organization. Report of a WHO technical consultation on birth spacing. Geneva: World Health Organization; 2007.
- World Health Organization. Family planning: a global handbook for providers. Geneva: World Health Organization; 2022.
- United Nations Population Fund. State of world population report 2023. New York: UNFPA; 2023.
- Hatcher RA, Nelson AL, Trussell J, Cwiak C, Cason P, Policar M, et al. Contraceptive technology. 22nd ed. New York: Ardent Media; 2024.
- Lowdermilk DL, Perry SE, Cashion K, Alden KR. Maternity nursing. 12th ed. St. Louis: Elsevier; 2022.
- Dutta DC. Textbook of obstetrics. 10th ed. New Delhi: Jaypee Brothers Medical Publishers; 2022.
- Sharma S. Essentials of family planning. New Delhi: CBS Publishers and Distributors; 2021.
- World Health Organization. Medical eligibility criteria for contraceptive use. 5th ed. Geneva: World Health Organization; 2015.
- Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Williams obstetrics. 27th ed. New York: McGraw-Hill Education; 2023.
- Johns Hopkins Bloomberg School of Public Health. Family planning handbook. Baltimore: Johns Hopkins University; 2022.
- Hubacher D, Reyes V, Lillo S, Zepeda A, Chen PL, Croxatto H. Mechanisms of action of intrauterine devices. Contraception. 2018;98(2):89-95.
- Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, et al. Effectiveness of long-acting reversible contraception. N Engl J Med. 2012;366(21):1998-2007.
- Cwiak C, Cordes S. Postpartum intrauterine device placement. Clin Obstet Gynecol. 2014;57(4):766-76.
- Sharma R, Gupta S. Knowledge and attitude regarding intrauterine devices among antenatal women. Int J Reprod Contracept Obstet Gynecol. 2021;10(3):1025-30.
- Cleland J, Ali MM, Shah IH. Dynamics of contraceptive use. Lancet. 2017;390(10102):123-35.
- Ministry of Health and Family Welfare. National family planning programme. New Delhi: Government of India; 2023.
- World Health Organization. Contraception and family planning fact sheet. Geneva: World Health Organization; 2024.
- Glasier A, Gülmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: a matter of life and death. Lancet. 2006;368(9547):1595-607.
Family planning constitutes an essential component of maternal and child healthcare, as it enables couples to
make informed decisions concerning the number and interval of pregnancies. The Postpartum Intrauterine Contraceptive
Device (PPIUCD) is considered a secure, highly effective, reversible, and long-acting contraceptive option. Nevertheless,
insufficient awareness among antenatal mothers may hinder its acceptance and utilization. The current research was
conducted to evaluate the extent of understanding of PPIUCD among primigravida mothers, assess the efficacy of a
Structured Educational Initiative, and identify the relationship in the interval of post-assessment comprehension and
selected demographic characteristics. A quantitative research methodology employing a pre-experimental, single-group
preliminary assessment and subsequent evaluation framework was utilized. The investigation was carried out among 50
primigravida mothers attending the Obstetrics and Gynaecology Outpatient Department of HSK Hospital and Research
Centre, Bagalkot. Subjects were selected by purposive sampling.. Information was obtained using a structured knowledge
assessment tool comprising socio-demographic details and 30 multiple-choice items related to PPIUCD. After completion
of the pre-test, The Scheduled Instructional Curriculum was delivered, subsequent to a post-assessment thereafter a
period of seven days. The gathered data were analyzed employing both descriptive and inferential statistical methods.
Findings revealed that during the pre-test, 63.3% of primigravida mothers demonstrated moderate knowledge, whereas
36.7% shown insufficient understanding concerning PPIUCD. After implementation of the Planned Teaching Programme,
86% of participants achieved an excellent level of knowledge and 14% demonstrated good knowledge. The mean
knowledge score enhanced from 15.6 ± 3.14 (50.5%) prior to the intervention to 26.28 ± 1.90 (87.6%) following the
intervention. The obtained paired t value of 20.4 was substantially greater than the critical value of 1.96, demonstrating
that the Planned Teaching Programme produced a statistically significant improvement in knowledge. Furthermore, no A
statistically significant correlation was discovered between post-test knowledge and the selected socio-demographic
characteristics. The study therefore established that primigravida mothers possessed limited knowledge concerning
PPIUCD prior to the educational intervention. The Proposed Instructional Plan was discovered. to be highly effective in
enhancing their understanding of family planning and PPIUCD. Structured educational strategies may therefore be
incorporated to strengthen awareness, encourage acceptance, and improve the utilization of PPIUCD among antenatal
mothers.
Keywords :
PPIUCD, Primigravida Mothers, Family Planning, Planned Teaching Programme, Knowledge, Contraception