Family Planning Training

Intra Uterine Contraceptive Device (IUCD) Training

Family planning is important not only for population stabilization, but it has been increasingly realized that family planning is central to improve maternal and newborn survival and health. Even though, India has made considerable progress in reducing maternal mortality ratio, it still contributes 20% of maternal deaths worldwide. Family planning can avert more than 30% of maternal deaths and 10% of child mortality if couples spaced their pregnancies more than 2 years apart. Over the years India’s family planning programme has evolved with the shift in focus from merely population control to more critical issues of saving the lives and improving the health of mothers and newborns. Ensuring healthy timing and spacing of pregnancies is now considered the most important intervention for reproductive, maternal, neonatal, child and adolescent health (RMNCH+A).

Significantly increased institutional deliveries in India provide an opportune time for offering family planning services to the women, who have just delivered at health facilities and want to prevent unintended pregnancies or delay having more children. Moreover, unmet need for family planning is very high in the postpartum period. Intrauterine contraceptive device (IUCD) provides very effective, safe, and long-term yet reversible protection from pregnancy. IUCD is one of the most cost-effective contraceptive methods because modern IUCDs can be used safely for many years ( 10 years for the Cu IUCD 380 A and 5 years for Cu IUCD 375). A woman can start using Cu IUCD anytime, when it is reasonably certain that she is not pregnant. Postpartum women who breastfeed their infants can also use Cu IUCD safely, as it does not interfere with breastfeeding. Postpartum IUCD can be inserted immediately after vaginal delivery, during Caesarean section and up to 48 hours after birth, before women get discharged from the health facilities.

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