scholarly journals Choice of postpartum contraception and its socio-demographic and cultural determinants

2020 ◽  
Vol 9 (7) ◽  
pp. 2866
Author(s):  
Vidyadhar B. Bangal ◽  
Sunil Thitame ◽  
K. V. Somasundaram
Keyword(s):  
Unwanted Pregnancy ◽  
Antenatal Visit ◽  
Third Trimester ◽  
Postpartum Contraception ◽  
Economic Class ◽  
Number Of Children ◽  
Cultural Determinants ◽  
Multiparous Women ◽  
Living Children ◽  
Barrier Contraception

Background: Postpartum contraception is essential for avoidance of unwanted pregnancy and for adequate spacing between two pregnancies. There are many socio demographic and cultural factors that influence the choice of contraception in rural community in India. Third trimester of pregnancy is ideal time for counselling the women regarding breast feeding and contraception. The objective of the present study was to find out the choice of postpartum contraception among antenatal women and the socio demographic and cultural determinants that influence this choice.Methods: Six hundred pregnant women were interviewed regarding their choice of postpartum contraception during their antenatal visit in third trimester of pregnancy, using a pre-validated and pre-tested brief questionnaire. The choices were compiled and analysed to draw conclusions.Results: Postpartum sterilization was choice of 30% of multiparous women. Primi-parous women either opted for barrier contraception like condom (10%), intrauterine contraception (9%) or oral steroidal pills (8%). The progesterone injectable contraceptives and centchroman each were chosen by 2% respondents. There was strong influence of education, parity, sex of the living children on the choice of contraception. It was observed that 40% of women did not want to use hormonal pills and intrauterine contraceptives due to strong age old misbelieves associated with them.Conclusions: Women in rural area prefer permanent method of contraception in the form of tubectomy operation after having desired number of children. There is insufficient spacing between pregnancies due to either non-use of contraception or inconsistent use of temporary method of contraception. More than 50% women are dependent on the husband regarding the choice and practice of contraception. The level of education of woman, age at marriage, socio economic class, desired sex combination of children are strong determinants of choice of contraception.

scholarly journals Komposisi jenis kelamin anak, program Keluarga Berencana dan fertilitas

2021 ◽  
Vol 16 (1) ◽  
pp. 13
Author(s):  
Mugia Bayu Raharja ◽  
Robani Catursaptani ◽  
Rahmadewi Rahmadewi
Keyword(s):  
Contraceptive Use ◽  
Married Couples ◽  
Married Women ◽  
Sex Composition ◽  
Elderly Parents ◽  
Number Of Children ◽  
Sex Preference ◽  
The Family ◽  
Living Children ◽  
The Relationship

The number and sex composition of children are important for some married couples in Indonesia. Having sons in the family is considered as a must since they are argued to be the successor of the family lineage. The presence of daughters is expected to help with household chores and care for their elderly parents. The sex preference for children by the married couples can affect their number of children. This study aims to assess the relationship between the number and sex composition of children, contraceptive use, and the desire to have more children among women in Indonesia. The study employed the data from the 2017 Indonesian Demography and Health Survey (IDHS), with the unit of analysis of currently married women aged 15-49 who have at least one living children. The results show that women with two or more children of the same sex had a higher tendency to have additional children and no use of contraceptives. The Family Planning program's campaign of similar values shared between son and daughter is still hardly accepted, hence, sex preference still exists. It is necessary to reformulate an effective concept for proper socialization of these values as an effort to control the fertility rate in Indonesia.

Analysis the contraception usage and unmet needs of education and reproductive health in Hubei province, China

2020 ◽  
Author(s):  
peng meilin ◽  
kai zhao ◽  
Huiping Zhang ◽  
kunming Tian ◽  
Yiwei Fang ◽  
...  
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Unmet Needs ◽  
Unwanted Pregnancy ◽  
Hubei Province ◽  
Family Planning Services ◽  
Contraceptive Failure ◽  
Modern Contraceptives ◽  
Living Children

