Factors associated with contraceptive use and initiation of coital activity after childbirth

Ekabua, JE; Ekabua, K. J.; Odusolu, Patience; Iklaki, CU; Agan, TU; Etokidem, Aniekan

doi:10.2147/oajc.s11805

Cited by 11 publications

(13 citation statements)

References 17 publications

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“…However, this finding was higher than the findings of similar studies previously done in Ethiopia [ 24 , 25 ]. It was also higher than study done in Nigeria [ 26 ]. This difference might be due to improvement in health service delivery, difference in study period as well as socio-economic status of the study participants.…”

Section: Discussioncontrasting

confidence: 59%

Timely initiation of postpartum contraceptive utilization and associated factors among women of child bearing age in Aroressa District, Southern Ethiopia: a community based cross-sectional study

Dona¹,

Abera

Alemu

et al. 2018

BMC Public Health

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BackgroundGlobally, more than 90% of women during the first year of postpartum period want to either delay or avoid future pregnancies. The first year postpartum period is more crucial time to use modern contraceptives that enhance maternal and child health, so more attention should be given on time of initiating modern contraceptive utilization after delivery. Therefore, the aim of this study was to assess the magnitude and associated factors of timely initiation of postpartum contraceptive utilization among women of child bearing age in Aroressa district, Southern Ethiopia.MethodsThe study was conducted in Aroressa district from March 15 to April 15, 2017. A community based cross-sectional study design with interviewer administered structured and pretested questionnaire was used. Multistage sampling technique was employed involving a total of 695 women of child bearing age who delivered a child in the past 12 months prior to the study period. Data were cleaned, coded and entered into Epi data version 3.1, then exported to statistical package for social science version 20 for analysis. Descriptive statistics, Bivariate and Multivariate logistic regression analysis were done. p-value < 0.05 was used to consider significant variables.ResultsThe magnitude of timely initiation of postpartum contraceptive utilization was found to be 31.7% [95% CI (28, 36)]. Antenatal care [AOR = 1.94, 95% CI (1.23, 3.01)], postnatal care [AOR = 1.90, 95%CI (1.23, 2.94)], spousal communication on contraceptive methods [AOR = 1.63, 95% CI (1.09, 2.41)] and resumption of menses after delivery [AOR = 2.6, 95% CI (1.47, 3.81)] were predictors positively associated with timely initiation of postpartum contraceptive utilization.ConclusionThe magnitude of timely initiation of postpartum contraceptive utilization was low. Strengthening integration of family planning information with antenatal and postnatal care follow up and encouraging spousal communication by promoting information, education and communication activities is important to enhance contraceptive use on timely manner.

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Section: Discussioncontrasting

confidence: 59%

Timely initiation of postpartum contraceptive utilization and associated factors among women of child bearing age in Aroressa District, Southern Ethiopia: a community based cross-sectional study

Dona¹,

Abera

Alemu

et al. 2018

BMC Public Health

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“…So this period should be adequately utilized for postpartum contraceptive counselling. 4,5 In present study, most of the participants are between 20-25 years corresponding to the peak reproductive age group (47%) and most of the study population were in this age group. The peak reproductive age is 20-24 years in the study done by Rao BS et al 6 This is the peak period of fertility during which most pregnancies occur.…”

Section: Discussionmentioning

confidence: 58%

Awareness, attitude and practice of contraception among antenatal women in a tertiary care hospital- a cross sectional study

