scholarly journals Awareness regarding birth spacing family planning methods among antenatal mothers

Author(s):  
Vidhya Rajan ◽  
Saraswathi Kandasamy

Background: According to WHO, the ideal interval between two pregnancies is 24 months. In India the contraceptive needs of young couples especially in the area of spacing pregnancies is largely unmet. Hence this study is undertaken to know the pre-existing knowledge of our antenatal population regarding contraceptive methods available for birth spacing. Aim of the study was to the knowledge and attitude regarding birth spacing family planning methods among antenatal mothers.Methods: It was a cross sectional study. Antenatal mothers attending the antenatal outpatient department of SBMCH, who are intending to have another child are invited to participate in this study. With informed consent, they are asked to fill a questionnaire, with questions regarding their knowledge and attitude towards the advantages and disadvantages of various contraceptive methods for birth spacing. The results of the study were analyzed by statistical analysis inrespect to various demographic factors of the population.Results: Total 92%of antenatal mothers were aware of health benefits associated with birth spacing. Yet only 45% were willing to adopt a method of contraception. Condoms is the most commonly preferred method for contraception (33.3%) and fear for side effects (43%) is the most common reason for not accepting a particular method of contraception.Conclusions: Though the awareness regarding the need and methods available for birth spacing methods of are widely prevalent in our urban based population, there is still a high percentage of mothers with misconceptions regarding the side effects associated with the birth spacing methods. Hence health education and counselling would improve the acceptance of contraceptive methods for birth spacing.

2020 ◽  
Vol 10 (3) ◽  
pp. 53-56
Author(s):  
Naresh Manandhar ◽  
Isha Amatya ◽  
Arundhati Gautam ◽  
Gaurav Kumar ◽  
Himanshu Ahlawat ◽  
...  

Background: Uncontrolled population growth has been a problematic issue all over the world. Knowing the women’s and their husband’s knowledge and attitude towards family planning may help to intervene so that the practice can be increased. This might ensure the right of women to have child as they wish and later reduce unwanted pregnancies and abor­tions. Hence the present study is concerned with knowledge and attitude of women towards family planning. Methods: A cross-sectional study was conducted during 10th-15thNovember 2019 among women of reproductive age of Khopasi, Kavrepalanchowk. Structured questionnaire consisting of knowl­edge, attitude and practice regarding family planning was administered to reproductive women age. Results: All respondents heard about the family planning methods. More than 90% of respondents knew about Norplant, Pills, Depo-Provera and condoms.60.8% respondents were currently using family planning methods. It has been observed that the respondents had positive attitude towards family planning. Conclusions: Knowledge about family planning methods was good among the reproductive age women whereas the practice and attitude seemed satisfactory. The knowledge about emergency contraceptive and abortion were poor among the reproductive age women. One of the promising findings of the study was, the majority of respondents showed a positive attitude towards contra­ceptive use. There is need to target these population for health education interventions in order to achieve the desirable practices.


Author(s):  
Revathy P. Nair ◽  
Bindu Nambisan ◽  
Mayadevi Brahmanandan

Background: According to VISION FP2020 healthy birth spacing is defined as delaying the first birth by two years and maintaining the birth interval of at least three years between the two children with the help of various contraceptives.Methods: This was a hospital based cross sectional study conducted among primiparous postnatal women in the department of obstetrics and gynecology SAT hospital, Trivandrum for one year duration. 134 women who had their first delivery were included in this study. A semi structured questionnaire was used to study the sociodemographic variables, reproductive history, contraceptive knowledge, attitude towards contraception and intention to use birth spacing methods by interview technique.Results: The acceptance of birth spacing methods among the study population was 56.8%. 59.1% opted to use family planning methods 6 weeks after delivery while 40.9% planned to use after 6 months. Determinants which were significantly associated with acceptance of family planning methods were education of wife (p<0.01), husbands’ education, socioeconomic status, religion and contraceptive awareness (p<0.01). 47.1% of women preferred DMPA injections, 39.1% opted for intrauterine devices. 13.8% of women opted for condom. Convenience, long term protection, and ease of use were the important reasons cited. The reasons for non-acceptance included fear of side effects, spouse not staying together, opposition from husbands, lack of awareness and religious restrictions.Conclusions: Female literacy, accessibility, cafeteria approach, and counselling contributed to acceptance. If the availability and awareness of injectable contraceptives is made at all the points of health delivery system, the acceptance of birth spacing can further be increased and unplanned pregnancies avoided.


2021 ◽  
Vol 2 (6) ◽  
pp. 36-40
Author(s):  
Kamrun Nahar ◽  
Taqbir Us Samad Talha ◽  
Amitun Nessa ◽  
I. Gusti Ngurah Edi Putra ◽  
Zubair Ahmed Ratan ◽  
...  

