Women's awareness of long-acting, reversible contraceptive methods (LARCs) in community family planning clinics and general practice

Objective: To find out the particulars regarding contraceptive practices in the postpartum period and to see its impact on prolonging interpregnancy interval (IPI). Methods: A cross sectional observational study was conducted in the Department of Obstetrics & Gynecology Unit 3, Liaquat University Hospital Hyderabad from 1st July to 31st December 2018. Out of 2100 total deliveries, 398 postpartum women with second or higher order births were included. Pregnant women, primiparas and those who were not willing to participate were excluded. They were interviewed face to face by principal investigator and her team members and required information was collected on predesigned Performa. Outcome variable was interpregnancy interval in months. Chi-square test was used to see association Results: Postpartum contraception utilization (PPC) was 24.6%(n=398). Most of the women choose condoms as contraceptive method (n=41, 10.3%) followed by oral contraceptive pills (n=18, 4.5%) and intra uterine contraceptive device (n=16,4%). Method related issues were the chief reasons for discontinuation while desire to have another child soon and spouse/family disapproval were among the reasons mentioned largely by non-utilizers of modern methods of family planning. The average interpregnancy interval was 16.4±1.45. Significant association was observed between interpregnancy interval and postpartum contraception use, particularly in the users of long acting reversible contraceptive methods (P-Value 0.0001). Conclusion: Uptake and continuation of modern methods of contraception was low after last birth culminating in short interpregnancy interval. Optimal IPI was observed in those utilizing modern methods of family planning, with marked effect in users of long acting reversible contraceptive methods. doi: https://doi.org/10.12669/pjms.35.6.914 How to cite this:Bibi S, Shoukat A, Maroof P, Mushraf S. Postpartum contraception utilization and its impact on inter pregnancy interval among mothers accessing maternity services in the public sector hospital of Hyderabad Sindh. Pak J Med Sci. 2019;35(6):1482-1487. doi: https://doi.org/10.12669/pjms.35.6.914 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Two-year continuation rates of long-acting reversible contraceptive methods: A cohort study in the French national healthcare insurance database

10.26226/morressier.5912d9ead462b80292385fcb ◽

2017 ◽

Author(s):

Aubert Agostini

Keyword(s):

Cohort Study ◽

Contraceptive Methods ◽

National Healthcare ◽

Healthcare Insurance ◽

Long Acting ◽

Long Acting Reversible Contraceptive ◽

Insurance Database ◽

Continuation Rates

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Contraception in Adolescents

Seminars in Reproductive Medicine ◽

10.1055/s-0041-1735629 ◽

2021 ◽

Author(s):

Shandhini Raidoo ◽

Marit Pearlman Shapiro ◽

Bliss Kaneshiro

Keyword(s):

Contraceptive Use ◽

Unwanted Pregnancy ◽

Healthcare Providers ◽

The United States ◽

Sexually Active ◽

Contraceptive Methods ◽

Contraceptive Counseling ◽

Unscheduled Bleeding ◽

Long Acting ◽

Long Acting Reversible Contraceptive

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.

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DETERMINAN PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG PADA AKSEPTOR KB AKTIF DI PUSKESMAS PEDAMARAN

Contagion: Scientific Periodical Journal of Public Health and Coastal Health ◽

10.30829/contagion.v1i01.4819 ◽

2019 ◽

Vol 1 (01) ◽

Author(s):

Lusia Weni ◽

Muhammad Yuwono ◽

Haerawati Idris

Keyword(s):

Multivariate Analysis ◽

Family Planning ◽

Information Needs ◽

Large Population ◽

Univariate Analysis ◽

Bivariate Analysis ◽

Contraceptive Methods ◽

Long Acting ◽

Selection Of

Determinant of the selection of long-term contraceptive methods on family planning acceptors in Pedamaran community health center. The population problem faced by Indonesia is a large population with a low quality of life. Uncontrolled population rate will cause baby booming so information needs to be disseminated about the benefits of family planning (FP). Long-term contraceptive method has a high level of effectiveness and can reduce the rate of population growth. This study aim to determine the factors that affect the selection of long-term contraceptive methods in active family planning acceptors.This study used a cross-sectional study design and using simple random sampling technique, consisted of 243 acceptors. Analyzes of data were univariate analysis, bivariate analysis using chi-square test with α = 0.05 and 95% confidence interval value, and multivariate analysis using binary logistic regression.Based on multivariate analysis was the variables significantly related to the selection of long-acting contraception include age (p = 0.01; OR = 2,24; 95% CI: 1,17-4,29), education (p = 0.01; OR = 0,31; 95% CI: 0,13-0,75) and number of children (p = 0.03; OR = 2; 95% CI: 1,05-3,81). Thus, age was the variable that had the greatest impact on determining the selection of long-acting contraception.The acceptors with ≥ 35 years old, low educated and have >2 children more likely to choose long-acting contraception. It is hoped that family planning workers can educate and persuade people of all ages with different educational backgrounds so total fertility rate can be reduce.

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