Abstract background: In recent years, contraceptives have developed rapidly, which are divided into modern contraceptives and non-modern contraceptives. The use of contraceptives less unwanted pregnancy and sexually transmitted infections(STIs) including HIV. And cause traditional attitudes towards sex, marriage and family have changed. It leads to a lack of caution about sex and pre-marital sex is more acceptable. Hence, the number of miscarriages caused by unwanted pregnancies has increased. People is going to settle many of sexual and reproductive health matters. Methods: This study, was conducted of about 103 counties in Hubei Province from August 2014 to July 2016, which used frequencies, percentage, mean, chi-square, logistic regression to analysis this data that collected from 17555 respondents. (IBM-SPSS v 25.0)Results: The results in this article describe more men (62.6%) received family planning services education than women (37.4%). And people who did not participate in family planning services education, 17.0% and 21.9% did not know about vasectomy and withdrew as a method of male contraception, respectively. Striking, up to 23.9% and 22.8% of people with or without participating in family planning services education had experienced contraceptive failure (pregnancy for example) in couple. Age, educational, occupational status and the number of living children were strongly associated with contraceptive failure within participating in family planning services education. Only age, place of residence and number of living children were significant associated with contraceptive failure without participating in family planning services education. The figure showed greatly unmet needs of education and reproductive health whether or not to accept family planning services educationConclusion: There is a huge difference in Knowledge and use of contraceptives, as well as unmet educational and reproductive health needs between those who participated in family planning services education and those who did not. That means people who participate in family planning services education got more about sexual and reproductive health education and understand the important of the family planning services. Therefore, it is necessary to provide family planning services for more people and regions to obtain a good understanding of contraceptives, sexual intercourse and unintended pregnancy.

Prior breastfeeding experience and infant feeding at discharge among women with pregestational diabetes mellitus

2020 ◽  
Vol 13 (4) ◽  
pp. 563-570 ◽  
Author(s):  
L. Cordero ◽  
M.R. Stenger ◽  
S.D. Blaney ◽  
M.M. Finneran ◽  
C.A. Nankervis
Keyword(s):  
Diabetes Mellitus ◽  
Infant Feeding ◽  
Mode Of Delivery ◽  
Feeding Preference ◽  
Pregestational Diabetes ◽  
First Feeding ◽  
Multiparous Women ◽  
Nicu Admission ◽  
Living Children ◽  
Exclusive Or

OBJECTIVE: To compare multiparous women with pregestational diabetes mellitus (PGDM) with and without prior breastfeeding (BF) experience and to ascertain their infants’ feeding type during hospitalization and at discharge. METHODS: A retrospective cohort study of 304 women with PGDM who delivered at ≥34 weeks gestational age (GA). Prior BF experience and infant feeding preference was declared prenatally. At discharge, BF was defined as exclusive or partial. RESULTS: BF experience and no experience groups were similar in diabetes type 1 and 2, race and number of pregnancies. Women with no experience had more spontaneous abortions (35 vs 27%), fewer term deliveries (51 vs 61%) and living children (median 1 vs 2). In the current pregnancy, mode of delivery: vaginal (36 & 37%), cesarean (64 & 63%), birthweight (3592 & 3515 g), GA (38 & 37 w), NICU admission (14 & 11%) and hypoglycemia (44 & 43%) were similar. Women with experience intended to BF (79 vs 46%), their infants’ first feeding was BF (64 vs 36%) and had lactation consults (96 vs 63%) more often than those without experience. At discharge, women with BF experience were different in rate of exclusive BF (33 vs 11%), partial BF (48 vs 25%) and formula feeding (19 vs 64%). CONCLUSION: Prior BF experience leads to better BF initiation rates while the absence of BF experience adds a risk for BF initiation failure. A detailed BF history could provide insight into obstacles that lead to unsuccessful BF experiences and may help define appropriate preventive or corrective strategies.

scholarly journals Parenthood and risk of hip fracture: a 10-year follow-up prospective study of middle-aged women and men in China

2019 ◽  
Vol 31 (4) ◽  
pp. 783-791
Author(s):  
K. Peng ◽  
P. Yao ◽  
L. Yang ◽  
C. Kartsonaki ◽  
D. Bennett ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Prospective Study ◽  
Cox Regression ◽  
Biological Effects ◽  
Men And Women ◽  
Cox Regression Analysis ◽  
Number Of Children ◽  
Nulliparous Women ◽  
Multiparous Women

