scholarly journals Contaceptive use spacing after childbirth with contraception failure: IDHS 2012 analysis

2018 ◽  
Vol 32 (8) ◽  
pp. 273
Author(s):  
Chamy Rahmatiqa ◽  
Shinta Prawitasari ◽  
Siswanto Agus Wilopo
Keyword(s):  
Failure Rate ◽  
Contraceptive Use ◽  
Cox Regression ◽  
Married Women ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Contraceptive Failure ◽  
Cohort Design ◽  
Periodic Abstinence ◽  
Contraceptive Implants

Contraceptive use after childbirth and contraception failure: an analysis of Indonesia Demographic Health Survey 2012PurposeThis research aimed to evaluate the use of contraception after childbirth with contraception failure. MethodsThis research was an observational study using IDHS 2012 with a retrospective cohort design. Married women who got pregnant while using contraceptives were the unit of analysis. Statistical analysis used survival analysis with stratified Cox Regression methods.ResultsAnalysis showed a higher failure rate in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia was higher by 10 times the global failure rate. Women who had used contraceptive for 33-48 weeks and >48 weeks after childbirth had higher risk of pregnancy with contraceptive failure (respectively HR=1.25; 95% CI: 0.63-2.47 and 1.91; 95% CI: 1-3.67), respectively. Other factors influencing the contraceptive failure were age and met or unmet needs.ConclusionContraceptive use after childbirth is associated with contraceptive failure among woman of childbearing age in Indonesia. Providers of contraceptive implants may introduce additional variations of implantable contraceptives in Indonesia and are supported by qualified health personnel.

scholarly journals Knowledge, attitude and practice of family planning among married women of reproductive age in a VDC of eastern Nepal

2017 ◽  
Vol 6 (1) ◽  
pp. 48-53 ◽  
Author(s):  
S Uprety ◽  
I S Poudel ◽  
A Ghimire ◽  
M Poudel ◽  
S Bhattrai ◽  
...  
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Descriptive Analysis ◽  
Married Women ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the fertility of any population, is Contraceptive. Contraceptive use varies by age. Nepal over the past 15 years show an impressive increase in the use of modern contraceptive methods from 26 percent in 1996 to 43 percent in 2011. Objectives of the is to assess the knowledge, attitude regarding family planning and the practice of contraceptives among the married women of Dhabi VDC of Eastern Nepal. A descriptive cross-sectional observational study was done in Dhabi VDC. Total of 300 married women age 15-49 sample were taken from family planning center situated in Dhabi. Knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. Descriptive analysis was done by using SPSS 11.5 software to obtain frequencies and percentages. Out of 300 interviewed women, the mean age was 27.94 years, 98% had heard about Family planning method. Radio was the main Source of family planning information. Regarding the usage of contraceptive methods, about 79.3% had ever used and 63.3 had current using some sort of contraception, among the method used Injectables were the commonly used methods About 71% of married women other child in the further. Despite the knowledge of all family planning methods majority of the women used Injectables. Easily accessible and easily to use were the main reasons for choosing Injectables methods. 

scholarly journals Prevalence of contraceptive use among married women of reproductive age groups in a rural area of Bangladesh

2015 ◽  
Vol 23 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Nirmeen Rifat Khan ◽  
Sadia Jerifa
Keyword(s):  
Rural Area ◽  
Family Income ◽  
Contraceptive Use ◽  
Nuclear Family ◽  
Married Women ◽  
Reproductive Age ◽  
School Level ◽  
Age Group ◽  
Contraceptive Methods ◽  
Women Of Reproductive Age

This was a descriptive cross-sectional type of study conducted with an aim to find out the prevalence of contraceptive use among married women of reproductive age group (15-49 years) in a rural area of Sreepur upazilla under Gazipur district. The study was conducted from February 2012 to June 2012. Out of 265 respondents, majority (27.17%) were found between the age group of 20-24 years where mean age was 28.12 years with SD of ±7.881 years. Among all the respondents 97.7% were Muslims. Maximum number of respondents (28.7%) were educated up to secondary school level but most of them (84.5%) were housewives. Majority (34%) of their husbands were service holders and businessmen each, 29.4% had monthly family income of 5,001-10,000/- Tk. This lower middle class comprised the highest group in our study. Among 265 respondents, 62.3% were using contraceptive methods at the time of study and rest 37.7% were not using due to some different reasons, such as pregnancy, breast feeding, eagerness to take child etc. Maximum couple (81.9%) took decision combindly to adopt contraceptive methods and most of them (69.8%) lived in a nuclear family. Majority (62.63%) had 1 to 2 children. Mostly used contraceptive method among ever users (81.69%) and current users (60%) was oral contraceptive pill. Majority (45.28%) mentioned no side effect from any of the methods. Relatives and neighbors were the highest informer (33.96%) than the family planning workers (20.75%) and even mass media (7.54%). In this study the prevalence of contraceptive use was found 62.3%. DOI: http://dx.doi.org/10.3329/jdmc.v23i1.22686 J Dhaka Medical College, Vol. 23, No.1, April, 2014, Page 7-13

