scholarly journals An Exploratory Analysis of Factors Associated With Interest in Postpartum Intrauterine Device Uptake Among Pregnant Women and Couples in Kigali, Rwanda

2019 ◽  
Vol 13 ◽  
pp. 117955811988684 ◽  
Author(s):  
Vanessa Da Costa ◽  
Rosine Ingabire ◽  
Robertine Sinabamenye ◽  
Etienne Karita ◽  
Victoria Umutoni ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Unintended Pregnancy ◽  
Intrauterine Device ◽  
Unmet Need ◽  
Male Involvement ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Contraception Use

Background: The desire to space or prevent future pregnancies is high among postpartum women in Rwanda. However, the use of long-acting reversible contraception (LARC), especially the highly effective and cost-effective copper intrauterine device (IUD), is very low, whereas the rates of unintended pregnancy are high. This study aims to identify factors associated with pregnant women’s and couple’s interest in receiving a postpartum intrauterine device (PPIUD) within 6 weeks after delivery. Methods: A total of 150 pregnant women or couples attending antenatal care (ANC) in Kigali, Rwanda participated in this cross-sectional study. After participating in a postpartum LARC counseling session, surveys assessed participants’ demographics, pregnancy experiences and desires, and PPIUD knowledge, attitudes, practices, and interest. Multivariable logistic regression was used to model factors associated PPIUD interest within 6 weeks postpartum. Results: Although only 3% of women had ever used an IUD previously, 124 (83%) women were interested in receiving a PPIUD after counseling. Self-reporting physical side effects (adjusted odds ratio [aOR], 0.21; 95% confidence interval [CI], 0.06-0.75) and infection (aOR, 0.19; 95% CI, 0.04-0.85) as disadvantages to the IUD were significantly associated with no interest in receiving a PPIUD. Interest did not differ by male involvement. Conclusion: Recommendations to increase PPIUD uptake include educating pregnant women and couples about the method during ANC and addressing client myths and misconceptions about the IUD. This strategy allows pregnant women and couples to make informed decisions about their future contraception use, reduce unmet need for family planning, and reduce unintended pregnancy.

scholarly journals One in every four women living with HIV had unmet need for family planning in Gondar city, Northwest Ethiopia: Cross-sectional study

2019 ◽  
Author(s):  
Mihret Dejen Kassie ◽  
Yohannes Ayanaw Habitu ◽  
Simegnew Handebo
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Cross Sectional Study ◽  
Rural Residence ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Women Living With Hiv ◽  
Contraception Use ◽  
Living With Hiv

Abstract Background All women, including those living with HIV, have the right to choose the timing, spacing, and number of their births and need access to family planning services.Objective To assess the prevalence and factors associated with unmet need for family planning among women attending Anti retro viral Therapy (ART).Methods Facility-based cross sectional study was conducted from March, to April, 2018 in Gondar town, Ethiopia. Systematic random sampling technique was used to recruit respondents. A total of 441 reproductive age women on ART were included in the study. The data were collected using a pretested structured questionnaire. Bivariate and backward multivariable logistic regression model was fitted to identify factors associated with unmet need for family planning. Adjusted Odds Ratio (AOR) and 95% confidence interval was computed.Results The prevalence of unmet need for family planning was 24.5% (95% CI: 20.4-28.8). Rural residence (AOR: 2.11, 95% CI (1.02, 4.36)), women aged 20-29 years (AOR: 0.29, 95% CI (0.09, 0.93)), 30-34 years (AOR: 0.30, 95% CI (0.10, 0.92)), 35-39 years (AOR: 0.14, 95% CI (0.04, 0.45)), and above 40 years (AOR: 0.08, 95% CI (0.02, 0.38)), have more than three children (AOR: 0.12, 95% CI (0.04, 0.36)), intention to have more children (AOR: 0.08, 95% CI (0.03, 0.23)), who did not disclose their sero-status to partner (AOR: 0.39, 95% CI (0.19, 0.81)), having no experience of contraception use (AOR: 0.44, 95% CI (0.21, 0.92)) were significantly associated with unmet need for family planning.Conclusion One in every four women living with HIV had unmet need for family planning. Rural residence, age of the women, having >3 children, intention to have more children, not disclosing sero-status to partner, and having no experience of contraception use were significantly associated with unmet need for family planning.

scholarly journals Long-Lasting Insecticidal Net Utilization and Associated Factors Among Pregnant Women in Asgede Tsimbla District, Northern Ethiopia, 2017

2020 ◽  
Vol 14 ◽  
pp. 117863022091939
Author(s):  
Teklit Angesom ◽  
Hailay Gebreyesus ◽  
Brhane Gebremariam
Keyword(s):  
Pregnant Women ◽  
Family Size ◽  
Associated Factors ◽  
Statistical Significance ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
P Value ◽  
Northern Ethiopia ◽  
Cross Sectional ◽  
Factors Associated