Abstract Summary This prospective study of Chinese adults demonstrated an inverse J-shaped association of number of children with risk of hip fracture in both men and postmenopausal women aged 50 years or older. Women with 2 or 3 children and men with 4 children had the lowest risk of hip fracture. Introduction Women have higher absolute risks of fracture than men, which is believed to reflect differences in oestrogen exposure. The aim of this study was to compare the associations of number of children with risk of hip fracture between men and women aged over 50 years. Methods The China Kadoorie Biobank (CKB) recruited 133,399 women and 110,296 men, aged 50 years or older between 2004 and 2008. During 10-year follow-up, 2068 participants (1394 women and 674 men) suffered a hip fracture. Cox regression analysis was used to estimate sex-specific adjusted hazard ratios (HRs) and 95% CI for incident hip fracture. Results Over 98% of both subsets of men and women aged 50 or older reported having children. Women who had 2 or 3 children had the lowest risks of hip fracture compared with other groups. Compared with nulliparous women, the adjusted HR for hip fracture were 0.89 (95% CI; 0.72, 1.10) for 1 child, 0.79 (0.70, 0.90) for 2 children, 0.79 (0.72, 0.87) for 3 children, 0.81 (0.72, 0.91) for 4 children, and 0.95 (0.83, 1.10) for those with 5 or more children. The associations of number of children with hip fracture were broadly consistent in men of a similar age. Conclusions The concordant effects of the number of children with risk of hip fracture between men and women suggest that the lower risks in multiparous women are not due to differences in oestrogen exposure or other biological effects, but may reflect residual confounding by socioeconomic or lifestyle factors.

Time to pregnancy—a model and its application

1990 ◽  
Vol 22 (2) ◽  
pp. 255-262 ◽  
Author(s):  
Jesper L. Boldsen ◽  
Inger Schaumburg
Keyword(s):  
Waiting Times ◽  
Time To Pregnancy ◽  
Number Of Children ◽  
Large Samples ◽  
Multiparous Women ◽  
Primiparous Women

SummaryBiological fertility is poorly measured by the number of children born in industrially advanced societies. The time elapsing from when a couple decides to have a child to clinically recognizable pregnancy is a useful alternative. Time to pregnancy can be collected in broad categories in large samples. A model for condensing important information from such data is presented, which fits several large samples of reported waiting times. It is shown that multiparous women conceive more quickly than primiparous women.

scholarly journals Sociodemographic and Obstetric Characteristics of Anaemic Pregnant Women Attending Antenatal Clinic in Bolgatanga Regional Hospital

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Benjamin Ahenkorah ◽  
Kwabena Nsiah ◽  
Peter Baffoe
Keyword(s):  
Pregnant Women ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
Regional Hospital ◽  
Antenatal Visit ◽  
Third Trimester ◽  
Cross Sectional ◽  
Domestic Livestock ◽  
Obstetric Factors ◽  
Anaemia In Pregnancy

The study determined the sociodemographic and obstetric characteristics of pregnant women which contribute to the risk of developing anaemia. A cross-sectional study was conducted among 400 pregnant women attending their first antenatal visit at the Bolgatanga Regional Hospital Antenatal Clinic. Anaemia was significantly associated (p<0.05) with younger maternal age, parity, gravidity, trimester of pregnancy, and source of drinking water. Multivariate logistic regression identified the following factors with adjusted odds ratios (aOR) and 95% confidence intervals (CI): unemployment (aOR = 4.76 (CI: 2.26–11.33);p<0.0001), rural dwelling (aOR = 3.10 (CI: 2.16–4.91);p=0.0071), primigravida (aOR = 2.13 (CI: 1.34–3.18);p=0.0201), nulliparity (aOR = 1.92 (CI: 1.23–2.86);p=0.0231), first antenatal visit at second trimester (aOR = 1.71 (CI: 1.33–3.12);p=0.0149) and first antenatal visit at third trimester (aOR = 2.73 (CI: 1.24–4.35);p=0.0017), drinking from well and boreholes (aOR = 2.78 (CI: 2.27–5.21);p<0.0001), and the presence of domestic livestock (aOR = 2.15 (CI: 1.33–3.68);p=0.0019). This study has shown the various sociodemographic and obstetric factors which significantly contribute to anaemia in pregnancy.