scholarly journals A rise in births following contraceptive failure in France between 2010 and 2016: results from the French national perinatal surveys

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Camille Bonnet ◽  
Béatrice Blondel ◽  
Caroline Moreau
Keyword(s):  
Contraceptive Method ◽  
Contraceptive Use ◽  
Significant Proportion ◽  
Adult Women ◽  
Contraceptive Methods ◽  
Subsequent Increase ◽  
Contraceptive Failure ◽  
Live Births ◽  
Socially Disadvantaged ◽  
Method Mix

Abstract Background In France, while the prevalence of contraception is high, a significant proportion of pregnancies are unintended. Following the 2012 pill scare, the contraceptive method mix, which was mostly comprised of pills and intrauterine devices (IUD), has become more diversified. In this changing landscape, our objective was to describe trends in live births resulting from contraceptive failure and evaluate how patterns of contraceptive use have contributed to observed changes between 2010 and 2016. Methods We used data from the 2010 and the 2016 French National Perinatal surveys which included all births from all maternity units in France over a one-week period. Interviews collecting information about pre-conception contraceptive practices were conducted in the maternity ward post-delivery. Women were classified as having a contraceptive failure if they discontinued contraception because they were pregnant. Our study sample included adult women who had a live birth, had ever used contraception and did not undergo infertility treatment (n = 11,590 in 2010 and n = 9703 in 2016). We evaluated changes in contraceptive failure over time using multivariate Poisson regressions to adjust for sociodemographic characteristics and pre-pregnancy contraceptive methods. Results Pre-pregnancy contraception evolved between 2010 and 2016 with a 12.3% point-drop in pill use, and conversely, 4.6%- and 3.2%-point increases in IUD and condom use, respectively. Use of other barrier or natural methods doubled between 2010 and 2016 but remained marginal (1.4% in 2010 vs 3.6% in 2016). Between 2010 and 2016, the proportion of live births resulting from contraceptive failure rose from 7.8 to 10.0%, with higher risks among younger, parous and socially disadvantaged mothers. The risk ratio of contraceptive failure in 2016 compared to 2010 remained higher after sociodemographic adjustments (aRR = 1.34; 95% CI; 1.23–1.47) and after adjusting for pre-pregnancy contraceptive method mix (aRR = 1.35; 95% CI; 1.25–1.49). Increases in contraceptive failures were concentrated among pill and condom users. Conclusions Recent shifts in contraceptive behaviors in France following the 2012 pill scare may be associated with a subsequent increase in births resulting from short acting contraceptives failures.

scholarly journals Pemulihan Kesuburan Pasca Pemakaian Alat Kontrasepsi pada Wanita Usia Subur di Indonesia

2021 ◽  
Vol 16 (1) ◽  
pp. 110
Author(s):  
Reni Dwi Setyaningsih ◽  
Siswanto Agus Wilopo ◽  
Ova Emilia
Keyword(s):  
Health Survey ◽  
Contraceptive Use ◽  
Secondary Data ◽  
Hormonal Contraceptive ◽  
Demographic And Health Survey ◽  
Efficacy And Safety ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Health Survey Data

