Child Survivorship and Pregnancy Spacing in Iran

1983 ◽  
Vol 15 (1) ◽  
pp. 35-46 ◽  
Author(s):  
Barbara Janowitz ◽  
Douglas J. Nichols
Keyword(s):  
Breast Feeding ◽  
Pregnancy Outcomes ◽  
Contraceptive Use ◽  
Birth Spacing ◽  
Maternity Hospital ◽  
Previous Pregnancy ◽  
Degree Of Protection ◽  
Pregnancy Spacing ◽  
Pregnancy Intervals ◽  
Using Data

SummaryUsing data collected over a 12-month period (1977–78) from more than 15,000 hospital deliveries at a single maternity hospital in Tehran, Iran, we have examined the effects of previous pregnancy outcomes, breast-feeding and contraceptive use on birth spacing. The outcomes of previous pregnancies, particularly the most recent, significantly affect the length of the pregnancy interval, and so does breast-feeding. Pregnancy outcomes influence both breast-feeding and subsequent contraceptive behaviour, and breast-feeding adds to the degree of protection against pregnancy afforded by conventional contraception. Improved survivorship increases the length of pregnancy intervals most when it results in increased use of contraception and when breast-feeding is commonly practised for extended periods.

Postpartum and post-abortion contraceptive use among unmarried young women in Ghana

2020 ◽  
pp. 1-12
Author(s):  
D. Yaw Atiglo ◽  
Adriana A. E. Biney
Keyword(s):  
Young Women ◽  
Pregnancy Outcomes ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Sexual Abstinence ◽  
Postpartum Women ◽  
Modern Contraception ◽  
Using Data ◽  
Post Abortion ◽  
Sexually Abstinent

Abstract Pregnancy outcomes impact subsequent contraceptive behaviour. The purpose of this study was to assess the relationship between previous pregnancy outcomes and subsequent contraceptive behaviours among unmarried young women intending to delay childbearing. Using data from the 2014 Ghana Demographic and Health Survey, among 1118 sexually experienced, fecund and non-pregnant unmarried women aged 15–24 years, the study assessed how childbirth and abortion are related to sexual abstinence and use of modern contraception. While about 70% of unmarried young women were nulligravid, approximately 11% had had an abortion and 18.2% were postpartum. The majority of respondents were sexually abstinent while 21% and 27% were using and not using contraception, respectively. Postpartum women were more likely than nulligravid and post-abortion women to use contraceptives. Post-abortion women were least likely to be sexually abstinent. Number of years since the respondent’s sexual debut was positively associated with the likelihood of using modern contraception, particularly among postpartum women, and negatively associated with sexual abstinence among those who had aborted. The findings show that prior pregnancy outcomes have significant implications for secondary abstinence and contraceptive use among unmarried young women in Ghana. Post-abortion women are more likely than postpartum women to be sexually active but less likely to use contraceptives. Efforts must be strengthened towards increasing access to modern contraceptives for young women who present for abortion in Ghana.

scholarly journals Determinants of Short Interbirth Interval among Reproductive Age Mothers in Arba Minch District, Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-17 ◽  
Author(s):  
Desta Hailu ◽  
Teklemariam Gulte
Keyword(s):  
Breast Feeding ◽  
Birth Interval ◽  
Formal Education ◽  
Contraceptive Use ◽  
Wealth Index ◽  
Birth Spacing ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Birth Intervals ◽  
Unequal Distribution

