For postpartum IUCD insertion all are true, except

KPSC Staff Nurse - 2018

Obstetrics & Gynaecology

Easy

Appeared in: KPSC Staff Nurse - 2018

Explanation

The statement that IUCD insertion is done only at district hospitals is false, making it the correct answer to this 'except' question.
The PPIUCD program's goal is to increase accessibility by offering services at all public health facilities that have been designated as delivery points.
This includes Primary Health Centres (PHCs), Community Health Centres (CHCs), Sub-divisional hospitals, and Medical Colleges, in addition to District Hospitals.
Restricting the service to only district hospitals would severely limit its reach and defeat the program's purpose of addressing the unmet need for postpartum family planning before hospital discharge.

Option A: This statement is true. The PPIUCD program was specifically launched as a key strategy to promote healthy spacing between births, which is crucial for maternal and child health.
Option C: This statement is true. The CuT 380A is the recommended IUD for postpartum insertion under the national family planning program due to its long-term effectiveness (10 years) and established safety.
Option D: This statement is true. A primary goal of the PPIUCD initiative is to address the high unmet need for contraception during the postpartum period, as many women are motivated to start a family planning method soon after delivery.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The question tests knowledge about the guidelines and implementation of the Postpartum Intrauterine Contraceptive Device (PPIUCD) program in India as background academic context rather than a clinical decision trigger.
Understanding the scope of the PPIUCD program is vital for nurses, as they play a key role in counseling postpartum mothers about contraceptive options and often perform the insertions themselves after receiving training.
Nurses must be aware that this service is not limited to higher centers and should be offered at their place of posting if it is a delivery point, to ensure maximum uptake.
A key nursing responsibility is to counsel the mother that the immediate postpartum period is an ideal time for IUD insertion, as the motivation is high and the cervix is sufficiently dilated, making the procedure easier.

How to Approach the Question

First, identify that the question uses the word 'except'. This means you are looking for the statement that is FALSE.
Read each option carefully and evaluate its accuracy based on your knowledge of national family planning programs.
Option A: Is PPIUCD for spacing? Yes, this is its main purpose. So, this is true.
Option C: Is CuT 380A used? Yes, this is the standard device. So, this is true.
Option D: Does it address an unmet need? Yes, providing contraception before hospital discharge is a key strategy. So, this is true.
Option B: Is it ONLY at district hospitals? Think about the program's goal of accessibility. Limiting it to one level of hospital would contradict this goal. It's more likely to be available at multiple levels where deliveries happen. This statement is likely false.

Concept Tested & Keywords

Concept Tested: The question tests knowledge about the guidelines and implementation of the Postpartum Intrauterine Contraceptive Device (PPIUCD) program in India.
Stem keywords: postpartum IUCD insertion, family planning
Lead-in keywords: except
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Negative lead-in flag: The question asks for the exception or the false statement.

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