scholarly journals A rise in births following contraceptive failure in France between 2010 and 2016: results from the French national perinatal surveys

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Camille Bonnet ◽  
Béatrice Blondel ◽  
Caroline Moreau
Keyword(s):  
Contraceptive Method ◽  
Contraceptive Use ◽  
Significant Proportion ◽  
Adult Women ◽  
Contraceptive Methods ◽  
Subsequent Increase ◽  
Contraceptive Failure ◽  
Live Births ◽  
Socially Disadvantaged ◽  
Method Mix

Abstract Background In France, while the prevalence of contraception is high, a significant proportion of pregnancies are unintended. Following the 2012 pill scare, the contraceptive method mix, which was mostly comprised of pills and intrauterine devices (IUD), has become more diversified. In this changing landscape, our objective was to describe trends in live births resulting from contraceptive failure and evaluate how patterns of contraceptive use have contributed to observed changes between 2010 and 2016. Methods We used data from the 2010 and the 2016 French National Perinatal surveys which included all births from all maternity units in France over a one-week period. Interviews collecting information about pre-conception contraceptive practices were conducted in the maternity ward post-delivery. Women were classified as having a contraceptive failure if they discontinued contraception because they were pregnant. Our study sample included adult women who had a live birth, had ever used contraception and did not undergo infertility treatment (n = 11,590 in 2010 and n = 9703 in 2016). We evaluated changes in contraceptive failure over time using multivariate Poisson regressions to adjust for sociodemographic characteristics and pre-pregnancy contraceptive methods. Results Pre-pregnancy contraception evolved between 2010 and 2016 with a 12.3% point-drop in pill use, and conversely, 4.6%- and 3.2%-point increases in IUD and condom use, respectively. Use of other barrier or natural methods doubled between 2010 and 2016 but remained marginal (1.4% in 2010 vs 3.6% in 2016). Between 2010 and 2016, the proportion of live births resulting from contraceptive failure rose from 7.8 to 10.0%, with higher risks among younger, parous and socially disadvantaged mothers. The risk ratio of contraceptive failure in 2016 compared to 2010 remained higher after sociodemographic adjustments (aRR = 1.34; 95% CI; 1.23–1.47) and after adjusting for pre-pregnancy contraceptive method mix (aRR = 1.35; 95% CI; 1.25–1.49). Increases in contraceptive failures were concentrated among pill and condom users. Conclusions Recent shifts in contraceptive behaviors in France following the 2012 pill scare may be associated with a subsequent increase in births resulting from short acting contraceptives failures.

scholarly journals The effect of Women’s decision-making autonomy on family Planning acces in Senegal in 2017

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
N M Sougou ◽  
O Bassoum ◽  
M M M M Leye ◽  
A Tal-Dia
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Modern Contraceptive Method ◽  
Significant Difference ◽  
Modern Contraceptive Use ◽  
The Impact

Abstract Background The impact of access to decision-making on women’s health in the choice of fertility control has been highlighted by research. The aim of this study was to analyze the impact of access to decision-making for women’s health on access to family planning in Senegal in 2017. Methods The analyses of this study had been done on the Individual Records file of Senegal’s Demographic Health Survey 2017. This data covered 8865 women aged 15 to 49 years. The propensity scores matching method had been done. The variable access to the decision was considered as the variable of interest. Matching was done using variables that were not modified by the effect of the treatment. These were religion and socio-economic level. The outcome variables were modern contraceptive use, the existence of unmet needs and the type of modern contraceptive method used. Significance was at 5%. The condition of common support had been respected. The analysis was done with the STATA.15 software. Results Six percent (6.26%) of women could decide about their health on their own. Access to decision-making increased significantly with the woman’s age (p < 0.05). Fifteen percent (15.24%) women used a modern contraceptive method. Women using a contraceptive method were more numerous in the group with access to decision-making (29.43%) with a significant difference with the other group of 8% (p < 0.05). After matching, there was no significant difference between women in terms of modern contraceptive use and the existence of unmet needs. There was a significant difference in the type of contraceptive method used between the two groups of women. These differences were 23.17% for Intra Uterine Device, 52.98% for injections, 08.9% for implants and 10.79% for condoms. Conclusions Access to decision-making for health would facilitate women’s access to long-acting contraceptive methods. These findings show the importance of implementing gender transformative interventions in improving access to family planning. Key messages Access to decision-making for health would allow better access to modern contraceptive methods, especially those with a long duration of action. Better consideration of gender disparity reduction could improve access to family planning in Senegal.