Background. One of the key strategies to reduce fertility and promote the health status of mothers and their children is adhering to optimal birth spacing. However, women still have shorter birth intervals and studies addressing their determinants were scarce. The objective of this study, therefore, was to assess determinants of birth interval among women who had at least two consecutive live births.Methods. Case control study was conducted from February to April 2014. Cases were women with short birth intervals (<3 years), whereas controls were women having history of optimal birth intervals (3 to 5 years). Bivariate and multivariable analyses were performed.Result. Having no formal education (AOR = 2.36, 95% CL: [1.23–4.52]), duration of breast feeding for less than 24 months (AOR: 66.03, 95% CI; [34.60–126]), preceding child being female (AOR: 5.73, 95% CI; [3.18–10.310]), modern contraceptive use (AOR: 2.79, 95% CI: [1.58–4.940]), and poor wealth index (AOR: 4.89, 95% CI; [1.81–13.25]) of respondents were independent predictors of short birth interval.Conclusion. In equalities in education, duration of breast feeding, sex of the preceding child, contraceptive method use, and wealth index were markers of unequal distribution of inter birth intervals. Thus, to optimize birth spacing, strategies of providing information, education and communication targeting predictor variables should be improved.

scholarly journals Measuring Men’s Gender Norm Beliefs Related to Contraception: Development of the Masculine Norms and Family Planning Acceptance Scale

2021 ◽  
Author(s):  
Sara J. Newmann ◽  
Jennifer Monroe Zakaras ◽  
Shari L. Dworkin ◽  
Mellissa Withers ◽  
Louisa Ndunyu ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Gender Norms ◽  
Male Partner ◽  
Masculine Norms ◽  
Pregnancy Spacing ◽  
Key Factor ◽  
Acceptance Scale ◽  
Future Work ◽  
Positive Engagement

AbstractMale partner resistance is identified as a key factor that influences women’s contraceptive use. Examination of the masculine norms that shape men’s resistance to contraception—and how to intervene on these norms—is needed. To assess a gender-transformative intervention in Kenya, we developed and evaluated a masculinity-informed instrument to measure men’s contraceptive acceptance—the Masculine Norms and Family Planning Acceptance (MNFPA) scale. We developed draft scale items based on qualitative research and administered them to partnered Kenyan men (n = 150). Item response theory-based methods were used to reduce and psychometrically evaluate final scale items. The MNFPA scale had a Cronbach’s α of 0.68 and loaded onto a single factor. MNFPA scores were associated with self-efficacy and intention to accept a female partner’s use of contraception; scores were not associated with current contraceptive use. The MNFPA scale is the first rigorously developed and psychometrically evaluated tool to assess men’s contraceptive acceptance as a function of male gender norms. Future work is needed to test the MNFPA measure in larger samples and across different contexts. The scale can be used to evaluate interventions that seek to shift gender norms to increase men’s positive engagement in pregnancy spacing and prevention.

Factors affecting desired family size in Bangladesh

1994 ◽  
Vol 26 (3) ◽  
pp. 369-375 ◽  
Author(s):  
M. Kabir ◽  
Ruhul Amin ◽  
Ashraf Uddin Ahmed ◽  
Jamir Chowdhury
Keyword(s):  
Regression Analysis ◽  
Family Size ◽  
Contraceptive Use ◽  
Policy Implications ◽  
Work Status ◽  
Factors Affecting ◽  
Rural Bangladesh ◽  
Contraceptive Prevalence ◽  
Using Data ◽  
Desired Family Size

SummaryFactors affecting desired family size in rural Bangladesh are examined using data from contraceptive prevalence surveys conducted between 1983 and 1991. The analysis suggests that mothers having two sons and one daughter are more inclined to perceive their family as complete than those having three sons and no daughter. Logistic regression analysis indicates that important determinants of desire for more children are age of woman, current contraceptive use status, work status, and family planning worker's visit. The policy implications of these findings are discussed.

scholarly journals Contraceptive Use and Pregnancy Outcomes among Opioid Drug-Using Women: A Retrospective Cohort Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0116231 ◽  
Author(s):  
Charles S. Cornford ◽  
Helen J. Close ◽  
Roz Bray ◽  
Deborah Beere ◽  
James M. Mason
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Pregnancy Outcomes ◽  
Retrospective Cohort ◽  
Contraceptive Use

Breast-feeding in Manila, Philippines preliminary results from a longitudinal study

