Use of modern contraception after unplanned pregnancy: evidence from a developing country
Adanikin AI1, Onwudiegwu U1,2, Loto OM1,2
1Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, 2Department of of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University, Ile-Ife, Nigeria
Objective: This study examines modern contraceptive uptake in postpartum women after an unplanned pregnancy.
Method: In this descriptive study undertaken in Nigeria, 55 booked parturients who were non-users of modern contraception but with unplanned pregnancies were recruited after informed consent. A pre-tested questionnaire instrument was used to elicit information on socio-demographic variables, obstetric history, and intended postpartum contraception. Enquiry on actual use of modern contraception 6 months after delivery was made from all respondents by telephone contact. The data were subsequently analyzed.
Results: The mean age of respondents was 27.78 ± 5.51 years. They were mostly married (94.5%), predominantly Christians (72.7%) and, semi-skilled (52.8%).
Out of forty two (76.4%) of the women that intended to use modern contraception after delivery, thirty one (56.4%) actually did as at 6 months postpartum. Condom was the mostly used method, 25.5%, followed by intrauterine contraceptive device, 14.5%. Oral pill was used by 12.7% of respondents. Only one patient, 2.4%, used permanent method. None used implant. Marital status, couples’ educational status, occupation and religion did not influence the modern contraceptive use.
Conclusion: There is a remarkable uptake of modern contraception after unplanned pregnancy in Nigeria. In our efforts at improving modern contraceptive uptake, this subset of women may have a pivotal role at convincing others for behavioural change towards modern contraception.
1. Adeyemi AB, Ijadunola KT, Orji EO, et al. The Unmet need for contraception among Nigerian women in the first year post-partum. Eur J Contracep Reprod Health. 2005; 10(4): 229-234.
2. National Population Commission (NPC) [Nigeria] and ICF Macro. 2009. Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro.
3. Adegbola O, Okunowo A. Intended postpartum contraceptive use among pregnant and puerperal women at a university teaching hospital. Arch Gynecol Obstet. 2009; 280: 987-992.