scholarly journals USE OF MALE METHODS OF CONTRACEPTION WORLDWIDE

2016 ◽  
Vol 49 (5) ◽  
pp. 648-663 ◽  
Author(s):  
John Ross ◽  
Karen Hardee
Keyword(s):  
Condom Use ◽  
Time Trends ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Geographic Variations ◽  
Male Contraceptive ◽  
Use Patterns ◽  
Method Mix ◽  
Male Sterilization

SummaryThis article analyses male contraceptive use, both globally and for developing countries. Shares of all contraceptive use due to males are examined, in the context of female use and all use. Patterns according to wealth quintiles are analysed, as well as time trends and geographic variations. Data are drawn primarily from compilations by the UN Population Division and from the Demographic and Health Series and subjected to relatively simple statistical methods including correlation/regression applications. Contraceptive methods that men use directly, or that require their co-operation to use, including condoms, withdrawal, rhythm and male sterilization, account for one-quarter of all contraceptive use worldwide. This represents 13% of married/in-union women. Both the share and the prevalence of male methods vary widely by geography and by the four methods, as well as by quintile wealth groups. With greater wealth there is an unbroken rise for total use; among the male methods, the shares of condom use and rhythm rise by wealth quintiles, while the share of withdrawal drops. The share for male sterilization is highest in the lowest and highest wealth quintiles and dips for the middle quintiles. The overall time trend since the 1980s has been steady at one-quarter of all use involving men; moreover, the share is about the same at all levels of total use. The female-only methods continue to dominate: female sterilization, IUD, pill, injectable and implant, again with great diversity geographically. In surveys men report less total use but more condom use, while females report more injectable use. For the future the male share of one-quarter of use seems secure, with little prospect of an increase unless concerted programmatic efforts are made to expand access to male methods and promote their use as part of a broadened contraceptive method mix.

scholarly journals The everlasting outmoded contraceptive method mix in Brazil and its legacy.

2019 ◽  
Vol 36 ◽  
pp. 1-29
Author(s):  
Suzana Cavenaghi ◽  
José Eustáquio Diniz Alves
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Fertility Transition ◽  
National Health Survey ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Family Planning Programs ◽  
Short Period ◽  
The 1960S ◽  
Method Mix

Fertility transition occurred in a short period of time in Brazilian the absence of family planning programs, and most noticeable, in a context of illegality in the provision of means of fertility selfregulation. These events did not happen without consequences. Based in the literature and facts registered during that time, the paper first discusses how the resistance to the implementation of family planning programs from the 1960s to the 1980s have contributed to the unbalanced contraceptive method mix in the 1990’s. Secondly, the paper will discuss problems around contraceptive data collection in the National Health Survey, and, performing an adjustment of the data, we analyze trends in the use of contraceptive methods from 1986 to 2013, showing that method mix continues to be very concentrated in the same two methods, an even more outdated scheme, with the daily pill exchanging first place with female sterilization. Finally, the paper discusses some fertility characteristics associated with the outdated contraceptive mix, still prevailing at the end of fertility transition, arguing that this could be avoided or minimized if policies and laws are based in reproductive rights of all people only. 

scholarly journals Migration and family planning in the state with highest total fertility rate in India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bidhubhusan Mahapatra ◽  
Niranjan Saggurti ◽  
Raman Mishra ◽  
Monika Walia ◽  
Saradiya Mukherjee
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Significant Proportion ◽  
Implementation Strategies ◽  
Married Women ◽  
Systematic Sampling ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Multi Stage ◽  
The Relationship

