Omu A E, Unuigbe J A
Int J Gynaecol Obstet. 1986 Apr;24(2):145-50. doi: 10.1016/0020-7292(86)90009-3.
Five hundred sixty grandmultiparous women were interviewed as to their contraceptive awareness, desirability and use in the three major hospitals in Benin City, Nigeria, between October 1, 1980 and September, 1981. Their parity ranged from 5 to 14 with a mean of 6.7. There was high level of awareness of contraceptive availability and usefulness (65%), but low level of practice (27.1%). The main causes of the low practice level included opposition from husband and other relatives, complications of previous methods used and the desire to have a large family. Oral contraceptives were the preferred method, followed by intrauterine devices. Educational attainment had a positive relationship to acceptance of contraceptive practice. We believe that with more concerted effort at family planning counseling, the community will be rid of the hazards and menace of grandmultiparity.
1980年10月1日至1981年9月期间，在尼日利亚贝宁城的三家主要医院，对560名经产妇进行了访谈，了解她们对避孕的认知、意愿及使用情况。她们的胎次从5次到14次不等，平均为6.7次。对避孕措施的可得性和有用性的认知程度较高（65%），但实际使用率较低（27.1%）。实际使用率低的主要原因包括丈夫和其他亲属的反对、既往使用方法的并发症以及想要大家庭的愿望。口服避孕药是首选方法，其次是宫内节育器。受教育程度与接受避孕措施呈正相关。我们相信，通过在计划生育咨询方面做出更协调一致的努力，社区将摆脱多产带来的危害和威胁。