1985 ◽  
Vol 17 (S9) ◽  
pp. 137-146 ◽  
Author(s):  
Mayling Simpson-Hebert ◽  
Lorna P. Makil
Keyword(s):  
Longitudinal Study ◽  
Breast Feeding ◽  
Low Income ◽  
Post Partum ◽  
Maternity Hospital ◽  
Cultural Factors ◽  
Bottle Feeding ◽  
Early Termination ◽  
First Year ◽  
Low Income Families

SummaryLongitudinal data collected over a 2-year period (1982–84) on 152 first and second parity mothers who were delivered in a charity maternity hospital in Manila, Philippines, indicate the reasons for never brest-feeding and for early termination of brest-feeding. Socio-Cultural factors and beliefs are more important than physiological problems in minating breast-feeding.Proper bottle-feeding is too costly for most low-income families. Bottle-fed babies have a higher incidence of diarrhoea. Mothers who change from breast- to bottle-feeding in the first 6 months are 1·7 times as likely to become pregnant in the first year post-partum as mothers Who brest-feed for 7 or more months.

Round Table Discussion

PEDIATRICS ◽  
1950 ◽  
Vol 6 (4) ◽  
pp. 656-659
Author(s):  
CLEMENT A. SMITH ◽  
CLAUDE HEATON ◽  
JANE Y. HARSHBERGER ◽  
BENJAMIN SPOCK ◽  
IRA T. NATHANSON ◽  
...  
Keyword(s):  
South Carolina ◽  
Human Milk ◽  
Breast Feeding ◽  
New Hampshire ◽  
Round Table ◽  
Maternity Hospital ◽  
Bottle Feeding ◽  
Round Table Discussion ◽  
Factual Knowledge ◽  
Uterine Involution

Chairman Smith: In their approach to breast feeding, as to religion, pediatricians might be classified in 3 groups. There are the firm believers, with serene faith that all women ought to nurse their babies because "breast feeding is best feeding." At the other extreme, certain agnostics hold that it makes no important difference whether a baby is breast fed or given a formula. Much the most numerous are the third group, who would be glad to have a faith to stand up for if the rational basis of such a faith were revealed to them. These conscientious physicians, anxious to give sound scientific advice, find themselves falling back among traditions and impressions, in the absence of modern factual knowledge. Much new data concerns only premature infants, for whom it is quite possible that Nature did not design human milk. Obviously we need facts. Are the antibodies in human milk significant? Does it protect against neonatal diarrhea? Does suckling cause uterine involution? What constitutes optimum growth in infancy? Does it result with artificial feeding? Without the answers to these and other questions the subject escapes into psychologic and emotional fields since it cannot be properly tackled in physiologic territory. Indeed whether a mother will nurse her baby is now usually decided psychologically rather than physiologically. If 72% of New Hampshire babies leave the maternity hospital on bottle feeding only, compared to 10% of those in South Carolina, the psychology of South Carolina women, and of their doctors, must differ from that of those in New Hampshire.

scholarly journals A Systematic Review of Programs to Promote Aspects of Teen Parents’ Self-sufficiency: Supporting Educational Outcomes and Healthy Birth Spacing

2020 ◽  
Vol 24 (S2) ◽  
pp. 84-104 ◽  
Author(s):  
Jessica F. Harding ◽  
Jean Knab ◽  
Susan Zief ◽  
Kevin Kelly ◽  
Diana McCallum
Keyword(s):  
Systematic Review ◽  
Educational Outcomes ◽  
Contraceptive Use ◽  
Birth Spacing ◽  
Favorable Effect ◽  
Eligibility Criteria ◽  
Teen Parents ◽  
Self Sufficiency ◽  
Program Characteristics ◽  
Effective Programs

