Acceptance of contraceptive practice by grandmultiparae in Benin City, Nigeria

Abstract

Five hundred sixty grandmultiparous women were interviewed as to their contraceptive awareness, desirability and use in the three major hospitals in Benin City, Nigeria, between October 1, 1980 and September, 1981. Their parity ranged from 5 to 14 with a mean of 6.7. There was high level of awareness of contraceptive availability and usefulness (65%), but low level of practice (27.1%). The main causes of the low practice level included opposition from husband and other relatives, complications of previous methods used and the desire to have a large family. Oral contraceptives were the preferred method, followed by intrauterine devices. Educational attainment had a positive relationship to acceptance of contraceptive practice. We believe that with more concerted effort at family planning counseling, the community will be rid of the hazards and menace of grandmultiparity.

Community-based Study of Contraceptive Behaviour in Nigeria

“…It is no surprise therefore that rural dwellers had a higher prevalence of unwanted pregnancies in this study. Contraceptive prevalence is also believed to be directly associated with the educational status 11,22,23 . This was the case in this study as those in the urban areas were significantly more educated and had a higher contraceptive prevalence than those in the rural areas.…”

“…Instructively none of the respondents in both the urban and rural areas in any of the regions attributed non-usage of contraceptive method to cost. The fear of side effects is a recurring issue in contraceptive use/non use 1,[5][6][7]9,11,12,15,16,[26][27][28][29] . Proper counselling is necessary to allay these fears for those who come forward, and inclusion of appropriate messages to address this issue during information dissemination and contraceptive awareness campaigns.…”

“…High fertility rate in the face of dwindling and mismanaged resources has also been a contributor to poverty in most developing world. It is contended that no community can rise out of destitution to dignity in the absence of family planning 11 and sound resource management.…”

Effect of male partner’s support on spousal modern contraception in a low resource setting

“…Men's support or opposition to women's contraception have a strong influence on contraception uptake especially in developing countries (3,4). In Nigeria, contraception uptake was 15.1% with 9.8% for modern methods, fertility rate 5.5 per woman and no change in uptake between 20008 and 2013(5).…”

Statistical investigation of the impact of timing of marriage on marital stability of female Nigerians

“…Formal education has a great influence on age-at-first-marriage and fertility, (Omu et al, 1986, Aborampah, 1987. Dissolution of marital unions exerts a negative influence on the reproductive scenario of married population, (Schoen et al, 1974).…”