Murugesan

Sundaram

Muthusamy

2016

Int J Reprod Contracept Obstet Gynecol

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Background: Reproductive health services that empower women will greatly reduce the social and economic disruption in society. The aim of the study was to assess the level of awareness about different types of contraceptive choices and also to find out the current practice of contraceptive methods by antenatal women attending the antenatal outpatient department in a tertiary care hospital. Methods: This was a cross-sectional study conducted over a period of 6 months at SRM medical college hospital. 200 antenatal women attending outpatient department of obstetrics and gynecology were randomly selected and were interviewed with predesigned questionnaire. The data collected were analysed using percentage. Results: Majority of the women in the study were between 20 to 25 years. 97% were aware of contraception, 81% were aware of the needs of birth spacing and only 64% were aware of the benefits of birth spacing methods. About 74% of them were aware of more than one method of contraception. Condom (93%) was the most heard about method. Only 23% of these women gave a history of usage of contraception. Majority of these women had used condoms (16%). Sterilisation (44%) was considered the safest option among the contraceptive choices followed. Social circle (49%) and health care providers (42%) played a major role as source of knowledge. Majority of the antenatal women did not use contraception because of desire of child (41%) and fear of side effects (21%). Conclusions: The high contraceptive awareness and educational level did not reflect on the contraceptive usage level in this study. Hence proper counselling and education is required to motivate the women for contraceptive usage and eradication of myths involving the risks of using contraception.

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“…Sample size calculations were done in Epi Info version 7.1.1.14 (Centers for Disease Control and Prevention; Atlanta, USA). Assuming that the factors influencing contraceptive uptake among women attending CWCs in Sunyani were similar to those observed in Nigeria, level of education, antenatal and postnatal FP counselling, a sample size of 590 had adequate power to detect odds ratios of 1.85, 3.45 and 5.56 respectively [ 9 ]. The expected number of clients from each facility was estimated using probability proportional to size.…”

Section: Methodsmentioning

confidence: 99%

Determinants of contraceptive use and future contraceptive intentions of women attending child welfare clinics in urban Ghana

2017

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BackgroundFamily planning is an integral component of maternal and child health services in Ghana. Although knowledge on contraception is universal and most women attend maternal and child health services, contraceptive use remains low among women after delivery. This study aimed to determine factors influencing current use and future contraceptive intentions of women who were attending child welfare clinics within 2 years of delivery in Sunyani Municipality, Ghana.MethodsWe conducted an analytical cross-sectional study among mothers in six selected health care facilities. Data was collected on their socio-demographic characteristics, reproductive and contraceptive experiences and future contraceptive intentions. Categorical variables were compared using the chi-squared (χ2) test. Factors associated with current use and future contraceptive intentions were determined using Poisson regression with a robust error variance to estimate crude and adjusted relative risks (RRs) with 95% confidence intervals (CIs). P < 0.1 was considered statistically significant.ResultsA total of 590 women were recruited into the study. Overall, 50.2% of the women were using contraception, 30.7% modern and 19.5% traditional methods. Compared to previous use, more women were using and would prefer the more effective contraceptive methods in future. Significant factors associated with current contraceptive use were, level of education (p = 0.02), discussing family planning during antenatal care (adjusted RR, 1.28; 95% CI, 1.07-1.53), or with one’s partner (adjusted RR, 1.22; 95% CI, 1.01-1.47) and previous contraceptive use (adjusted RR, 1.91; 95% CI, 1.56-2.33). Family planning discussions during child welfare clinic (adjusted RR, 1.12; 95% CI, 0.99-1.26) or with one’s spouse (adjusted RR, 1.20; 95% CI, 1.08-1.34), desire to space children (adjusted RR, 1.35; 95% CI, 1.17-1.55), previous (adjusted RR, 1.15; 95% CI, 1.05-1.27) and current (adjusted RR, 1.11; 95% CI, 1.01-1.22) contraceptive use were predictive of clients’ intention to adopt family planning in the future.ConclusionEffective counselling on family planning during antenatal and child welfare clinics, and encouraging spousal communication on contraception are likely to increase contraceptive use after delivery.

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Factors associated with contraceptive use and initiation of coital activity after childbirth

Cited by 11 publications

References 17 publications

Timely initiation of postpartum contraceptive utilization and associated factors among women of child bearing age in Aroressa District, Southern Ethiopia: a community based cross-sectional study

Timely initiation of postpartum contraceptive utilization and associated factors among women of child bearing age in Aroressa District, Southern Ethiopia: a community based cross-sectional study

Awareness, attitude and practice of contraception among antenatal women in a tertiary care hospital- a cross sectional study

Determinants of contraceptive use and future contraceptive intentions of women attending child welfare clinics in urban Ghana

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