The unmet need for contraception among Nigerian women in the first year post-partum

2005 ◽  
Vol 10 (4) ◽  
pp. 229-234 ◽  
Author(s):  
Adebanjo B. Adeyemi ◽  
Kayode T. Ijadunola ◽  
Ernest O. Orji ◽  
O. Kuti ◽  
Marie M. Alabi
Keyword(s):  
Post Partum ◽  
Unmet Need ◽  
First Year ◽  
Nigerian Women ◽  
Unmet Need For Contraception

scholarly journals Postpartum Implanon/Nexplanon continuation rates and associated factors among women who ever used Implanon/Nexplanon in a tertiary hospital in Accra, Ghana

2019 ◽  
Vol 8 (8) ◽  
pp. 3304
Author(s):  
Kareem Mumuni ◽  
Kwaku Asah-Opoku ◽  
Vincent Ganu ◽  
Ali Samba
Keyword(s):  
Associated Factors ◽  
Post Partum ◽  
Unmet Need ◽  
Tertiary Hospital ◽  
Factors Associated ◽  
Unplanned Pregnancies ◽  
Wide Gap ◽  
One Year ◽  
Unmet Need For Contraception ◽  
Continuation Rates

Background: Postpartum Implanon use serves as an important conduit to bridge the wide gap of unmet need for contraception. The study sought to determine the continuation rates of postpartum Implanon/Nexplanon use and factors associated with it.Methods: A retrospective review of electronic data of 391 women who had received postpartum Implanon/Nexplanon insertions from January 2012 to December 2015 was conducted at a family planning hospital in Accra, Ghana. Continuation rates and factors associated with discontinuation at 6 months, one year and two years post-partum were determined. Data were analysed using IBM Statistical Package for Social Science (SPSS) version 20.Results: A total of 391 postpartum Implanon/Nexplanon insertions were done during study period. Their mean age was 28.51±5.29 years and median parity was 2.0. Continuation rates of postpartum Implanon/Nexplanon at 6 months, 1 year and 2 years post uptake were 94.9%, 92.8% and 86.4% respectively. Women with tertiary level education were 64% less likely to continue Implanon/Nexplanon use at one-year post uptake (OR=0.36, CI=0.16-0.85). Women with education up to Senior High School were 62% less likely to continue postpartum Implanon/Nexplanon use at 2 years after uptake (OR=0.38, CI=0.18-0.81). Women between ages 20 and 29 years were 53% less likely to continue postpartum Implanon/Nexplanon use at 2 years (OR=0.47, CI=0.26-0.86). Reasons for discontinuation of postpartum Implanon/Nexplanon use were wishes to get pregnant and side effects of the method.Conclusions: Post -partum Implanon/Nexplanon continuation rates are high and remain as a viable choice for reduction of unplanned pregnancies post- delivery.

KNOWLEDGE ,ACCEPTIBLITY AND COMPLIANCE OF DMPA IN TERTIARY CENTER OF BIHA

2021 ◽  
pp. 22-23
Author(s):  
Anupama Anupama ◽  
Juhi Juhi
Keyword(s):  
Retrospective Study ◽  
Post Partum ◽  
Unmet Need ◽  
Postpartum Women ◽  
Cross Sectional ◽  
Tertiary Center ◽  
Social And Economic Development ◽  
Reversible Method ◽  
Unmet Need For Contraception ◽  
Effective Contraceptive

In India , a large proportion of women with an unmet need for contraception are within their rst year after childbirth. It is major obstacles for nation social and economic development. The present study concentrates to educate postpartum women for contraception and to study the acceptance and compliance of medroxyprogesterone acetate (DMPA) in Bihar women. METHODS: This is retrospective study with cross sectional data collection from 210 patients for a period of 14 month , from JANUARY 2019 TO FEBRUARY 2020. RESULTS: The study concluded that DMPA is highly effective contraceptive in the immeadiate post partum period with low failure rate .CONCLUSION: It should be available as a rst line method to all who wish to opt reversible method of contraception.

