International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2017
Postpartum contraceptive choices among women attending a well-baby clinic in Ghana.
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Morhe Emmanuel S K, Ankobea Frank, Asubonteng Gerald O, Opoku Baafuor, Turpin Cornelius A, Dalton Vanessa K
Аннотация
OBJECTIVE: To assess postpartum contraceptive choices among women attending a well-baby clinic in Ghana.
METHODS: From April 1 to May 31, 2011, a descriptive cross-sectional survey was conducted among women who attended the well-baby clinic of Komfo Anokye Teaching Hospital, Kumasi, at 6-24 months after delivery. Participants were consecutively recruited and interviewed using semi-structured questionnaires. Data were collected on demographics, exposure to family planning counseling, message content, and postpartum contraceptive choices. Differences between the profiles of women who did or did not take up postpartum family planning were assessed.
RESULTS: Of the 200 women enrolled, 44 (22.0%) wanted no more children and the last pregnancy was unintended among 88 (44.0%). In all, 110 (55.0%) women took up postpartum contraception, with the calendar method (n=57; 51.8%) and injectable contraceptives (n=22; 20.0%) cited as popular choices. Family planning counseling was received at the prenatal clinic by 47 (23.5%) women, with 12 (6.0%) given written referrals on the postnatal ward. More previous contraceptive users than previous non-users chose long-acting or permanent postpartum methods (P<0.001).
CONCLUSION: Inadequate postpartum family planning counseling and referrals during maternity care were recorded, suggesting that a comprehensive educational intervention is required to improve uptake.
METHODS: From April 1 to May 31, 2011, a descriptive cross-sectional survey was conducted among women who attended the well-baby clinic of Komfo Anokye Teaching Hospital, Kumasi, at 6-24 months after delivery. Participants were consecutively recruited and interviewed using semi-structured questionnaires. Data were collected on demographics, exposure to family planning counseling, message content, and postpartum contraceptive choices. Differences between the profiles of women who did or did not take up postpartum family planning were assessed.
RESULTS: Of the 200 women enrolled, 44 (22.0%) wanted no more children and the last pregnancy was unintended among 88 (44.0%). In all, 110 (55.0%) women took up postpartum contraception, with the calendar method (n=57; 51.8%) and injectable contraceptives (n=22; 20.0%) cited as popular choices. Family planning counseling was received at the prenatal clinic by 47 (23.5%) women, with 12 (6.0%) given written referrals on the postnatal ward. More previous contraceptive users than previous non-users chose long-acting or permanent postpartum methods (P<0.001).
CONCLUSION: Inadequate postpartum family planning counseling and referrals during maternity care were recorded, suggesting that a comprehensive educational intervention is required to improve uptake.
Предметные рубрики MeSH
AdolescentAdultChild Health ServicesChoice BehaviorContraceptionContraception BehaviorCounselingFamily Planning ServicesFemaleGhanaHealth Knowledge, Attitudes, PracticeHospitals, TeachingHumansInfantInfant, NewbornMiddle AgedOutpatient Clinics, HospitalPostpartum PeriodSurveys and QuestionnairesYoung Adult