Abstract Background This study examined the relationship between male out-migration and family planning (FP) behaviour of women in rural Bihar. Methods Data was collected from 937 currently married women aged 15–34 years from two districts of Bihar, namely Nawada and Gopalganj. Respondents were selected through a multi-stage systematic sampling and were recruited from both low and high male out-migration blocks. Differences in FP outcomes—use of modern contraceptive methods, intention to use contraceptives in next 12 months and access to FP services—were assessed by volume of migration, husband’s migration status, frequency of return, and duration of husband’s stay at home during visits. Results Women with migrant husbands were about 50% less likely to use modern contraceptive methods. Further, the odds of using modern contraceptives was about half among women with migrant husbands if they resided in high out-migration areas (HMA) than low out-migration areas (LMA) (15% vs 29%, AOR: 0·50, p = 0·017). A higher proportion of women with migrant husbands, specifically from HMA, reported greater intention of using contraceptives in next 12 months than their counterparts (37% vs 23%, AOR: 1·83, p = 0·015). Similarly, access to FP services was negatively associated with the volume of male out-migration, specifically for women with migrant husbands. Conclusions The migratory environment as well as the migration of husbands affect contraceptive use and access to FP services among women. Given that a significant proportion of married males leave their home states for work, it is imperative that FP programs in migration affected areas plan and implement migration-centric FP implementation strategies.

scholarly journals Use of contraceptive methods by sexually active teenagers in Pelotas, Rio Grande do Sul State, Brazil

2007 ◽  
Vol 23 (12) ◽  
pp. 2862-2868 ◽  
Author(s):  
Clarissa Lisbôa Arla da Rocha ◽  
Bernardo L. Horta ◽  
Ricardo Tavares Pinheiro ◽  
Ana Laura Sica Cruzeiro ◽  
Suelen Cruz
Keyword(s):  
Urban Area ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Rio Grande ◽  
Cross Sectional Study ◽  
Rio Grande Do Sul ◽  
Contraceptive Methods ◽  
Chi Square ◽  
Cross Sectional ◽  
Increased Risk

This study aimed to assess the prevalence of contraceptive use by adolescents. A cross-sectional study was performed from March to September 2002 in a representative sample of adolescents 15 to 18 years of age in the urban area of Pelotas, Rio Grande do Sul State, Brazil. Multiple-stage sampling was used, and in the 448 census tracts located in the urban area, 90 were sampled and households were visited in each tract. Information was collected on sexual initiation and use of contraceptive methods. Chi-square test was used to compare proportions. The sample included 960 adolescents. 88% of subjects reported the use of any contraceptive method. Condoms were the most commonly used method (63.2%). Low adolescent schooling was the only variable associated with increased risk of non-use of contraceptives. Condom use was higher among males, adolescents whose mothers had 9 or more years of schooling, and those reporting several sexual partners in the previous year. Condoms were the most commonly used contraceptive method.

Contraceptive use and its determinants among adolescent women in Tigray, Ethiopia: a multilevel modeling

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Haftom Temesgen Abebe ◽  
Abate Bekelle Belachew ◽  
Letekirstos Gebreegziabher Gebretsadik ◽  
Yodit Zewdie Berhe ◽  
Haftu Berhe Gebru ◽  
...  
Keyword(s):  
Marital Status ◽  
Health Facility ◽  
Educational Level ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Factors Affecting ◽  
Adolescent Women ◽  
Visit Duration ◽  
History Of

