Strategies for improving postpartum contraceptive use: evidence from non-randomized studies

Lopez, Laureen M; Grey, Tom; Chen, Mario; Hiller, Janet E.

doi:10.1002/14651858.cd011298.pub2

Cited by 24 publications

(19 citation statements)

References 33 publications

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“…Second, the rate of expulsion was low (8%) and consistent with or lower than expulsion rates reported in other published studies, 10 , 23 - 25 indicating a high standard of insertion technique among the trained providers in this study. While expulsion rates with post-placental IUD insertion appear to be higher than with interval insertion, studies have concluded that immediate postpartum IUD insertion is safe and effective and the benefits outweigh the disadvantage of the increased risk of expulsion, 7 particularly in settings with limited access to health services.…”

Section: Discussionsupporting

confidence: 90%

Success Providing Postpartum Intrauterine Devices in Private-Sector Health Care Facilities in Nigeria: Factors Associated With Uptake

Eluwa

Atamewalen

Odogwu

et al. 2016

Glob Health Sci Pract

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Section: Discussionsupporting

confidence: 90%

Success Providing Postpartum Intrauterine Devices in Private-Sector Health Care Facilities in Nigeria: Factors Associated With Uptake

Eluwa

Atamewalen

Odogwu

et al. 2016

Glob Health Sci Pract

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“…In the Meta analysis of six studies, the Cochrane data group 16 found that intervention with educational strategies are associated with significantly higher use of modern methods of contraception. In our study we observed that the most popular source of information for contraception was social network of friends, neighbors and relatives.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitude towards contraceptive methods for spacing and decision making factors regarding its use in postpartum women

Sharma

Dorairajan

Chinnakali

2015

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONThe family planning program in our country has been in place for more than four decades. The permanent methods and limiting the family size has been successful but contraception for spacing is lagging behind. Utilization of spacing method of contraception varied from 13.8% in a study done in north India 1 to 26% in a study on more than 1 lakh women across 28 districts. 2Regardless of the education 75% of women were found to be sexually active by 3 months after delivery.3 In a study conducted on 272 postpartum women attending a private medical college in Lucknow, a city in Uttar Pradesh, India, 28% women were sexually active within 6 weeks postpartum and only 54.4% used contraception the most common being condoms. ABSTRACTBackground: Though the permanent methods have been successful in our country the spacing methods lag behind and unwanted unplanned pregnancies continue to be high. This study was undertaken to explore the knowledge level, attitude and the factors influencing the potential use of spacing contraception among recently delivered women. Methods: This cross sectional study was carried out in a teaching institution using a structured questionnaire among recently delivered women willing to participate in the study. Results: Among the 404 women studied 74% were primipara. The level of awareness about spacing contraception was 70% though only 30% knew the correct use. The most frequent source of information was social circle and friends. Two thirds of women felt the need for spacing but 65.8% were not willing to adopt any modern method for fear of side effects and want of husband approval. Bivariate analysis showed that prenatal counselling (X 2 =41.33 P<0.001) and higher education (X

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“…Male partners can have a significant impact on women's access to SRH education and services. Yet existing interventions mainly focus on women [107][108][109]. We recommend future interventions make efforts to involve male partners, with emphasis on empowering women to take charge of their own reproductive health.…”

Section: Policy and Research Implicationsmentioning

confidence: 99%

Factors influencing sexual and reproductive health of Muslim women: a systematic review

et al. 2020

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Background: In Islamic societies, issues related to sexual and reproductive health (SRH) are rarely discussed and considered sensitive subjects. This review aimed to identify any personal, religious, cultural, or structural barriers to SRH service and education among Muslim women worldwide. Methods: A search for qualitative and quantitative studies was conducted on seven electronic databases. A narrative synthesis using thematic analysis was conducted. Results: Fifty-nine studies were included from 22 countries: 19 qualitative, 38 quantitative and two mixed methods. Many Muslim women have poor SRH knowledge, and negative attitudes which influence their access to, and use of SRH services. Barriers to contraception use among Muslim women included a lack of basic reproductive knowledge, insufficient knowledge about contraception, misconceptions, and negative attitudes. Women had negative attitudes towards family planning for limiting the number of children but not for child spacing, which reflected religious views towards family planning. Religious and cultural beliefs were barriers to contraception use and access to SRH services and information. Family and the community have a significant impact on women's contraceptive use and access to SRH services. Husband and family opposition played a significant role in contraception access and use. Fear of stigmatization and being labelled as having premarital sexual relations among unmarried women acted as the main barrier to accessing contraception and seeking SRH information and services. Conclusion: The findings reveal that there are multiple levels of factors that influence Muslim women's SRH. Poor SRH knowledge and practices among Muslim women is complex matter that is affected by personal, community, cultural, religious factors and existing policies and regulations. All these factors overlap and are affected by each other. There is an urgent need for interventions addressing modifiable barriers to SRH education and services to improve knowledge, informed choice and access to services to facilitate better sexual and reproductive wellbeing for Muslim women. It is important to note that while this review aimed to report findings on Muslim women, we acknowledge that significant variations exist within every culture and religion.

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Strategies for improving postpartum contraceptive use: evidence from non-randomized studies

Cited by 24 publications

References 33 publications

Success Providing Postpartum Intrauterine Devices in Private-Sector Health Care Facilities in Nigeria: Factors Associated With Uptake

Success Providing Postpartum Intrauterine Devices in Private-Sector Health Care Facilities in Nigeria: Factors Associated With Uptake

Knowledge and attitude towards contraceptive methods for spacing and decision making factors regarding its use in postpartum women

Factors influencing sexual and reproductive health of Muslim women: a systematic review

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