scholarly journals Karakteristik Ibu Hamil Berhubungan dengan Pengetahuan dalam Penggunaan Kontrasepsi Pasca Persalinan

2020 ◽  
Vol 6 (2) ◽  
pp. 138
Author(s):  
Rita Kartika Sari ◽  
Yulice Soraya Nur Intan ◽  
Livana PH
Keyword(s):  
Pregnant Women ◽  
Quantitative Research ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
Maternal Knowledge ◽  
Postpartum Contraception ◽  
Chi Square ◽  
Test Analysis ◽  
Number Of Children ◽  
Chi Square Test

Pregnancy is a maturation crisis that can be stressful. The maturation crisis can be overcome if the mother is ready to enter a new phase where she is ready to take on the responsibilities of being a parent and a new role so that the mother must take care of her health to prevent complications of pregnancy. Pregnancy complications can be prevented by maintaining the distance of pregnancy between one child with another child through postpartum contraception. The study aimed to determine the characteristics of pregnant women who have sufficient and good knowledge of the use of postpartum contraception. Quantitative research with an exploratory descriptive approach has been carried out on 34 pregnant women who performed antenatal care at the Kedung 2 Jepara Public Health Center. The data collection tool uses a questionnaire. Data were analyzed by univariate analysis using frequency distribution and bivariate analysis using test chi-square. The results showed that the average age of pregnant women was 29 years. The majority of pregnant women had the last high school education, work, and the average income was Rp. 1,500,000/month. The majority of pregnant women had one child and when data were collected for pregnant women who were 1st and 2nd pregnant status. The majority of pregnant women had a good level of knowledge about the use of postpartum injection contraception. The results of the chi-square test analysis showed that the characteristics of pregnant women that had a significant relationship with knowledge about the use of postpartum contraception were age (p = 0.027), education (p = 0.004), occupation (p = 0.002), number of children (p = 0.006). Meanwhile, income did not have a significant relation with maternal knowledge in using postpartum contraception (p = 0.923).

scholarly journals Sexual Violence as a Predictor of Unwanted Pregnancy: Evidence from the 2013 Nigeria Demographic and Health Survey

2017 ◽  
Vol 13 (20) ◽  
pp. 140
Author(s):  
Titilayo A. ◽  
Ekundayo O.O. ◽  
Olaoye-Oyesola O.J. ◽  
Anuodo, A.O.
Keyword(s):  
Domestic Violence ◽  
Contraceptive Use ◽  
Pregnancy Termination ◽  
Unwanted Pregnancy ◽  
Binary Logistic Regression ◽  
Wealth Index ◽  
Number Of Children ◽  
Impressive Result ◽  
Nationally Representative ◽  
Gender Based

Gender-based domestic violence (GBDV) continues to pose a serious threat to woman folk and the society at large. All efforts to reduce the menace have not yielded an impressive result and thus, the prevalence rate is still unacceptably high. Employing analytic nationally representative weighted sample size, 15,941women aged 15-49 years who were currently pregnant or ever had at least one pregnancy experience were interviewed for domestic violence through quantitative instrument (questionnaire). The data were analysed with a chi-squared test and binary logistic regression using STATA 13. Overall, one quarter (24.7%) of the total respondents who ever experienced domestic violence from their spouses or intimate sexual partners reported having experienced unwanted/unintended pregnancy. It was evident in the study that GBDV is significantly related to unwanted pregnancy even after controlling for all other tested independent variables like age, educational attainment, wealth index, religion, place of residence and other fertility related variables such as number of children ever born, contraceptive use and pregnancy termination experience. Spousal abuse in any form is a crucial predictor of unwanted pregnancy in Nigeria. Therefore, addressing gender-based domestic violence is critical to reducing the menace of unwanted pregnancy and taming unnecessary population growth in Nigeria.

scholarly journals Determinants of desire for more children among women in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mitiku Wale Muluneh ◽  
Yikeber Abebaw Moyehodie
Keyword(s):  
Formal Education ◽  
Binary Logistic Regression ◽  
Odds Ratios ◽  
Binary Logistic Regression Model ◽  
Number Of Children ◽  
First Marriage ◽  
Age At First Marriage ◽  
Catholic Religion ◽  
Ideal Number ◽  
Living Children