Background: Contraception is one of the critical components of reproductive health, enabling women to control their fertility according to their desires and circumstances. This study aimed to determine the prevalence and acceptability of contraceptives among sexually active multiparous women for birth spacing. Methods: This is a cross-sectional study among married women aged 15-40 years having at least one child from January to June 2013 in the Department of Obstetrics and Gynecology, ICMH (Institute of Child and Mother Health), Matuail, Dhaka. Findings: A total of 433 women participated in this study. A majority of the respondents were in the mid-thirty (73.9%) and housewives (94.7%). Almost half (49.0%) of the respondents had primary education. Surprisingly, close to half of the respondents married before 18 years (42.7%). Almost two-thirds (64.4%) of the respondents received oral contraceptive pills previously, followed by condoms (17.1%) and injectable contraception (14.5%). More than half (51.6%) of the participants were motivated by health workers to use a contraceptive method. In terms of reasons for using the family planning methods, convenience to use (38.1%), being safe (31.9%), and accessibility (23.1%) were the most common reasons. Whereas side effects (49.9%), shifting to other forms (43.9%), and wanting more children (6.2%) were the most common reason for changing family planning methods. The respondents mostly used the oral pill at any education level. However, injectable contraception was higher within higher education levels, and IUD was higher within the illiterate group.


Author(s):  
Mahvish Qazi ◽  
Najmus Saqib ◽  
Sachin Gupta

Background: India with 1.35 billion people is the second most populated country in the world next to China. Total fertility rate of India is 2.2 and the current total fertility rate of Jammu and Kashmir is 1.7 which is still lagging behind various states. This study was conducted to investigate the knowledge, attitude and practices of contraception in women of reproductive age in this set up.Methods: The present cross-sectional study was carried out in patients attending OPD (outpatient department) of Obstetrics and Gynecology at ASCOMS, Jammu, Jammu and Kashmir, India from 1st September 2017 to 31st August 2018. 200 married women aged between 18-49 years were included in this study. Socio-demographic characteristics of the women, their knowledge, attitude and practices on contraception were evaluated with the help of predesigned questionnaire.Results: Out of 200 women, maximum respondents belong to age group of 21-25 years (75.6%). Most of the contraceptive non-users belongs to age below 20 years (62.5%). Majority of respondents were Hindu (70.37%), maximum studied up to secondary level education (84.61%), 70.30% were housewives and 56.58% belongs to middle class. In 45% of respondents, media was the main source of information. Preferred spacing method was condom in 85% of cases. 68% women had knowledge of female sterilization. According to most women, family planning methods are meant for limitations of birth (43%) and 36% meant for spacing of birth. 80% women had positive attitude towards contraceptive usage. 50% experienced side effects with the use of contraceptives. The most common side effect was menstrual irregularities in 25% of cases. Most common reason for not using contraceptive methods among non-respondents were lack of knowledge in 50% of cases.Conclusions: The study showed that inspite of having good knowledge, utilization of contraceptives were less because of large family norm, religious myth, cultural and political barriers. Ignorance regarding use and side effects of various contraceptive methods is another reason for inadequate practice of family planning methods.


Author(s):  
Ruchita Dixit ◽  
Aaradhana Bandhani

Background: Family planning is defined by World Health Organization (WHO) as, “a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes and responsible decisions by individuals and couples, in order to promote the health and welfare of family groups and thus contribute effectively to the social development of a country”. The extensive acceptance of family planning, in a society, is an integral component of modern development and is essential for the incorporation of women into social and economic life. Therefore the present study as well focused on the women knowledge and participation in family planning. Objectives: This study projected to evaluate the knowledge of the women about various family planning methods and its sources of information.Methods: In this cross-sectional study, 200 married women between 15-60 years of age group selected by multistage random sampling. The women were asked to complete the 20 questions including demographic data. Self structured questionnaire was used to evaluate their knowledge about Family planning methods. Subsequently, the data analyzed by using SPSS version 1.2.Results: In this present study knowledge of family planning methods were higher. Female sterilization and use of condom is the most widely known and practiced method of all contraceptive methods followed by oral Pills and IUDs. Health functionaries were found to the more informative as compared to media and others sources of information regarding family planning methods.Conclusions: From the results found in this study it can be accomplish that women’s awareness regarding family planning was higher and found satisfactory.


2017 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
Tisnilawati Tisnilawati