AbstractBackgroundAdolescent women are central for intergenerational health of human populations. Adolescent women are the most vulnerable to a range of reproductive health problems. One of the leading causes of death for adolescent women is complications from childbirth and pregnancy. Contraceptive prevents the occurrence of unwanted pregnancies and its complications, thus potentially lower the death rate for adolescent women. However, contraceptive use assumed to be affected by multilevel factors thus needs statistical modeling that account the effect of these factors. Understanding multilevel factors affecting contraceptive use among adolescent women is important for improving the access to and quality of health services.ObjectiveThe aim of this study was to assess the contraceptive use and its multilevel determinants among adolescent women in Tigray region.MethodsA community based cross-sectional study was conducted. Women who were 15–19 years of age residing in the selected households at the time of data collection were included in the survey. Multi-stage cluster sampling was used to select study units. A multivariable two-level mixed effect binary logistic regression model was fitted to assess the effect of the explanatory variables on contraceptive use.ResultsA total of 1,755 adolescent women were participated. Of these 12.3% were contraceptive users. Pills (40%) and intrauterine device (30%) were commonly used contraceptive methods. Educational level, schooling, marital status, age, being informed about contraceptive, health facility visit, duration of stay at their residence, having partner and hearing of contraceptive use message through media were the most important determinants for use of contraceptive among adolescent women. Study participants who were not at school currently had more likely to use contraceptive methods compared to those who were at school (Adjusted odds ratio [AOR]=2.05; 95% confidence interval [CI]: 1.502, 4.183). Similarly, adolescent women who had no history of health facility visit had less likely to use contraceptive methods than those have history of health facility visit (AOR=0.057; 95% CI: 0.034, 0.096). Adolescent women who heard of contraceptive through median had two times (AOR=2.103; 95% CI: 1.207, 3.664) more likely to use contraceptive methods than those not heard contraceptive through media.Conclusion and recommendationThe factors affecting use of contraceptive method among adolescent women were educational level, schooling, marital status, age, being informed about contraceptive, health facility visit, duration of stay at their residence, having partner and hearing of contraceptive use message through media. This study recommends that in order to increase use of contraceptive method among adolescent women, interventions should continue like the promotion of contraceptive methods through media.

scholarly journals Peran perempuan dalam penggunaan alat kontrasepsi

2016 ◽  
Vol 29 (3) ◽  
pp. 121
Author(s):  
Anis Fitriani
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Negative Effects ◽  
Level Of Education ◽  
Qualitative Phenomenology ◽  
Study Researcher ◽  
Experiences Of Women ◽  
Choice Frequency

Family planning is a program established by government to minimize the population explosion by preventing pregnancy and child birth. Women are naturally able to conceive and give birth so they become the target of higher contraceptive use than men. Women in the Pucangro Village Kalitengah subdistrict in Lamongan regency explained their experiences and knowledge they have in using contraception. This type of research is qualitative phenomenology. In this study, researcher explains knowledge and experiences of women in using contraception. Information obtained through observation of women’s life by conducting interview with five women who use contraceptives. Contraception which used by many people in Pucangro Village, Kalitengah subdistrict, Lamongan regency are injection, pill, implant and steady contraception. Women often change contraception methods to adjust the most suitable type for their body because of the effects of contraception make users uncomfortable. Even so, informants persist in using contraception because they have no other choice. Frequency in changing contraceptive method also due to women's knowledge about contraceptive methods which is critically low, such knowledge is mostly gained throughm experiences from parents and siblings. The partner (husband) are less involved and do not want to know the use of contraception’s partner (wife). Several factors that stimulate contraception usage are knowledge possession, level of education, encouragement from family or partner, and side effect of the contraception itself. Women have the power to determine the type of contraception they prefer but no power to refuse using contraception even though negative effects are most likely to occur.

scholarly journals The everlasting outmoded contraceptive method mix in Brazil and its legacy

2019 ◽  
Vol 36 ◽  
pp. 1-29
Author(s):  
Suzana Cavenaghi ◽  
José Eustáquio Diniz Alves
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Fertility Transition ◽  
National Health Survey ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Family Planning Programs ◽  
Short Period ◽  
The 1960S ◽  
Method Mix