The issue of return of fertility after discontinuation of contraceptive use is one of the important studies related to the efficacy and safety of various contraceptive methods, both hormonal and non-hormonal. Indonesian Demographic and Health Survey Data from 2002-2003 revealed that 34 percent of women in childbearing age who discontinued using the contraceptive was due to pretension to have the next pregnancy. The mechanisms of action for a variety of contraceptives would be related to the varying duration of post-use fertility return. This study was aimed to see how long it takes for women in childbearing age to stop using the contraceptive until the next pregnancy occurs. This study was an observational study using secondary data from the Indonesian Demographic and Health Survey (SDKI) data from 2002-2003. The samples of this study were 5,223 women in childbearing age who discontinued using the contraceptive. Every interest in this study was the occurrence of pregnancy after stopping using the contraceptive. Determination of the samples was limited to ever pregnant women who stopped using hormonal contraceptive and IUD, which could be observed during the survey period.The results showed that the probability of  reaching 50 percent pregnancy required 7 and 6 months after the discontinuation of injection and implant use as well as 4 months after pill and IUD use. Keywords: Return of fertility, Contraceptive, Childbearing Age      

scholarly journals Migration and family planning in the state with highest total fertility rate in India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bidhubhusan Mahapatra ◽  
Niranjan Saggurti ◽  
Raman Mishra ◽  
Monika Walia ◽  
Saradiya Mukherjee
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Significant Proportion ◽  
Implementation Strategies ◽  
Married Women ◽  
Systematic Sampling ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Multi Stage ◽  
The Relationship

Abstract Background This study examined the relationship between male out-migration and family planning (FP) behaviour of women in rural Bihar. Methods Data was collected from 937 currently married women aged 15–34 years from two districts of Bihar, namely Nawada and Gopalganj. Respondents were selected through a multi-stage systematic sampling and were recruited from both low and high male out-migration blocks. Differences in FP outcomes—use of modern contraceptive methods, intention to use contraceptives in next 12 months and access to FP services—were assessed by volume of migration, husband’s migration status, frequency of return, and duration of husband’s stay at home during visits. Results Women with migrant husbands were about 50% less likely to use modern contraceptive methods. Further, the odds of using modern contraceptives was about half among women with migrant husbands if they resided in high out-migration areas (HMA) than low out-migration areas (LMA) (15% vs 29%, AOR: 0·50, p = 0·017). A higher proportion of women with migrant husbands, specifically from HMA, reported greater intention of using contraceptives in next 12 months than their counterparts (37% vs 23%, AOR: 1·83, p = 0·015). Similarly, access to FP services was negatively associated with the volume of male out-migration, specifically for women with migrant husbands. Conclusions The migratory environment as well as the migration of husbands affect contraceptive use and access to FP services among women. Given that a significant proportion of married males leave their home states for work, it is imperative that FP programs in migration affected areas plan and implement migration-centric FP implementation strategies.

DETERMINANTS OF CONTRACEPTIVE USE AMONG WOMEN OF REPRODUCTIVE AGE IN GREAT BRITAIN AND GERMANY II: PSYCHOLOGICAL FACTORS

1997 ◽  
Vol 29 (4) ◽  
pp. 437-470 ◽  
Author(s):  
B. J. ODDENS
Keyword(s):  
Great Britain ◽  
Contraceptive Use ◽  
Social Influences ◽  
Negative Attitude ◽  
Reproductive Age ◽  
Contraceptive Methods ◽  
Psychological Determinants ◽  
Periodic Abstinence ◽  
Contraceptive Choice ◽  
Correct Estimation

Psychological determinants of contraceptive use were investigated in Great Britain and Germany, using national data obtained in 1992. It was hypothesised that current contraceptive use among sexually active, fertile women aged 15-45 was related to their attitude towards the various contraceptive methods, social influences, perceptions of being able to use a method correctly and consistently, a correct estimation of fertility, and communication with their partner. Effects of age and country were also taken into account.The attitude of respondents towards the various contraceptive methods was ambivalent and no method was seen as ideal. On medical methods (OCs, IUDs and sterilisation) many respondents expressed doubts as to their safety for health. Social influences most frequently concerned the use of OCs. Respondents considered themselves able to use oral contraceptives correctly, but expressed general fear about intrauterine devices and sterilisation, and many women believed they were not able to use condoms and periodic abstinence consistently.Multifactorial analyses revealed that current contraceptive use was principally determined by social influences, attitude and self-efficacy with respect to medical methods. Age and country, and, for use of unreliable methods, fertility awareness also played a role. Communication with the partner was less relevant.Contraceptive choice (and the use of non-medical methods) depended greatly on encouragement to use and being in favour of medical methods. A lack of social support for use of medical methods and a negative attitude towards them was related to higher use rates of condoms, periodic abstinence, withdrawal and reliance on ‘luck’. In the case of withdrawal and/or no method, underestimation of fertility played an additional role.Contraceptive choice appears to be determined more by a general like or dislike of medical methods rather than on a weighing of the merits of individual available methods.

