Determinants of inter-pregnancy interval in Ogbomoso: an unmet need for contraceptive usage

Owonikoko, Kola M.; Adeniji, Olanrewaju; Oke, Oluwaseyi F.; Fawole, Adegboyega A; Adeniji, Adetunji O.

doi:10.5455/2320-1770.ijrcog20150406

Cited by 9 publications

(14 citation statements)

References 11 publications

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“…The mean age of the women in our study was 28.6 years; most of the women had tertiary education and belonged to upper social class. The observed mean age of women in our study agrees with a similar work in Ogbomoso by Owonikoko et al [5]. Majority of women in their study had secondary education and belonged to lower social class which is at variance with our study population.…”

Section: Discussionsupporting

confidence: 92%

“…The fact that more than ninety percent of our respondent are in a stable relationship and have enough income might influence this short IPI seen in our study. Our findings however differs from the work of Owonikoko et al in Ogbomoso where majority of the women they studied had an inter-pregnancy interval of >24 months [5]. The differences in study area and study population are possible explanation of these findings as majority of respondent in Owonikoko et al [5] defers pregnancy because of academic pursuit.…”

Section: Discussioncontrasting

confidence: 91%

“…It was found that women who had stillbirth or whose Open Journal of Obstetrics and Gynecology pregnancies were aborted had shorter interval compared with women that had live babies. This is similar to the finding by Owonikoko et al [5] that showed short inter-pregnancy interval in women that lost their last pregnancy [5]. This may be due to a compelling need to replace the lost pregnancy as well as early return of fertility in such category of women due to loss of the contraceptive effects of breastfeeding especially exclusive breastfeeding.…”

Section: Discussionsupporting

confidence: 89%

“…Globally, maternal mortality has witnessed a significant reduction in the last 20 years and this has partly been due to the increased contraceptive use with consequent reduction in unintended pregnancies [5]. Birth spacing, therefore, is one of the strategies through which good maternal and child health can be achieved; thus the introduction of various intervening programmes such as family planning and safe motherhood programmes to enhance longer spacing of births for maternal and child health [6].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Inter-Pregnancy Interval among Antenatal Attendee in a Tertiary Hospital in Abakaliki, South-East, Nigeria

Umezuluike¹,

Ejikeme²,

Ndukwe³

et al. 2018

OJOG

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Background: World over, there has being an improvement in birth spacing resulting in a reduction in the perinatal and maternal morbidity and mortality rates. Objective: To appraise the factors influencing inter-pregnancy interval (IPI) among pregnant women receiving antenatal care at Federal Teaching Hospital Abakaliki. Methods: A descriptive cross-sectional study was done among antenatal attendee, with at least one previous delivery, in Federal Teaching Hospital, Abakaliki over a six month period using a structured questionnaire. Data obtained was analysed using IBM SPSS Statistics version 20. Results: The mean age of the respondents was 28.6 (95% CI 28.1-29.1) years. The majority (231, 70%) were multiparous. Most respondent (162, 49.1%) had their last delivery 6-12 months prior to conception. The significant determinants of IPI include: maternal age, marital status, place of residence, social class, baby's sex, family income, use of contraceptive, parity and outcome of her last confinement. Contraceptive knowledge is high (300, 90.9%); more than 50% had the desire to use some form of contraceptive but majority (132, 40%) said they will never use contraceptive after delivery. Conclusions: Majority of the women had an IPI of 6-12 months. The major determinant of this includes having a live birth in last delivery, parity, marital status, and place of residence. The attitude to contraception is poor; effort needs to be directed into identifying the immediate and remote causes of this as this will help in proper education and counselling needed to increase contraceptive uptake.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 91%

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Inter-Pregnancy Interval among Antenatal Attendee in a Tertiary Hospital in Abakaliki, South-East, Nigeria

Umezuluike¹,

Ejikeme²,

Ndukwe³

et al. 2018

OJOG

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“…Mothers who breastfed their preceding child for at least 24 months had lower odds of short birth interval than those who breastfed for less than 12 months. This finding was supported by different studies which revealed lengths of birth interval to be influenced by duration of breastfeeding [26][27][28].Moreover, studies in Arba Minch District [20] and four disadvantaged regions of Ethiopia [21] showed similar finding which may be attributed to the fact that breast feeding has contraceptive effect due to the negative hormonal feedback mechanism of the hypothalamic-pitutary-ovarian axis. On the contrary, according to a community based cross sectional study in Southern Ethiopia, longer duration of breast feeding was significantly associated with increased incidence of short birth interval [22].The discrepancy might be due to differences in breast-feeding practices (exclusive breastfeeding, duration and frequency of breast feeding per 24 hours) and maternal factors (age, parity, nutritional status) [12] between the two studies.…”