scholarly journals Level and Correlates of Unmet Need of Contraception among Women in Extended Postpartum in Northern Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Gurja Embafrash ◽  
Wubegzier Mekonnen
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Postpartum Period ◽  
Perceived Risk ◽  
Unmet Need ◽  
Outcome Variable ◽  
First Year ◽  
Northern Ethiopia ◽  
Rural Residence ◽  
Unmet Need For Contraception

Background. About 222 million women in developing countries had unmet need for contraception. Women in their first year after childbirth had the largest proportion of unmet need for contraception. This first year after delivery is described as an extended postpartum period. Objective. To determine the level and correlates of unmet need for family planning among women who are in an extended postpartum period in the Tahtay Koraro District, Northern Ethiopia. Material and Method. A cross-sectional facility-based study complemented by in-depth interview of key informant was implemented. A total of 409 women in the 1st year after delivery were recruited. The study period was from 1st February to March 30, 2014. For quantitative data Epi-Info version 3.5.4 software was used for data entry, and then data were exported to SPSS Version 21 software for further analysis. Logistic regression model was used to identify factors associated with the outcome variable. The transcribed and translated qualitative text data were imported into an Open Code program and coded. Then codes were categorized and thematically described. Results. The overall unmet need for family planning was 150 (36.7%), with 121 (29.6%) for spacing and 29 (7.1%) for limiting. One hundred twenty (29.3%) women were using family planning and 94 (78.3%) of them were using injectable. The commonest reasons for nonuse of FP were nonmenstruating since last birth 201 (69.6%), side effects 39 (13.5%), and not having sex 25 (8.7%). Rural residence (AOR=7.16, 95% CI 2.57-19.95), postpartum week (26-38 weeks; AOR=8.16, 95% CI 4.24-15.71), and low perceived risk of pregnancy (AOR=1.79, 95% CI 1.04-3.09) were significantly associated with high unmet need. Opposition from different groups of the community, low perceived risk of pregnancy, provider refusal of removal of implants, and misunderstanding of FP use and side effects were additional triggering factors for unmet need. Conclusion and Recommendation. The unmet need for family planning was high. Rural residence, increased maternal postpartum week, and low perceived risk of pregnancy were associated with high unmet need. Opposition from different sects of the community and provider refusal of implant removal were also other factors triggering unmet need. Empowering women with knowledge of the risk of pregnancy and FP use during an extended postpartum period should be enhanced. Further awareness creation should be extended to periphery at different levels of the community.

scholarly journals Awareness of post partum intra uterine contraceptive device and reasons for its low acceptance in an urban Indian population

2020 ◽  
Vol 8 (2) ◽  
pp. 701
Author(s):  
Raina Chawla ◽  
Rashmi Ahuja ◽  
Priyanka Sharma
Keyword(s):  
Post Partum ◽  
Intrauterine Device ◽  
Unmet Need ◽  
Contraceptive Device ◽  
Urban Indian ◽  
History Of ◽  
Permanent Method ◽  
Antenatal Visits ◽  
Unmet Need For Contraception