scholarly journals The Analysis of Socio-Economic and Demographic Factors Associated with Contraceptive Use Among Married Women of Reproductive Age in Rwanda

2018 ◽  
Vol 11 (1) ◽  
pp. 348-359 ◽  
Author(s):  
Faustin Habyarimana ◽  
Shaun Ramroop
Keyword(s):  
Contraceptive Use ◽  
Religious Affiliation ◽  
Demographic Factors ◽  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Women Of Reproductive Age ◽  
Factors Associated ◽  
Living Children

Background: Contraceptive use is seen as pivotal for protecting women’s health and rights, influencing fertility and population growth, and helping to promote economic development. The main objective of this study was to identify the socio-economic and demographic factors associated with contraceptive use among married women of childbearing age in Rwanda. Methods: The current study used survey logistic regression model in order to account for the complexity of sampling design and heterogeneity between the observations from the same cluster. The 2014/2015 Rwanda Demographic and Health Survey data was used as application. Results: The findings from this study revealed that education level of the woman, wealth quintile of the household, woman’s province of residence, woman’s age at first cohabitation, current age of the respondent, woman’s working status, number of living children, husband’s desire for more children compared to the wife or partner, religious affiliation, health facilities, exposure to contraceptive information in media and by family planning workers, and current age of husband or partner were significant determinants of contraceptive use among ever married women of reproductive age. Conclusion: The findings from this study suggest improvement of exposure to the information of contraceptive use in health centres, empowerment of women for access to quality contraceptive use services and religious affiliation to play an important role to explain and inform their adherents on the importance of using a contraceptive method.

scholarly journals Determinants of Modern Contraceptive Methods (MCM) discontinuation among childbearing age women in Kinshasa, Democratic Republic of Congo.

2021 ◽  
Author(s):  
Nathalie Pemba ◽  
Christophe Luhata ◽  
Shahul H Ebrahim ◽  
Dalau Nkamba Mukadi ◽  
Lise Lombeya ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Cox Regression ◽  
Democratic Republic Of Congo ◽  
Sub Saharan Africa ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Republic Of Congo ◽  
Contraceptive Discontinuation ◽  
Sub Saharan

Abstract Background: Family planning (FP) is one of the main strategies to reduce maternal mortality in sub-Saharan Africa. However, only 8% of women use modern contraceptive methods in the Democratic Republic of Congo. It is estimated that at least 50% of women stop using Modern Contraceptive Methods (MCM) in sub-Saharan Africa. The objective of this study was to identify factors associated with MCM discontinuation in Kinshasa. Methods: A retrospective cohort study was conducted in Kinshasa from April through June 2019. Three hundred and eighty-seven women who attended 10 health facilities in 10 health zones of Kinshasa (one facility per health zone) were enrolled in the study. Predictors of modern contraceptive discontinuation were investigated, using Cox regression. Results: The proportion of MCM discontinuation was 21.4% (95% CI: 17.6-25.8); 60.2% for implants and 24.1% for contraceptive injections. Predictors for dicontinuation were: unemployement (Hz.R = 2.23; 95% CI: 1.35 - 3.70; p = 0.003); having no or only one child (Hz.R = 2.89; 95% CI : 1.43 - 5.85; p = 0.015); using a short-acting method (Hz.R = 4.61; 95% CI: 2.81 - 7.56; p <0.001); lack of sufficient explanations about MCM (Hz.R = 3.14; 95% CI: 1.93-5.11; p <0.001) and side effects (Hz.R = 2.93; 95% CI: 1.79 - 4.80; p = 0.001). Conclusion: MCM discontinuation was high among women in Kinshasa. While it is important to reinforce strategies to increase MCM uptake, it is also critical to increase its continuation.

scholarly journals PERILAKU WANITA USIA SUBUR DALAM PEMILIHAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI FAKULTAS KESEHATAN MASYARAKAT UI TAHUN 2018

2020 ◽  
Vol 2 (2) ◽  
pp. 62-67
Author(s):  
Annisa Lidra Maribeth ◽  
Ayuning Aulia ◽  
Nita Adhani Pasundani ◽  
Nur Annisa Fauziyah ◽  
Siti Ma'rifah ◽  
...  
Keyword(s):  
Content Analysis ◽  
Contraceptive Use ◽  
Intrauterine Device ◽  
Women Of Childbearing Age ◽  
Contraceptive Methods ◽  
Childbearing Age ◽  
Content Analysis Method ◽  
Husband Support ◽  
Use Behavior

