Cross-sectional analysis of factors associated with prior contraceptive use among hospitalized obstetric patients in Kabul, Afghanistan

Abstract

Objective-This study was conducted to assess prevalence and correlates of prior contraceptive use among hospitalized obstetric patients in Kabul, Afghanistan.Study design-Medically-eligible (e.g., conditions not requiring urgent medical attention, such as eclampsia, or not imminently delivering (dilation ≥8 cm)) obstetric patients admitted to three Kabul public hospitals were consecutively enrolled in this cross-sectional study. An intervieweradministered questionnaire assessed demographic information, health utilization history, including prior contraceptive use, and intent to use contraception. Correlates of prior contraceptive use were determined with logistic regression.Results-Of 4452 participants, the mean age was 25.7 years (SD±5.7 years), 66.4% repoited pregnancy prior to the presenting gestation, 88.4% had ≥1 prenatal care visit, and 82.4% reported the current pregnancy was desired. Most (67.4%) had no formal education. One-fifth (22.8%) reported using contraception prior to this pregnancy. Among women with any pregnancy prior to the current gestation (98.6% of prior users), prior contraceptive use was independently associated with having lived outside Afghanistan in the last five years (AOR=1.35, 95% CI: 1.12 -1.63), having a skilled attendant at the last birth (AOR=1.35, 95% CI: 1.07 -1.71), having a greater number of living children (AOR=1.30, 95% CI: 1.20 -1.41), longer mean birth interval (years) (AOR=1.21, 95% CI: 1.11 -1.38), and higher educational level (AOR=1.16, 95% CI: 1.09 -1.22). Immediate desire for Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

Current status of contraceptive use among rural married women in Anhui Province of China

“…It is apparently noted in the survey that some women, who wanted to space or limit births, still did not want to use any contraceptive method. As reported in previous studies, [21][22][23][24] immediate desire for another pregnancy, which resulted from son preference and spousal disapproval were the most common reasons for not utilising contraception. Another cited group of reasons involve fears of possible side effects of contraceptives and lack of knowledge about contraceptive methods.…”

Knowledge, Attitudes and Practices of Contraception among Afghan Refugee Women in Pakistan: A Cross-Sectional Study

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