Fertility transition occurred in a short period of time in Brazilian the absence of family planning programs, and most noticeable, in a context of illegality in the provision of means of fertility selfregulation. These events did not happen without consequences. Based in the literature and facts registered during that time, the paper first discusses how the resistance to the implementation of family planning programs from the 1960s to the 1980s have contributed to the unbalanced contraceptive method mix in the 1990’s. Secondly, the paper will discuss problems around contraceptive data collection in the National Health Survey, and, performing an adjustment of the data, we analyze trends in the use of contraceptive methods from 1986 to 2013, showing that method mix continues to be very concentrated in the same two methods, an even more outdated scheme, with the daily pill exchanging first place with female sterilization. Finally, the paper discusses some fertility characteristics associated with the outdated contraceptive mix, still prevailing at the end of fertility transition, arguing that this could be avoided or minimized if policies and laws are based in reproductive rights of all people only. 

scholarly journals Family Welfare Expenditure, Contraceptive Use, Sources and Method-Mix in India

2021 ◽  
Vol 13 (17) ◽  
pp. 9562
Author(s):  
Sheuli Misra ◽  
Srinivas Goli ◽  
Md Juel Rana ◽  
Abhishek Gautam ◽  
Nitin Datta ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Universal Access ◽  
Family Welfare ◽  
Contraceptive Methods ◽  
Female Sterilization ◽  
Large Country ◽  
Family Planning Programs ◽  
Method Mix ◽  
Welfare Expenditure

Making universal access to sexual and reproductive health care a reality, and thus building momentum for comprehensive family planning by 2030, is key for achieving sustainable development goals. However, in the last decade, India has been retreating from progress achieved in access to family planning. Family planning progress for a large country such as India is critical for achieving sustainable developmental goals. Against this backdrop, the paper investigated the question of how far family welfare expenditure affects contraceptive use, sources of contraceptive methods, and method-mix using triangulation of micro and macro data analyses. Our findings suggest that, except for female sterilizations, modern methods of contraception do not show a positive relationship with family welfare expenditure. Notwithstanding a rise in overall family welfare expenditure, spending on core family planning programs stagnates. State-wise and socio-economic heterogeneity in source-mix and method-mix continued to influence contraceptive access in India. Method-mix continued to skew towards female sterilization. Public sector access is helpful only for promoting female sterilization. Thus, the source-mix for modern contraceptives presents a clear public-private divide. Over time, access to all contraceptive methods by public sources declined while the private sector has failed to fill the gap. In conclusion, this study identified a need for revitalizing family planning programs to promote spacing methods in relatively lower-performing states and socio-economic groups to increase overall contraceptive access and use in India through the rise in core family planning expenditure.

Contraceptive method choice in the Philippines, 1973–83

1989 ◽  
Vol 21 (S11) ◽  
pp. 61-74
Author(s):  
Zelda Zablan ◽  
Minja Kim Choe ◽  
James A. Palmore ◽  
Tauseef Ahmed ◽  
Adelamar Alcantara ◽  
...  
Keyword(s):  
Survey Data ◽  
National Survey ◽  
Contraceptive Method ◽  
Contraceptive Use ◽  
The Philippines ◽  
Method Choice ◽  
Rational Choices ◽  
Contraceptive Prevalence ◽  
Method Mix

SummaryContraceptive use and method mix were analysed using Philippines national survey data of 1973, 1978, and 1983. The analyses suggest that the reported decline in contraceptive prevalence between 1978 and 1983 was due to under-reporting of use in 1973 and 1983. The shifts in contraceptive method mix were also partly from under-reporting of rhythm and other methods in 1973 and 1983. Nevertheless, the determinants of method choice were similar in all three sets of data. Filipino couples were making rational choices in terms of their contraceptive goals, access, evaluation, and competence. Modifications in the directions and magnitude of the relationships in determining method choice also occurred, partly reflecting the increased use of sterilization by older, higher parity women.

Sign in / Sign up

Export Citation Format

Share Document