Olamijulo J A, Olorunfemi G
Department of Obstetrics & Gynaecology, College of Medicine, University of Lagos.
Niger J Med. 2012 Oct-Dec;21(4):387-93.
Preconception, prenatal and postnatal care forms a continuum. Family planning is one of the important aspects of the spectrum. Contraceptive options are available but the uptake has been poor. Ante natal clinic attendees represent a major target population for well designed /appropriate post partum contraceptive counseling and care.
The study examined the sociodemographic data of antenatal clinic attendees at the Lagos University Teaching Hospital (LUTH), their knowledge about contraceptive methods, previous contraceptive practice and anticipated pattern of post partum contraceptive uptake.
A Semi-structured questionnaire was administered to 151 pregnant women attending the antenatal clinic in LUTH to collect data on their sociodemographic characteristics, knowledge of family planning methods, pre-pregnancy contraceptive use and their anticipated post-partum contraceptive choices.
The mean age of the women was 29.9 years and the mean Parity was 1.1. Majority (90.7%) of the women were married. Ten women (6.6%) felt that they had poor knowledge about contraception while the rest had fair to excellent knowledge. The prevalence of contraceptive use before current pregnancy was 57.6% and the male condom was the method used in 56 cases (64.4%). Their major (54%) source of contraceptive commodity was the chemist/pharmacy. Sixty (69%) women stopped using contraceptive because they wanted to get pregnant. Sixty-eight (45.0%) women planned to use contraceptives after delivery and the male condom (55.9%) was the most preferred method of post-partum contraception. There is no statistical association between age, religion, parity and educational attainment and desire for post-partum contraception.
Antenatal women in LUTH appeared quite knowledgeable about contraception but majority had no plan for contraceptive use post delivery. Information dissemination about benefits of child spacing and provision of incentives for easy uptake of post partum contraception would help to correct this imbalance.
孕前、产前和产后护理构成一个连续统一体。计划生育是这一范畴的重要方面之一。有多种避孕选择，但采用率一直很低。产前诊所的就诊者是精心设计/适当的产后避孕咨询和护理的主要目标人群。
本研究调查了拉各斯大学教学医院（LUTH）产前诊所就诊者的社会人口统计学数据、他们对避孕方法的了解、既往避孕措施的使用情况以及产后避孕措施的预期采用模式。
对151名在LUTH产前诊所就诊的孕妇进行了半结构化问卷调查，以收集她们的社会人口统计学特征、计划生育方法知识、孕前避孕措施使用情况以及她们预期的产后避孕选择的数据。
这些女性的平均年龄为29.9岁，平均产次为1.1。大多数（90.7%）女性已婚。10名女性（6.6%）认为自己对避孕知识了解不足，其余女性的知识水平为中等至优秀。本次怀孕前避孕措施的使用率为57.6%，其中56例（64.4%）使用的是男用避孕套。她们获取避孕用品的主要（54%）来源是药店/药房。60名（69%）女性停止使用避孕措施是因为她们想要怀孕。68名（45.0%）女性计划在分娩后使用避孕措施，男用避孕套（55.9%）是最受欢迎的产后避孕方法。年龄、宗教、产次和教育程度与产后避孕意愿之间没有统计学关联。
LUTH的产前女性似乎对避孕知识相当了解，但大多数人没有产后使用避孕措施的计划。传播关于生育间隔益处的信息并提供激励措施以促进产后避孕措施的轻松采用，将有助于纠正这种不平衡。