Abstract Introduction Expectant and parenting teens experience many challenges to achieving self-sufficiency and promoting their children’s healthy development. Teen parents need support to help them address these challenges, and many different types of programs aim to support them. In this systematic review, we examine the research about programs that aim to support aspects of teen parents’ self-sufficiency by promoting their educational outcomes and healthy birth spacing. Methods We conducted a comprehensive literature search of published and unpublished literature to identify studies of programs to support teen parents that met this review’s eligibility criteria. The quality and execution of the eligible study research designs were assessed to determine whether studies’ findings were at risk of bias. We then extracted information about study characteristics, outcomes, and program characteristics for studies considered to provide rigorous evidence. Results We identified 58 eligible studies. Twenty-three studies were considered to provide rigorous evidence about either education, contraceptive use, or repeat pregnancy or birth. Seventeen of these studies showed at least one favorable effect on an outcome in one of these domains, whereas the other six did not show any significant or substantial effects in these domains. These 17 studies represent 14 effective programs. Discussion Effective programs to support expectant and parenting teens have diverse characteristics, indicating there is no single approach for promoting teens’ education and healthy birth spacing. More rigorous studies of programs to support teen parents are needed to understand more about how to support teen fathers and the program characteristics associated with effectiveness.

Conceiving of Contraception: World Society, Cultural Resistance, and Contraceptive Use, 1970–2012

Social Forces ◽  
2020 ◽  
Author(s):  
Wade M Cole ◽  
Claudia Geist
Keyword(s):  
Contraceptive Use ◽  
Unmet Need ◽  
World Society ◽  
Modern Contraceptive ◽  
Cultural Resistance ◽  
African Countries ◽  
Orthodox Christian ◽  
Cultural Effects ◽  
Sub Saharan ◽  
Using Data

Abstract Taking world society theory as our point of departure, we examine the effect of world culture on contraceptive use rates around the world. World-cultural rhetoric frames contraception as a necessity for economic development, a human rights issue, and a women’s health matter. Using data on contraceptive use among married women for a sample of 159 countries over the period from 1970 to 2012, we find that linkages to all three sets of discourses are associated with increased use of modern contraceptive methods, over and above countries’ sociocultural and economic characteristics. Nevertheless, we also find that world society influences vary across major cultural zones, defined in terms of predominant religions and geographic regions. World cultural effects are strongest in Orthodox Christian, Hindu, non-Western Protestant, and sub-Saharan African countries. There is no effect in Western and East Asian countries, where contraceptive use is comparatively high, or in zones such as non-Western Catholic nations, where the unmet need for contraception is often greatest. Compared to development and women’s rights rhetoric, health-based frames appear to have the broadest and most effective reach across cultural divides. Overall, however, we find that world society processes tend to produce cross-cultural convergence in contraceptive use rates.

No Place to Hide: Refugees, Displaced Persons, and the Recruitment of Child Soldiers

2006 ◽  
Vol 31 (1) ◽  
pp. 127-164 ◽  
Author(s):  
Vera Achvarina ◽  
Simon F. Reich
Keyword(s):  
Child Soldiers ◽  
Security Studies ◽  
Internally Displaced Persons ◽  
Displaced Persons ◽  
Internally Displaced ◽  
Degree Of Protection ◽  
Rebel Groups ◽  
Using Data ◽  
External Actors ◽  
Child Soldiering

The global number of child soldiers has grown significantly in the last two decades despite a series of protocols designed to curb this trend. They are generally employed in wars where belligerents spend more time attacking civilian populations than fighting professional armies. Used by both governments and rebel groups, child soldiers epitomize many of the problems associated with states at risk: intergenerational violence, poverty, and the failure of efforts to instill the rule of war. Both scholars in security studies and policymakers have largely regarded child soldier recruitment as a humanitarian issue. But recent events have linked child soldiering to insurgency and terrorism, suggesting that this issue is also developing a security dimension. This article examines contrasting arguments about the causes of child soldiering. Using data drawn from nineteen African conflicts, the authors argue that the major explanation for the significant variation in the percentage of child soldiers recruited is the degree of protection against abduction provided by governments and external actors to camps housing internally displaced persons and refugees.

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