A Prospective Study of Patients Coming in Future for Tubal Ligation after Discharge who are not Willing for Abdominal Tubal Ligation in Immediate Postpartum Period

Population explosion is a burning problem in India. Due to this, our already limited resources are further getting diluted. China has stabilized its population by one child norm. We cannot adopt the same policy since ours is a democratic country. This study is probably one solution among different solutions to find out method to remind and encourage eligible clients to undergo a permanent method of contraception. Women who have attained desired family size can opt for a permanent contraceptive method. Tubal ligation is the most used contraceptive method worldwide for birth control. Usually, the patients forget about tubal ligation once they are discharged and get busy in their routine schedule. So, by constantly reminding them through telephone by health worker (social worker, ANM, doctors), we can remind the patients about their desire of contraception by tubal ligation which they have expressed during immediate postpartum period. Many people readily express that they have attained desired family size but most people shy away from choice of a permanent contraception. The reasons for this are by and large unknown but may be due to interplay of several socio-economic factors. This study aims at determining the factors that influence the decision to take up TL as a method of contraception by women who have attained their desired family size and are willing to undergo TL after puerperium but not in the immediate phase of postpartum. From this study, it can be seen that if repeated attempts are made, acceptance of permanent method of contraception can definitely increase among the eligible clients.