Background: The safety and efficacy of the Post-Partum Intra Uterine Contraceptive Device (PPIUCD) has been documented worldwide. With increasing institutional deliveries and greater sensitization, the aim is to increase PPIUCD insertions. Many areas still report poor acceptance.  Objectives of this study to determine the proportion of antenatal women willing to accept PPIUCD insertion and the reasons behind refusal to accept this method.Methods: A prospective questionnaire study was done between January 2019 to June 2019 of 200 women. Inclusion criteria were antenatal women in the 2nd/3rd trimester. Exclusion criteria were those opting for a permanent method of contraception and those with a contra-indication.Results: Eighty-four women (42%) had never used any method of contraception. Earlier Intrauterine device (IUD) use (including both interval and PPIUCD) was in only 18.9% of all contraceptive users. Only 2 women in the group had ever used PPIUCD. 79% of women were aware of IUDs. Those unaware were mainly nulliparous. Amongst those aware of an IUD, 88 (56%) were aware it could be inserted postpartum. Only 18% were aware it could be inserted intra-cesarean. All women who participated were offered the option for a PPIUCD. Fifty-nine (29.5%) of all women expressed their willingness but on follow up till delivery only 18 of these women got a PPIUCD inserted.  Amongst those not willing for the PPIUCD insertion the commonest reason was general apprehension (39%) followed by partner refusal (33%) and fear of complications (31%). Six women (4.2%) gave history of complications following earlier use and were unwilling for its repeat use. Conclusion: The large unmet need for contraception in India can be solved through repeated counselling and discussions with the woman during her antenatal visits. Alleviating apprehension and addressing concerns of the couple will increase PPIUCD acceptance.

scholarly journals Unmet need for contraception among eligible women of urban slums in Chennai

2021 ◽  
Vol 8 (11) ◽  
pp. 5352
Author(s):  
Jayashree Kalva ◽  
Arathi P. Rao ◽  
Prakash Narayanan
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Unmet Need ◽  
Urban Slum ◽  
Urban Slums ◽  
Modern Contraceptive ◽  
Cross Sectional ◽  
Slum Dwellers ◽  
Living Children ◽  
Unmet Need For Contraception

Background: Unmet need for family planning is a crucial indicator to assess demand for family planning programme. It was reported that women from the world’s poorest countries have a high unmet need for contraception. Unmet need is particularly high among immigrants, urban slum dwellers, and women in the post-partum period. The objective of this study was to assess the unmet need and factors influencing the unmet need for contraception among urban slum dwellers in Chennai, South India.Methods: A community-based cross-sectional study of 375 married women was conducted among 50 urban slums of Chennai. Multistage random sampling was employed. About 6-9 women from each slum were interviewed. A semi-structured questionnaire was used to obtain data.Results: The mean age of the participants was 32.1±7.3 years. The total unmet need was 13.8%, which included 9.3% for limiting and 4.5% spacing. The major reasons for contraception non-use among women with unmet need were no preference to use modern contraceptives (30.8%) and preference to get sterilized soon (21.2%). Age, education, religion, and number of living children were the factors associated with unmet need.Conclusions: It was noted that unmet need reduced with age and increased number of living children. Though the unmet need is considerably low compared to other studies it is evident that women are still uncertain to use modern contraceptive methods for spacing and are more likely to undergo sterilization after their desired family size is achieved.

scholarly journals A retrospective analysis on acceptability and complications of PPIUCD insertion

2018 ◽  
Vol 7 (11) ◽  
pp. 4536
Author(s):  
Prabha Lal ◽  
Nihita Pandey ◽  
Abha Singh
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Tertiary Care ◽  
Unmet Need ◽  
First Year ◽  
Care Hospital ◽  
Population Crisis ◽  
One Year ◽  
Long Acting

Background: In India, 65% of women in the first year postpartum have an unmet need for family planning but only 26% of women are using any method of family planning during the first year postpartum. This leaves a huge gap which needs to be addressed if maternal health is to be optimized. This calls for a method which is both effective and acceptable immediately post-partum. This is where the role of PPIUCD needs to be studied.Methods: This study was a retrospective observational study conducted in a tertiary care hospital. All deliveries during the time period from September 2016 to August 2017 were included in the study and the women accepting PPIUCD were studied for analysed for their age, parity, booking status and complaints during the follow up visit.Results: A total of 13,039 deliveries took place in one year between Sept 2016 to Aug 2017 out of which, 1118 (8.6%) accepted PPIUCD as a method of contraception. 44.3% PPIUCD users were in the age group of 21-25 years. 57% of PPIUCD users were primigravidas. 84% of PPIUCD users were booked cases. Missing threads was the most common complication, with 8.4% patients reporting it at follow up. There were no major complications noted in the study.Conclusions: PPIUCD is a safe and effective long acting reversible contraception method. Is particularly beneficial in a setting where women do not return for contraceptive advice. With low expulsion rates and high continuation rate, authors can conclude that PPIUCD can be the solution to a country like India currently facing population crisis and high unmet need.

