Adebukunola Olajumoke Afolabi; Adenike Ayobola Olaogun; Kolade Afolayan Afolabi
Abstract
Background: The gap between women’s reproductive intention and contraceptive behavior could be attributed to the increasing rate of unintended pregnancies globally. The present study was conducted to explore nursing mothers’ perception of contraception,identify the pattern of contraceptive ...
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Background: The gap between women’s reproductive intention and contraceptive behavior could be attributed to the increasing rate of unintended pregnancies globally. The present study was conducted to explore nursing mothers’ perception of contraception,identify the pattern of contraceptive uptake, examine the variations in pregnancy intention, and ultimately, to identify factors influencing contraceptive uptake and pregnancy intention in Nigeria.Methods: The current study adopted sequential explanatory mixed method. We collected the quantitative data from 400 nursing mothers in Irewole and Ife Central Local Government Areas of Osun State, Southwest Nigeria employing semi-structuredquestionnaire. Our nursing mothers were selected through multi-stage sampling technique. This excluded mothers whose index child were older than 2 years old. Focus Group Discussion was conducted with use of focus group discussion guide was conducted for the qualitative survey. Eight discussants selected by convenient sampling participated in each session. We analyzedthe quantitative data using SPSS software at univariate, bivariate and multivariate levels. Binary and multinomial regression analysis examined the association between dependent and independent variables while the level of significance was consideredat p < 0.05. The qualitative findings were reported thematically.Results: The participants in this work perceived that inappropriate contraceptive use influenced pregnancy intention, 8.5% of the nursing mothers used barrier method of contraception, 9.5% used intrauterine device, 4% hormonal pills, 8% hormonal injections,6.5% implants, 1% calendar methods, and 0.5% traditional methods whereas 62% did not use any form of contraception. About 37% of the nursing mothers had previous pregnancies unintended, 52% were ambivalent while 11% had their pregnanciesplanned. Age (P=0.02, relative risk ratio (RRR)=0.42, CI=0.20-0.87), parity (P=0.001, RRR=10.38, CI=3.27-32.92), ethnicity (P=0.002, RRR=0.13,CI=0.03-0.48), and religion (P=0.048, RRR=0.26, CI=0.07-0.99) were the main predictors of pregnancyintention while Islamic religion (P=0.02, OR=2.23, CI=1.16 - 4.26) and grand multiparty (P=0.01, OR=3.61, CI=1.37-9.51) significantly influenced contraceptive choices.Conclusion: Nursing mothers’ parity, age, religion and ethnicity were the main predictors of pregnancy intention, among which religion and parity significantly influenced contraceptive choices. These variables should be incorporated into future interventionprograms which aim to develop effective strategies towards improving uptake and utilization of reproductive health services
Kolade Afolayan Afolabi; Adebukunola Olajumoke Afolabi
Abstract
Background: Women experience variations in postpartum amenorrhea, the length of which depends on the type of breastfeeding and women’s physiology. We conducted the present Study to assess the perception and pattern of resumption of menstruation, and identify the determinants of resumption of menstruation ...
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Background: Women experience variations in postpartum amenorrhea, the length of which depends on the type of breastfeeding and women’s physiology. We conducted the present Study to assess the perception and pattern of resumption of menstruation, and identify the determinants of resumption of menstruation and proportion at risk of unplanned pregnancy among exclusive breastfeeding women. Methods: Study employed sequential explanatory mixed method research design and was conducted between September and November, 2019. We collected the quantitative data using a semi-structured questionnaire from 497 exclusive breastfeeding women selected through a two-stage sampling technique in Southwest Nigeria. In addition, Focus Group Discussion guide was utilized to conduct qualitative study. The quantitative data were analyzed with SPSS version 22 using appropriate statistic, and the level of significance was p Results: Our result revealed that 43.4% of women whose postpartum period begins in less than eight weeks were amenorrheic, 65.6% of women whose postpartum period occurs between the 8th and 16th week were also amenorrheic, 85.8% of women whose postpartum period begins between 17th and 24th week remained amenorrheic. 76% of the women studied relied on Lactational Amenorrhea for contraception. Age (P=0.001, OR=0.24, CI=0.10-0.50), parity (P=0.04, OR=0.55, CI=0.31-0.79), and postpartum length (P=0.002, OR=0.23, CI=0.18-0.75) remained significant determinants of the return of menstruation. Conclusion: A significant proportion of women studied perceived themselves to be at no risk of unplanned pregnancy which may ultimately influence timely postpartum contraceptive uptake. Advocacy should therefore focus on addressing effective contraception among this group of women
