Postpartum intentions on contraception use and method choice among breastfeeding women attending a university hospital in Ohio: a cross-sectional study

Abstract

BackgroundFew postpartum women use effective contraception and those who use less effective methods have increased rates of unintended pregnancy. Little is known about postpartum contraception intentions among breastfeeding women. Our objectives were to measure the extent of prenatal contraceptive counseling, to assess contraceptive intentions, and to identify correlates of both among postpartum women who were planning to breastfeed.MethodsWe conducted a cross-sectional study using a convenience sample of 100 breastfeeding women before their discharge following delivery at a large university hospital in 2015. We used logistic regression to assess three outcomes of interest: not intending to use contraception before 6 months postpartum, reporting receiving counseling on postpartum contraception during prenatal care, and considering the effects of contraception methods on the breastfeeding mother-infant dyad when choosing a postpartum contraception method.ResultsMost women (91%) intended to use contraception. Prior history of no contraception use was the sole factor related to not intending to use contraception. The most commonly cited reason for the intended choice of contraceptive method was convenience (35%). Few women (21%) reported considering the effects of contraception methods on the breastfeeding dyad when choosing a postpartum contraception method. Nearly half of women reported never discussing postpartum contraception options with their healthcare provider during prenatal care. In the multivariate analysis, receiving public assistance was the only factor that remained statistically significantly associated with reporting having received contraception counseling during prenatal care.ConclusionsAlthough most women intended to use contraception, they did not appear to have received adequate prenatal counseling on postpartum contraception.

The Intention on Modern Contraceptive Use and Associated Factors among Postpartum Women in Public Health Institutions of Sodo Town, Southern Ethiopia 2019: An Institutional-Based Cross-Sectional Study

“…In the present study, the most preferred modern contraceptives intended to use by study participants were implants (43%) and injectables 16%. The result was in line with the studies done in America [ 27 ] revealing that 38% and 12% of postpartum women preferred to use implants and injectables, respectively. There were also 19.2% of postpartum women who preferred to use implants whereas 18.4% of postpartum women intend to use injectables in Nigeria [ 28 ].…”

Intentions on contraception use and its associated factors among postpartum women in Aksum town, Tigray region, northern Ethiopia: a community-based cross- sectional study

“…In this study the prevalence of intention to use on modern contraceptive among postpartum women was 84.3%. This result was slightly lower than the finding in United State of America which reported [90%] [ 9 ]. This variation could be explained by the difference of study setting, accesses to information and availability to services use.…”

“…The tool was prepared originally in English and translated to local language ( Tigrigna ) and translated back to English in order to maintain internal consistency. The tools was adopted from similar studies [ 9 , 10 ], but customized for this study. The questionnaire included sections on socio demographic characteristics of respondents, their maternal health service use, their reproductive intentions, their knowledge and current adoption and their intentions to use contraceptive methods among postpartum women.…”

“…A study conducted in 21 low and middle income countries found that 90% of postpartum women intended to adopt contraceptive in future [ 5 ]. In United State of America (USA), the proportion of women who expressed an intention to use modern contraceptive methods was estimated 91% [ 9 ]. Research evidence have showed that, maternal age, antenatal care service use, prior use of any contraceptive use [ 10 ], knew at least one contraceptive method [ 11 ] had been identified as factors associated for intention to use contraceptive.…”

Factors associated with modern contraceptives use among postpartum women in Bukombe district, Geita region, Tanzania

“…This might be due to the fact that implant is not user dependent and may not easily seen by partners [11,25]. This may again partly explain the partners' influence over the women's contraceptive choice [26,27]. Our finding is in contrast with studies in Uganda and Malawi which showed injectable was the most preferable contraceptive [4,21,28].…”