DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20181895

Desire to practice postpartum contraception among antenatal women at Awka, Southeast Nigeria

Cyril C. Ezenyeaku, Ifeanyichukwu U. Ezebialu, Joseph C. Umeobika, Lawrence C. Ikeako, Geoffrey I. Ubboe, Chukwuemeka E. Ojiyi, Tochukwu C. Okeke, Chijioke A. Ezenyeaku

Abstract


Background: Postpartum contraception enables the nursing woman recover from the effects of pregnancy and childbirth before embarking on another pregnancy. It also promotes child welfare. The assessment of the desire by pregnant women to take up postpartum contraceptive service will help the planning of good delivery of this service.

Methods: A cross-sectional study of antenatal clinic attendees at Chukwuemeka Odumegwu Ojukwu Teaching Hospital, Awka was done using a pretested interviewer-administered questionnaire. Data was analyzed with IBM SPSS version 20 software and associations between variables were tested with Chi square. Level of significance was set at P ≤0.05.

Results: A total of 262 antenatal women were interviewed. The mean age of the respondents was 29.1±6.1 years while the mean parity was 2.5±1.5. Two hundred and one of the study women (76.7%) had the desire to practice postpartum contraception after the index pregnancy while only 9 (3.4%) were unsure whether they had the desire or not. Multiparous women are more likely to desire postpartum contraception (P <0.01). Also, previous use of contraception (P<0.01), desired index pregnancy (P=0.01) and being married or single (P=0.02) are all significantly associated with the desire to practice postpartum contraception.

Conclusions: There was a high level of desire to practice postpartum contraception among antenatal clinic attendees at Awka. Parity, marital status, desired index pregnancy and previous practice of contraception all influence this desire.


Keywords


Antenatal women, Awka, Desire, Postpartum contraception

Full Text:

PDF

References


Naanyu V, Baliddawa J, Peca E, Karfakis J, Nyagoha N, Koech B. An examination of postpartum family planning in western Kenya: “I want to use contraception but I have not been told how to do so”. Afr J Reprod Health 2013;17(3):44-53.

Anzaku AS, Mikah S. Postpartum Resumption of Sexual Activity, Sexual Morbidity and Use of Modern Contraceptives among Nigerian Women in Jos Ann Med Health Sci Res. 2014;4(2):210-6.

World Health Organization. Programming strategies for postpartum family planning. Geneva: WHO; 2013. Available at http://www.who.int/reproductivehealth/publications/family_planning/ppfp_strategies/en/

Rutaremwa G, Kabagenyi A, Wandera SO, Jhamba T, Akiror E, Nviiri HL. Predictors of modern contraceptive use during the postpartum period among women in Uganda: a population-based cross-sectional study. BMC Public Health.2015;15(1):262.

Allagoa DO, Nyengidiki TK. Knowledge, Attitude And Practice Of Contraception Amongst Antenatal Patients At The University Of Port Harcourt Teaching Hospital, Port Harcourt. Nig Health J. 2011;11(3):89-92.

Olatunji AD, Abudu, OO. A review of maternal mortality in LUTH. Nig Med Pract.1996;31(2):2-6.

Ogedengbe OK, Giwa OF, Adeboye M, Lisi CA. The acceptability and role of norplant as a long acting contraceptive in Lagos, Nig Trop J Obstet Gynaecol.1997;14(1):28-32.

Uzoigwe SA, John CT. Maternal mortality in the University of Port Harcourt Teaching Hospital, Port Harcourt in the last year before the new millennium. Niger J Med. 2004;13(1):32-4.

Adetoro OO. Maternal mortality. A 12-year survey at UITH, Ilorin, Nigeria. Int J Obstet Gynaecol, 1987. 25(2):93-8.

Ezebialu IU, Eke AC. Resumption of vaginal intercourse in the early postpartum period: Determinants and consideration for child spacing in a Nigerian population. J Obstet Gynecol. 2012;32(4):353-6.

Asekun-Olarimoye EO, Adebimpe WO, Bamidele JO, Odu OO, Asekun-Olarimoye IO, Ojofeitimi EO. Barriers to use of modern contraceptives among women in an inner-city area of Osogbo metropolis, Osun state, Nigeria. Int J Women’s Health. 2013; 5:647-55.

Adanikin AI, Onwudegwu U, Loto OM. Influence of multiple antenatal counselling on modern contraceptive uptake in Nigeria. Eur. J. Contracept. Reproductive Health Care; 2013;18(5):381-7.

Avidime S, Aku-Akai L, Mohammed AZ, Adaji S, Shitu O, Ejembi C. Fertility Intentions, Contraceptive Awareness and Contraceptive Use among Women in Three Communities in Northern Nigeria. Afr J Reprod Health. 2010;14(3):65-70.

Igwegbe AO, Ugboaja JO, Monago EN. Prevalence and determinants of unmet need for family planning in Nnewi, south-east Nigeria Int J Med Med Sci 2009;1(8):325-9.

Akani CI, Enyinda CE, Babatunde S. Emergency contraception: Knowledge and perception of female undergraduates in the Niger Delta of Nigeria. Ghana Med J. 2008;42(2):68-70.

Okunade KS, Daramola E, Ajepe A, Sekumade A. A 3-year review of the pattern of contraceptive use among women attending the family planning clinic of a University Teaching Hospital in Lagos, Nigeria. Afr J Med Health Sci. 2016;15(2):69-73.

Idowu A, Aremu OA, Fehitola FO, Popoola GO. Knowledge, attitude and practice of contraception by female junior secondary school students in an urban community of Oyo-state, South west, Nigeria. Int J Reprod Contracept Obstet Gynecol 2017;6(11):4759-65.

Mandara M. Family planning in Nigeria and prospects for the future. Int J Gynecol Obstet. 2012; 117(1):1-4.

Omo-Aghoja LO, Omo-Aghoja VW, Aahoja CO, Okonofua FE, Aghedo O, Umueri C et al. Factors associated with the knowledge, practice and perceptions of contraception in rural southern Nigeria Ghana Med J. 2009; 43(3):115-21.

Gaikwad RA, Gadappa SN, Deshpande SS. Awareness of contraception in post-partum women in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2017;6(9):3850-4.

Olamijulo JA, Olamijulo JA, Olorunfemi G. Knowledge and Practice of Contraception among Pregnant Women Attending Antenatal Clinic at Lagos University Teaching Hospital. Niger J Med. 2012; 21(4):387-93.

Araoye MO. Research methodology with statistics for health and social sciences. 2nd ed. Illorin: Nathadex Publications; 2008. 115-22.

Prata N, Bell S, Fraser A, Carvalho A, Neves I, Nieto-Andrade B. Partner support for family planning and modern contraceptive use in Luanda, Angola Afr J Reprod Health. 2017;21(2):35-48.