scholarly journals Incorporating Method Dissatisfaction into Unmet Need for Contraception: Implications for Measurement and Impact

2021 ◽  
Vol 52 (1) ◽  
pp. 95-102
Author(s):  
Claire W. Rothschild ◽  
Win Brown ◽  
Alison L. Drake
Keyword(s):  
Unmet Need ◽  
Unmet Need For Contraception

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.

Abstract 18749: Body Mass Index, Leptin, and Recovery in Peripartum Cardiomyopathy: Results of the Multicenter IPAC Study

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Esa Davis ◽  
Julie Damp ◽  
Rami Alharethi ◽  
Gregory Ewald ◽  
Michael Givertz ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Post Partum ◽  
Peptide Hormone ◽  
Peripartum Cardiomyopathy ◽  
Study Entry ◽  
First Year ◽  
Biomarker Analysis ◽  
Lv Remodeling ◽  
The Impact

Introduction: The contribution of obesity and metabolic syndrome to the development of peripartum cardiomyopathy (PPCM) remains unknown. Leptin is a peptide hormone released by adipose tissue which may mediate impact of the obesity on cardiovascular function. We sought to evaluate their effect on myocardial recovery in PPCM in the multicenter Investigation of Pregnancy Associated Cardiomyopathy (IPAC) study. Methods: 100 women with new onset of PPCM were enrolled and serum obtained for biomarker analysis at entry. Myocardial function was assessed by echocardiography at entry, 2 months, 6 months and 12 months postpartum and LVEF calculated at a core lab. Leptin levels were measured by ELISA and the correlation of leptin with body mass index (BMI) and days post-partum evaluated. LVEF over the first year postpartum was compared by BMI at study entry (BMI >30 versus<=) and then compared by of Leptin levels (median). Results: The cohort was 30% black 65% white 5% other,age 30 + 6, mean BMI was 28.9 + 7.4 and LVEF 0.34 + 0.10 at study entry 31 + 25 days post-partum.Compared to those with a BMI<=30 women with a BMI > 30 had a similar LVEF at entry (LVEF BMI>30 vs < : 0.35 + 0.09 vs 0.34 + 0.10, p=0.60), but a lower LVEF at 2 month (0.39 + 0.12 vs 0.45 + 0.12, p=0.02), 6months (0.38 + 0.12 vs 0.53 + 0.09, p=0.02) and 12 months (0.50 + 0.13 vs 0.55 + 0.08, p=0.03). Leptin levels (mean 23.4 + 21.1 ng/ml, median 15.26 ng/ml) correlated with BMI (r=0.57, p<0.001). Higher leptin levels were associated with more remodeling (LVEDD for high/low leptin= 5.8 + 0.7/5.4 + 0.6, p=0.02) at entry and lower LVEF 2months (high/low= 0.40 + 0.12/ 0.46 + 0.11, p=0.02) which persisted at 12 months (high/low= 0.51 + 0.11/0.56 + 0.08, p=0.03). Leptin levels were significantly lower at entry in subjects who subsequently recovered to an LVEF>=0.50 (19.2 + 19.1 vs 31.8 + 22.9, p=0.006), and were higher in diabetics (p=0.01) and in blacks (p=0.03). Conclusions: In women with PPCM, obesity was associated with a lower LVEF at 6 and 12 months. Leptin levels correlated with BMI and were associated with greater LV remodeling at presentation and lower LVEF at 12 months. The impact of obesity and leptin on the development of cardiomyopathy warrants further investigation.

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