Contraceptive uptake and associated factors among women in the immediate postpartum period at Kawempe Hospital

Nakiwunga, Noor; Kakaire, Othman; Ndikuno, Cynthia; Nakalega, Rita; Mukiza, Nelson; Atuhairwe, Susan

doi:10.1186/s12905-022-01856-1

Cited by 11 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The higher awareness of women who delivered through cesarean section could be attributed in part to their vulnerability to short interpregnancy intervals-related complications such as uterine rupture. 51 Moreover, previous studies have linked the mode of delivery to contraceptive use, 52 which is also found to be associated with short interpregnancy intervals. 53 , 54 Nakiwunga et al 52 noted that women who had cesarean delivery were more likely to initiate contraceptive use than their vaginal delivery counterparts.…”

Section: Discussionmentioning

confidence: 99%

“… 51 Moreover, previous studies have linked the mode of delivery to contraceptive use, 52 which is also found to be associated with short interpregnancy intervals. 53 , 54 Nakiwunga et al 52 noted that women who had cesarean delivery were more likely to initiate contraceptive use than their vaginal delivery counterparts. Also, lower probabilities of short interpregnancy intervals were found to be associated with both initiation of immediate postpartum and interval long-acting reversible contraception.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge about unintended pregnancy shortly after childbirth: An issue of ineffective counseling or adherence?

Essien,

Chireh,

Essien

2024

Womens Health (Lond Engl)

View full text Add to dashboard Cite

Background: Being aware of the possibility of becoming pregnant shortly after childbirth before the resumption of the menstrual period is often overlooked but remains a significant contributor to unintended pregnancies and may lead to maternal and neonatal comorbidities. Exploring the extent of awareness and associated factors could help tailor more interventions toward reducing the rates of short-interval unplanned pregnancies. Objective: This study explores the extent to which Ghanaian women are aware of the possibility of becoming pregnant shortly after childbirth before the resumption of the menstrual period and its associated factors. Design: A cross-sectional study was conducted using the 2017 Ghana Maternal Health Survey. The women participants were sampled using a two-stage cluster sampling design. Methods: We analyzed the 2017 Ghana Maternal Health Survey data of 8815 women who had given birth and received both antenatal care and postnatal checks after delivery in health facilities (private and public) and responded to questions on being aware of short interpregnancy intervals. A multivariable survey logistic regression was used for the analysis. Results: Of the 8815 women, approximately 62% of women who received both antenatal care and postnatal examinations before discharge reported being aware of short interpregnancy intervals. Postnatal examination before discharge but not antenatal care was associated with a higher awareness of short interpregnancy intervals. Women who received a postnatal examination were more aware of short interpregnancy intervals than their counterparts (adjusted odds ratio = 1.29, 95% confidence interval: 1.03–1.61). Also, awareness of short interpregnancy intervals increased with age, education, knowledge of the fertile period, contraceptive use, and delivery via cesarean section. Conclusion: Over a decade following the initiation of Ghana’s free maternal health policy, there remains a significant gap in the awareness of short interpregnancy intervals, even among women who received both antenatal pregnancy care and postnatal examinations before discharge. The unawareness of the short interpregnancy interval observed in approximately 38% of women raises concerns about the effectiveness of counseling or education provided during antenatal care and immediate post-partum care regarding birth spacing, contraceptive use, the timing of resumption of sexual activity, and the extent to which women adhere to such guidance.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Knowledge about unintended pregnancy shortly after childbirth: An issue of ineffective counseling or adherence?

Essien,

Chireh,

Essien

2024

Womens Health (Lond Engl)

View full text Add to dashboard Cite

show abstract

“…Among the contraception users, 70% had four or more than four antenatal visits, whereas only 7.9 % had four and more than four antenatal visits in non-users. Women who had caesarean delivery were 2.6 times more likely to accept and use postpartum contraception than those who had vaginal delivery [ 16 ]. This is contradictory to our study in which 60% of the contraception users had a vaginal delivery.…”

Section: Discussionmentioning

confidence: 99%

Status of Contraceptive Use for Birth Spacing After a Teenage Pregnancy: Where Do We Stand?

