Incidence of Tubal Ligation and Long-Acting Reversible Contraceptive Use in a Tertiary Care Center: A Population-Based Study (Code-T0266)

Introduction: Unintended pregnancies remain a significant public health concern despite advancements in contraceptive options. Tubal ligation and long-acting reversible contraceptives (LARC) are effective methods for preventing unintended pregnancies. However, their adoption varies due to factors such as accessibility, awareness, and cultural beliefs. This study aims to analyze the incidence of tubal ligation and LARC use in a tertiary care center to understand trends and factors influencing contraceptive choices.

Aims and Objectives:

1. To measure the rates of long-acting reversible contraception, including intrauterine devices, contraceptive implants and tubal sterilization in post-partum clinics and family welfare clinics in tertiary care center.
2. The impact of LARC and tubal ligation on the quality of life of women.
3. Comparing the options for females seeking permanent contraception and LARC.

Methods: A hospital-based cross-sectional study was conducted at a tertiary care center from April 2023 to December 2024. A total of 170 women aged 19-49 years attending postpartum and family welfare clinics were included using purposive sampling. Data collection involved medical history, clinical examinations, and routine laboratory investigations. Statistical analysis was performed to assess trends and factors influencing contraceptive choices.

Results: The study observed a significant preference for tubal ligation over LARC, with variations based on age, parity, and socio-economic status. LARC methods were associated with high satisfaction and continuation rates but had lower uptake due to misconceptions and limited awareness.

Conclusion: While tubal ligation remains a widely accepted method, increasing awareness and accessibility of LARC could improve contraceptive choices. Structured counseling and education on LARC benefits may enhance their adoption, reducing unintended pregnancies.

Keywords: Tubal ligation, Long-acting reversible contraceptives, Contraception, Family planning, Postpartum contraception, Reproductive health