AbstrakPenggunaan metode kontrasepsi jangka panjang (MKJP) pada wanita usia subur di Indonesia masih tergolong rendah yaitu 4,7 persen. Salah satu jenis MKJP adalah intrauterine device (IUD). Mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) dinilai memiliki pengetahuan yang cukup terhadap MKJP. Tujuan penelitian ini adalah menggali lebih dalam tentang perilaku wanita usia subur dalam pemilihan kontrasepsi IUD di FKM UI. Penelitian ini merupakan penelitian kualitatif dengan metode wawancara mendalam selanjutnya dianalisis dengan content analysis. Sampel penelitian adalah mahasiswi Pasca Sarjana FKM UI berusia 15-49 tahun yang telah menikah dan memutuskan menggunakan alat kontrasepsi. Sampel yang dipilih akan dibagi menjadi dua kelompok yaitu yang menggunakan IUD dan tidak menggunakan IUD. Hasil dari penelitian ini diketahui bahwa faktor yang menghambat perilaku penggunaan kontrasepsi IUD adalah sikap dan faktor yang mendorong perilaku penggunaan IUD adalah dukungan suami. Intervensi yang mungkin dapat dilakukan adalah meningkatkan motivasi dan memperbaiki persepsi pengguna non IUD. Hal ini diharapkan dapat mengubah sikap pengguna non IUD dari tidak setuju menjadi setuju untuk menggunakan IUD. Selain itu peran dukungan suami perlu ditingkatkan dengan berbagai intervensi.Katakunci — Perilaku wanita usia subur, intrauterine device (IUD), kontrasepsi jangka panjang, kualitatif Abstract                                                                                                   The use of long-term contraceptive methods in women of childbearing age in Indonesia is still relatively low (4.7%). One type of long-term contraceptive methods is an intrauterine device (IUD). Students of Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) is considered to have sufficient knowledge of the long-term contraceptive methods. The purpose of this study is to explore the women behavior of childbearing age in the selection of IUD in FKM UI. This research was a qualitative research with in-depth interview method then analyzed with content analysis method. The sample was FKM UI post graduate women students aged 15-49 years who have been married and decided to use contraception. The selected sample would be divided into two groups, those that used an IUD and didn’t use an IUD. The results of this study noted that the factors that inhibit IUD contraceptive use behavior are attitudes and the factors that encourage IUD use behavior are husband support. Interventions that may be done are to increase motivation and improve the perception of non-IUD users. This is expected to change the attitude of non-IUD users from disagreeing to agreeing to use an IUD. In addition, the role of husband support needs to be enhanced with various interventions.Keyword — Behavior of women of childbearing age, intrauterine devices (IUD), long-term contraception, qualitative.

scholarly journals Do women's attitudes towards abortion and contraceptive methods influence their option for sterilization?

1999 ◽  
Vol 15 (4) ◽  
pp. 739-747 ◽  
Author(s):  
Elisabeth Meloni Vieira
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Services ◽  
Contraceptive Use ◽  
Contraceptive Methods ◽  
Individual Counseling ◽  
Childbearing Age ◽  
Negative Attitudes ◽  
Care Services ◽  
Childbearing Age Women

This paper analyzes the attitudes of low-income women towards abortion and contraception. A survey was conducted in 1992 with a total of 3,149 childbearing-age women living on the outskirts of the Greater Metropolitan São Paulo Area. The study focuses on a sub-sample of 583 women. Attitudes of sterilized and non-sterilized women are compared. Women, especially those sterilized, found the most important attribute of a contraceptive method to be its effectiveness. Women currently taking the pill were less likely than those sterilized to agree that sterilization was the best method because of its effectiveness. Sterilized women were less likely than non-sterilized women to trust the pill. Sterilized women were more likely than non-sterilized to have reported adverse effects from the pill. Most women found abortion unacceptable except in the case of risk to the woman's life. Women using more effective methods showed stronger negative attitudes towards abortion. The tendency to be sterilized while still young was associated with more negative attitudes towards abortion. Family planning activities in basic health care services should include individual counseling for contraceptive use.

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