Up to now, male participation in Family Planning in Indonesia has been very low. The achievement of active condom acceptor program in North Sumatera Province in 201I was 18.7% and active acceptors of MOP (Male Operation Method) were 53.2%. The achievement of condom Family Planning acceptors in Serdang Bedagai District was I3.l%, while the achievement of MOP acceptors was 55.2%. Celawan Village is one of the villages in Pantai Cermin Subdistrict, Serdang Bedagai District, which has high male participation in Family Planning: condom was 5.5% and MOP was 1.0%.The objective of the research was to reduce some factors which influenced male participation in Family Planning program which included predisposition factors (knowledge and attitude), support (access to service and facilities), and motivation (wife's support, family support, and peer group support) at Celawan Village, Pantai Cermin Subdistrict, Serdang Bedagai District. The research was  survey with cross sectional design. It was conducted from August to November, 2014. The population was 60 husbands of fertile age couples who participated in Family Planning, and all of them were used as the samples. The data were collected by conducting interviews with questionnaires and analyzed by using exploratory method factor analysis.The result showed that statistically the factors that influenced the participation of male in family Planning, were (1) facility factors included family planning facilities, consultation and guidance of family planning officers, the availability of referral transport, (2) participation factors included motivation, understanding of the types of contraception, support for family planning programs, and understanding of the reproductive organs, (3)response factors included  access to family planning methods, side effects, cost of short and long term family planning, (4) the location factors included ease to the health facility, the presence of officers, access to information, and the availability of contraceptives, and (5) supporting factors included  wife support, support for becoming family planning cadres in choosing family planning methods. All five of these factors has the power of 69,5% able to explain the influence of the participation of male in family planning.Keywords: Factor Analysis, Male Participation, Family Planning


2020 ◽  
Author(s):  
Mohammed Suleiman Obsa ◽  
Kassahun Tekle Takiso ◽  
Tamiru Tilahun Ayele ◽  
Hailu Chare Koyra ◽  
Kasahun Tafesse Hidota ◽  
...  

Abstract Background Long-acting contraceptive methods can play a pivotal role in reducing maternal mortality. In Etiopia, the total fertility rate per woman is 4.6. However, this rapid population growth is not in line with the weak economic growth of the country. Therefore, this study was done to explore the lived experiences of women who underwent early removal of long-acting contraceptive methods in Bedesa town, Southern Ethiopia. Methods A phenomenological study design was employed to include a total of 10 in-depth interviews of sampled women. Participants were recruited through criterion sampling method. Open code version 4.03 was used to code and facilitate analysis. Transcripts were read and re-read separately to identify emerging themes. Thematic analysis technique was used. Results This study revealed that the side effect of the long-acting family planning methods were the main reason for early removal. Furthermore, heavy and irregular menses were mentioned as the most frequently occurred side effects. Delayed fertility after removal of long-acting contraceptive was one of frequently stated fear by the clients. It was also stated that counseling provided by health professionals was not adequate. Conclusion The majority of study participants taught that the side effects of long-acting family planning methods outweigh the benefits. Besides, the counseling services provided by health care providers were not adequate. Therefore, proper counseling services should be given to mothers who are taking long-acting family planning methods.


2019 ◽  
Vol 61 (2) ◽  
pp. 50
Author(s):  
Anudha Moodley ◽  
Ozayr Mahomed

Background: The contraceptive implant (Implanon) has been recognised as one of the most effective family planning methods and is a healthier choice for women in Africa due to its efficacy and convenience. Despite the evidence of effectiveness and safety of the implant, the actual uptake for Implanon use in the Ugu district of KwaZulu-Natal is relatively low. The aim of the study was to determine factors associated with Implanon uptake in Ugu North Sub District 2016/17.Methods: An observational cross-sectional study with an analytical component using self-administered questionnaires to collect information from 385 participants using randomised systematic sampling was conducted at family planning clinics at GJ Crookes Hospital and seven surrounding primary health care clinics. The chi-square test and multivariate logistic regression was used to determine associations.Results: Some 16% (n = 60) of the participants utilised Implanon. Despite having the correct knowledge 65.7% (n = 220) were not willing to use Implanon if it were offered. In addition, 55% of participants (n = 177) believed Implanon had more side effects. Parity ( 4 children) was found to be a statistically significant protective factor against (p 0.05) Implanon uptake.Conclusion: Implanon is a highly unattractive method of contraception for women residing in the Ugu North Sub District. Fear of side effects and invasive method of insertion were identified as the major barriers to Implanon use. Education and increased patient awareness are strategies to increase the desirability and uptake of Implanon.


2013 ◽  
Vol 20 (04) ◽  
pp. 591-594
Author(s):  
ASIA AZIZ ◽  
ASLAM MAHMOOD MALIK ◽  
IJAZ AHMAD SHAH BUKHARI ◽  
Abdur Rehman Tahir

Objective: To determine the knowledge and practice regarding male contraceptive methods among married malepopulation of Hansra basti Bahawalpur, Pakistan. Material and methods: This observational (Descriptive) cross sectional study wascarried out at Hansra Basti Bahawalpur from May 2011, to June 2011. A total of 100 married males were selected by simple randomsampling. Data was collected by pre-designed, pre-tested, questionnaire to collect the information from study population. An interviewwas conducted at respondents' house in local language. Privacy was ensured. Results: About 82% have knowledge about any of the malecontraceptive methods and out of those 18% were practicing any one of the family planning methods. Condom (Barrier) was most usedmethod (77.7%) followed by the traditional methods i.e abstinence (27.7%) and coitus interrupts (11.11%) where as result regardingvasectomy was nil. Source of knowledge mainly was media (44%) followed by through health professional (30%), wife (25%) and friends(21%). Conclusion: In present setting men have good knowledge of male contraceptive methods. However very small number ispracticing the contraceptive measures.


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