A¹,

Sarkar²,

Jindal³

et al. 2023

Cureus

View full text Add to dashboard Cite

Background: Adolescence is the most complex stage of reproductive health. The knowledge and awareness of adolescent-related reproductive issues are limited, particularly in lower-middle-income countries. Adolescent pregnancies are associated with major maternal and neonatal complications. Effective contraception use can prevent teenage pregnancy and subsequent complications. Methods: It was a cross-sectional study conducted in a tertiary care hospital and teaching institute over a period of one year. Through this study, we aimed to assess the prevalence of postpartum use of approved standard methods of contraception for birth spacing among teenage mothers and to assess the reasons for their non-acceptance. A total of 133 consecutive consenting postpartum teenage mothers were recruited in the study. Participants were asked about their age at the time of marriage and delivery, marital status, parity, education and economic status, the number of antenatal visits, mode of delivery, and antenatal complications. Compliance with postpartum contraception was noted, and reasons for its non-acceptance were asked in detail. Results: Among the 133 participants, contraceptive users were categorized into Group A and non-users into Group B. The mean age at the time of marriage was 17.6±0.4 and 17.5±0.6 years in Group A and Group B, respectively. Mothers in Group A were more educated than their counterparts in Group B (82.2% of mothers were educated up to 12th standard in Group A compared to 46.6% in Group B). Among the contraception users, 70% had four or more antenatal visits compared to 7.9% of the non-users. Reasons for non-acceptance of postpartum contraception were elicited in Group B: 42.0% had fear of becoming infertile, 38.6% feared that contraceptives interfere with breastfeeding and quality of breastmilk, 13.6% had opposition from family members, and 5.8% did not mention any reason. Conclusion: Teenage pregnancy is associated with increased feto-maternal complications. It also accounts for an increased incidence of unsafe abortions and maternal mortality. So it is crucial to make the adolescent group aware of effective methods of postpartum contraceptives to prevent adolescent pregnancies. Collaborative larger multicentric studies from different countries will help to reach a better, generalized conclusion regarding the same.

show abstract

The effects of an educational intervention on women's contraceptive preferences in the immediate postpartum period: A cross‐sectional study

Maia,

Peixoto,

Guazzelli

2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectivesTo assess postpartum women's contraceptive preferences and the impact of an educational intervention on these preferences, identifying factors motivating method choices.MethodThis cross‐sectional quantitative study included women within 48 h after delivery in a public Brazilian hospital. Participants were asked about their contraceptive preferences before and after an educational intervention, which aimed to inform women about the importance of early postpartum contraception, available methods, mechanisms of action, effectiveness, proper use, and side effects. A nursing professional explained contraceptives to postpartum women in individual sessions, demonstrating their use on simulators interactively for about 15 min. Statistical analyses were performed using JAMOVI version 2.3.28 and Microsoft Excel 2016.ResultsA total of 402 women (226 adolescents and 176 adults) were included. After the intervention, preference for long‐acting reversible contraceptives (LARCs) increased significantly from 157 (39.1%) to 279 (68.7%) (P < 0.001). At the initial assessment, contraceptive preferences were injectable hormonal contraceptives (159 [39.6%]), intrauterine devices (IUDs) (109 [27.1%]), and implants (48 [11.9%]). After the educational intervention, IUDs became the most popular method, at 143 (35.6%), followed by implants (133 [33.1%]) and injectables (81 [20.1%]). Among adolescents, there was a significant increase in implant choice (P < 0.001) and a decrease in injectables and pills (P < 0.001; P = 0.006). Adults showed increased preference for implants (P < 0.001) and IUDs (P < 0.001), with a reduction in injectable hormonal contraceptives (P = 0.005) and tubal ligation (P = 0.006).ConclusionAn educational intervention during postpartum period can influence women's contraceptive choices. Timely education was associated with a significant increase in LARC preference.

show abstract

Contraceptive uptake and associated factors among women in the immediate postpartum period at Kawempe Hospital

Cited by 11 publications

References 13 publications

Knowledge about unintended pregnancy shortly after childbirth: An issue of ineffective counseling or adherence?

Knowledge about unintended pregnancy shortly after childbirth: An issue of ineffective counseling or adherence?

Status of Contraceptive Use for Birth Spacing After a Teenage Pregnancy: Where Do We Stand?

The effects of an educational intervention on women's contraceptive preferences in the immediate postpartum period: A cross‐sectional study

Contact Info

Product

Resources

About