Okoeguale Joseph, Osagiede Emmanuel Friday, Idumwonyi Osaretin, Ehigiegba Alfred Erhunmwosere
Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Department of Obstetrics and Gynaecology, Ambrose Alli University, Ekpoma, Nigeria.
Afr J Reprod Health. 2022 Jan;26(1):15-25. doi: 10.29063/ajrh2022/v26i1.2.
The postpartum period is a critical time to address the high unmet needs of family planning and reduce the risks associated with closely spaced pregnancies. Unintended pregnancies immediately following childbirth are associated with increased maternal mortality, morbidity, and poor pregnancy outcomes. Adoption of postpartum family planning is a cost-effective way that would reduce maternal and child morbidity and mortality. This study aimed to establish the prevalence, the clients' sociodemographic factors, and health care workers' influences on modern contraceptive uptake amongst postpartum women at Irrua Specialist Teaching Hospital (ISTH), Irrua. This descriptive cross-sectional study was carried out amongst postpartum mothers attending maternal and child health clinics in ISTH, Irrua, Edo State, Nigeria. The selection of participants was by simple random sampling technique. All consented participants selected through simple random sampling were administered questionnaires, and completed ones were coded and analysed while the level of significance was set at 5%. In this study, over 90% of the women were aware of a method of modern contraception. However, this did not translate to increased contraceptive uptake as only 17.8% of the respondents were currently on a method of postpartum contraception. The statistically significant sociodemographic factors influencing the utilization of modern contraceptives by postpartum women, as seen in this study, were: Age (p <0.001), level of education (p <0.001), religion (p=0.048), and parity (p=0.010). The women who have higher educational status, higher parity, and adequate information provided by healthcare providers were more likely to use at least a method of modern contraceptive postpartum. The uptake of modern contraceptives amongst postpartum women was low in this study. Strengthening family planning counseling services during prenatal care and emphasizing the girl child education, provision of adequate information by healthcare providers on the need for postpartum contraception could enhance modern contraceptive use for postpartum women.
产后时期是满足计划生育方面未得到满足的高需求以及降低与怀孕间隔过短相关风险的关键时期。产后立即发生的意外怀孕与孕产妇死亡率、发病率上升以及不良妊娠结局有关。采用产后计划生育是一种具有成本效益的方式，可降低孕产妇和儿童的发病率及死亡率。本研究旨在确定伊鲁阿专科医院（ISTH）产后妇女中现代避孕方法的普及率、服务对象的社会人口学因素以及医护人员对其采用情况的影响。这项描述性横断面研究是在尼日利亚江户州伊鲁阿的ISTH妇幼保健诊所就诊的产后母亲中进行的。参与者的选择采用简单随机抽样技术。通过简单随机抽样选出的所有同意参与的参与者都接受了问卷调查，完成的问卷进行编码和分析，显著性水平设定为5%。在本研究中，超过90%的女性知晓某种现代避孕方法。然而，这并未转化为避孕方法采用率的提高，因为只有17.8% 的受访者目前采用了产后避孕方法。本研究中，影响产后妇女使用现代避孕方法的具有统计学意义的社会人口学因素包括：年龄（p<0.001）、教育程度（p<0.001）、宗教信仰（p=0.048）和产次（p=0.010）。教育程度较高、产次较高且从医护人员处获得充分信息的女性更有可能在产后至少采用一种现代避孕方法。本研究中产后妇女对现代避孕方法的采用率较低。在产前保健期间加强计划生育咨询服务，强调女童教育，医护人员就产后避孕的必要性提供充分信息，可提高产后妇女对现代避孕方法的使用。