Abstract Background Desire for more children has an impact on couple’s fertility behaviors. It can be a precursor of actual fertility performance. However, the desire for more children is declining over time in Ethiopia. Therefore, this study aimed to identifying the determinants of the desire for more children among women in Ethiopia. Methods The 2016 Ethiopian Demographic and Health Survey data were used for the analysis. The sample consisted of 15,683 women. The binary logistic regression model was used to assess the determinants of desire for more children among women in Ethiopia. The results are presented as crude odds ratios (COR) and adjusted odds ratios (AOR) together with their corresponding 95% confidence intervals. Results No education (having no formal education) (AOR = 1.85, 95% CI 1.61–2.13), attained primary education (AOR = 1.62, 95% CI 1.43–1.83), age at first marriage 10–19 years (AOR = 1.80, 95% CI 1.27–2.54), Orthodox religion (AOR = 1.48, 95% CI 1.01–2.19), Catholic religion (AOR = 2.15, 95% CI 1.17–3.97), Muslim religion (AOR = 1.70, 95% CI 1.15–2.50), living in Amhara (AOR = 1.45, 95% CI 1.18–1.78), Oromia (AOR = 2.10, 95% CI 1.73–2.54), Benishangul (AOR = 1.17, 95% CI 1.01–1.45), SNNPR (AOR = 1.30, 95% CI 1.05–1.60), Gambela (AOR = 1.25, 95% CI 1.02–1.57), Harari (AOR = 2.24, 95% CI 1.82–2.76), ideal number of children four or fewer (AOR = 0.47, 95% CI 0.42–0.53), number of living children four or fewer (AOR = 2.12, 95% CI 1.90–2.37), and not use of contraceptives (AOR = 1.51, 95% CI 1.35–1.68) were associated with a higher desire for more children. Conclusion This finding showed that the age of women, educational level, age at first marriage, religion, region, occupation, ideal number of children, number of living children, and use of contraceptives were significant determinants of desire for more children. Therefore, it is important to adopt programs to encourage the desire for more children, implement policies in an attempt to increase the total fertility rate in Ethiopia ought to critically consider these factors. Moreover, continuous education and knowledge on reproductive health will help for better fertility behaviour for the women.

scholarly journals Factors analysis of unwanted pregnancies among women childbearing age in Indonesia: analysis of demographic and health survey data in 2017

MEDISAINS ◽  
2020 ◽  
Vol 18 (3) ◽  
pp. 93
Author(s):  
Supriyadi Supriyadi ◽  
Linda Yanti
Keyword(s):  
Health Survey ◽  
Economic Status ◽  
Unwanted Pregnancy ◽  
Demographic And Health Survey ◽  
Childbearing Age ◽  
Target Number ◽  
Community Factors ◽  
Number Of Children ◽  
Unwanted Pregnancies ◽  
Correlated Factors

Background: Unwanted pregnancies were one of the serious threats to human development around the world. This analysis identifies factors associated with unwanted pregnancies, including intrapersonal, interpersonal, and institutional health services.Objective: We analyzed the extent of unwanted pregnancies and how they predict factors related to Indonesia's unwanted pregnancies.Methods: We analyzed data from the Indonesian Demographic and Health Survey (IDHS) in 2017. Descriptive statistics on the prevalence of unwanted pregnancies and correlated factors. Multiple logistic regression was used to examine the association between intrapersonal factors, interpersonal factors, and community factors with unwanted pregnancies.Results: Participants reported that their most recent was 83.8% indicated a desired pregnancy and 16.2% were unwanted. Multivariate analysis shows the age of the woman (OR=1.37), economic status (OR=1.05), number of children (OR=1.47), contraception failure (OR=0.78), and health worker intervention (OR=1.27) was found to significantly increase the risk of unwanted pregnancy (p<0.05). The number of children is the most substantial factor in unwanted pregnancy among women childbearing in Indonesia.Conclusions: Nearly a fifth of pregnancies among vulnerable women in Indonesia are unwanted pregnancies. WomenEnglish translation.  should plan pregnancy according to the target number of children desired with a partner.

Sign in / Sign up

Export Citation Format

Share Document