Section: Plos Onesupporting

confidence: 55%

Determinants of short birth interval among ever married reproductive age women: A community based unmatched case control study at Dessie city administration, Northern Ethiopia

et al. 2020

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Background Short birth interval is a universal public health problem resulting in adverse fetal, neonatal, child and maternal outcomes. In Ethiopia, more than 50% of the overall inter birth spacing is short. However, prior scientific evidence on its determinants is limited and even then findings are inconsistent. Methods A community -based unmatched case-control study was employed on 218 cases and 436 controls. Cases were ever married reproductive age women whose last delivery has been in the past five years with birth interval of less than 3 years between the latest two successive live births whereas those women with birth interval of 3–5 years were taken as controls. A multistage sampling technique was employed on 30% of the kebeles in Dessie city administration. A pre-tested interviewer based questionnaire was used to collect data by 16 trained diploma nurses and 8 health extension workers supervised by 4 BSc nurses. The collected data were cleaned, coded and double entered into Epi-data version 4.2 and exported to SPSS version 22. Binary logistic regression model was considered and those variables with P<0.25 in the bivariable analysis were entered in to final model after which statistical significance was declared at P< 0.05 using adjusted odds ratio at 95% CI. Result In this study, contraceptive use (AOR = 11.2, 95% CI: 5.95–21.15), optimal breast feeding for at least 2 years (AOR = 0.098, 95% CI:0.047–0.208), age at first birth <25 years (AOR = 0.36, 95% CI: 0.282–0.761), having male preceding child (AOR = 0.46, 95% CI: 0.166–0.793) and knowing the duration of optimum birth interval correctly (AOR = 0.45, 95% CI: 0.245–0.811) were significant determinants of short birth interval. Conclusion Contraceptive use, duration of breast feeding, age at first birth, preceding child sex and correct understanding of the duration of birth interval were significant determinants of short birth interval. Fortunately, all these significant factors are likely modifiable. Thus, the existing efforts of optimizing birth interval should be enhanced through proper designation and implementation of different strategies on safe breastfeeding practice, modern contraceptive use and maternal awareness about the health merits of optimum birth interval.

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Rural–urban disparities in birth interval among women of reproductive age in Nigeria

Wegbom

Bademosi

Edet

et al. 2022

Sci Rep

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Nigeria like most developing nations still faced with a higher rate of short birth interval (SBI), and its associated consequences, such as adverse maternal and child health outcomes. This study aimed to determine the distribution and factors associated with SBI in rural and urban Nigeria. The data for this study were extracted from the 2018 Nigeria Demographic and Health Survey (2018 NDHS). Statistical analyses were descriptive analysis and binary logistic model. The proportions of SBI in rural and urban Nigeria were 20.7% and 20.3% respectively. Women’s age, geopolitical region, education level, and the number of children ever born were significantly associated with SBI in rural and urban Nigeria. Maternal Wealth index and antenatal care visits were only significant in rural while working status was only significant in urban Nigeria after controlling for other factors. Higher odds of SBI for middle class women than poor women (AOR = 1.19, 95% CI = 1.06–1.35), and increase in ANC visits reduces the odds of having SBI: 4–7 visits (AOR = 0.87, 95% CI = 0.77–0.98) and > 7visits (AOR = 0.83, 95% CI = 0.69–0.99). There were slight disparities in the prevalence of short birth intervals in rural and urban areas. Wealth index and ANC visits were only significant in rural Nigeria. Public health awareness campaigns should be strengthened to drive the importance of birth spacing techniques such as the utilization of modern contraceptives and breastfeeding in all the geo-political regions and across all age strata. Women particularly those residing in the rural areas should be encouraged to advance their education to at least a secondary level and enlightened on the importance of ANC.

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Determinants of inter-pregnancy interval in Ogbomoso: an unmet need for contraceptive usage

Cited by 9 publications

References 11 publications

Factors Influencing Inter-Pregnancy Interval among Antenatal Attendee in a Tertiary Hospital in Abakaliki, South-East, Nigeria

Factors Influencing Inter-Pregnancy Interval among Antenatal Attendee in a Tertiary Hospital in Abakaliki, South-East, Nigeria

Determinants of short birth interval among ever married reproductive age women: A community based unmatched case control study at Dessie city administration, Northern Ethiopia

Rural–urban disparities in birth interval among women of reproductive age in Nigeria

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