Background: Malaria among pregnant women contributes to maternal anemia, low birth weight, spontaneous abortion, and infant deaths. In response to this serious health problem, regular use of the long-lasting insecticidal net is the most cost-effective method of preventing malaria. However, in most developing countries, including Ethiopia, long-lasting insecticidal net utilization by pregnant women is uncertain. Objectives: This study was conducted to measure the utilization of insecticidal net and to identify the associated factors with its utilization among pregnant women in Asgede Tsimbla district in 2017. Methods: A community-based cross-sectional study was employed and data were collected using interviewer-administered questionnaire. Systematic random sampling method was used to select 550 pregnant women. Data were entered into a computer using Epi Info (version 7) and exported to Statistical Package for the Social Sciences (version 21) for further analysis. Variables with P-value less than 0.05 were used to declare statistical significance between the dependent and the independent variables in multivariable logistic regression. Results: Among 550 pregnant women surveyed, 347 (63.1%) of the pregnant women slept under a long-lasting insecticidal net the night before the survey. Urban residence (OR [95% CI] = 1.9 [1.22-3.01]), family size of 3-5 and >5 (2.8 [1.53-5.22] and 2.4 [1.20-5.03], respectively), and history of malaria during their current pregnancy (3.0 [1.95-4.86]) were found to be the factors associated with pregnant women’s long-lasting insecticidal net utilization. Conclusion: Utilization of long-lasting insecticidal net was low, and place of residence, exposure status to malaria during their current pregnancy, and family size were the factors associated with long-lasting insecticidal net utilization.

Sociodemographic factors associated with postnatal maternal complications in public hospitals in Nairobi City County, Kenya

2021 ◽  
Vol 15 (1) ◽  
pp. 1-7
Author(s):  
Raheli Misiko Mukhwana ◽  
Margaret N Keraka ◽  
Meshack Onyambu
Keyword(s):  
Antenatal Care ◽  
Mode Of Delivery ◽  
Cost Effective ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Factors Associated ◽  
Focused Antenatal Care

Introduction/Aims Focused antenatal care provides individualised counselling, targeted assessment and safe, cost effective, evidence-based intervention. It has been implemented in developing countries as a strategy to improve maternal health. This study aimed to investigate sociodemographic factors associated with maternal complications in selected public county hospitals in Nairobi City County, Kenya. Methods This was a cross-sectional study using a sample of 397 postnatal women who were given a questionnaire, with sections on their sociodemographic and health characteristics. Data analysis was done using the Chi Square test to determine the association between study variables, with P<0.05 considered statistically significant. Results The study found that 30% of respondents reported a maternal complication during their current delivery outcome. Sociodemographic factors significantly associated with maternal complications were age (P=0.002), occupation (P=0.001) and income (P=0.011). The health factors associated with occurrence of maternal complications were number of deliveries (P=0.001) and mode of delivery (P=0.001). Conclusions A number of factors were found to be significantly associated with maternal outcomes, including age and occupation. Further studies to determine why young women do not use focused antenatal care are necessary, as this would help reduce the incidence of birth-associated complications.

scholarly journals Factors associated with antenatal depression among pregnant women in Vietnam: A multisite cross-sectional survey

2020 ◽  
Vol 7 (1) ◽  
pp. 205510292091407
Author(s):  
Mai Thi Hue ◽  
Nguyen Hang Nguyet Van ◽  
Phung Phuong Nha ◽  
Ngo Tuan Vu ◽  
Pham Minh Duc ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Tobit Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Screening Programs ◽  
Factors Associated ◽  
The Status ◽  
Structured Questionnaire

This study aimed to describe the status of antenatal depression and its associated factors among pregnant women in Vietnam. A cross-sectional study was conducted in four obstetric hospitals in Vietnam from January to September 2019. A total of 1260 pregnant women were interviewed using a structured questionnaire. A Tobit regression model was used to determine factors associated with antenatal depression. Results showed that pregnant women were at high risk of antenatal depression (24.5%). Women with fetus abnormalities and higher education were at higher risk of antenatal depression. We highlighted the need for implementing formal screening programs to early detect antenatal depression.

scholarly journals Susceptibility for varicella and factors associated with immunity among pregnant women in a tertiary care hospital in Sri Lanka- a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ishara P. Premathilake ◽  
Praveena Aluthbaduge ◽  
Channa P. Senanayake ◽  
Renuka Jayalatharachchi ◽  
Sirithilak Gamage ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Risk status of pregnant women in rural areas of Belagavi: a cross sectional study

2019 ◽  
Vol 6 (6) ◽  
pp. 2350
Author(s):  
Katherine J. Bernard ◽  
Sulakshana Baliga
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
High Risk Pregnancy ◽  
Cross Sectional ◽  
Risk Status ◽  
Factors Associated ◽  
Risk Pregnancy ◽  
Status Assessment

Background: ‘High-risk’ pregnancies account for a significant proportion of perinatal morbidity and mortality worldwide. Simple prenatal scoring systems can be used to assess risk status of pregnancy and inform subsequent management. Their use in rural areas and low-resource settings could be of particular benefit. This study employed pregnancy risk status assessment in one such area of rural India. The objectives of the study were to estimate the prevalence of low, moderate and high-risk pregnancy among women in a rural area of Belagavi and to identify factors associated with high-risk pregnancy status.Methods: This community-based cross-sectional study was undertaken among 105 pregnant women of all trimesters presenting to antenatal clinics in the Kinaye area of Belagavi, Karnataka, during July 2018. Information on risk factors and socio-demographic details were collected using a questionnaire, and individual risk scores calculated through a scoring system. This was used to estimate prevalence of low, moderate and high-risk status among participants, and subsequently compared against selected variables to identify factors associated with high risk pregnancy status.Results: Prevalence of high-risk pregnancy among participants was 31.4%, moderate-risk 30.5%, low-risk 29.5% and ‘no risk’ 8.6%. Maternal undernutrition was an important factor associated with high-risk pregnancy.Conclusions: This study highlights the need for early identification and appropriate management of such cases, in order to prevent adverse perinatal outcomes. The prenatal scoring system used in this study offers a simple method for risk status assessment in pregnant women of all trimesters, suited for use in antenatal clinics in rural areas of India.

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