Research Article

Post Partum Contraception: Awareness and Willingness to Use by Antenatal Attendees in A Third Level Health Facility, Southern Nigeria

Emmanuel Okwudili Oranu
University of Port Harcourt Teaching Hospital, Nigeria
* Corresponding author
John Dimkpa Ojule
University of Port Harcourt Teaching Hospital, Nigeria
DOI icon 10.24018/ejmed.2022.4.1.958

Read Counter
537

Downloads
404

Citations

Share

Article Sidebar

Submitted 2021-06-30
Published 2022-02-15

Read counter = 537 times

Table of Contents

Article Main Content

Background: The contraceptive prevalence of Nigeria is low. Post partum contraception (PPC), especially in the immediate post period, may improve our contraceptive prevalence rate.

Objective: To determine the level of awareness and willingness to use post partum contraception by antenatal attendees of the University of Port Harcourt Teaching Hospital (UPTH).

Methods: This is a cross-sectional questionnaire-based prospective study in consented antenatal attendees of the UPTH between the 1st of June and 31st of August 2020. Pretested questionnaires were administered on the respondents by trained assistants. Their socio-demographic data and information on their awareness and willingness to use post partum contraception were entered into excel spread sheet and analyzed with SPSS version 20.0. Chi-square test of variables were done and P<0.05 was taken as significant. The results were presented in tables of frequencies and percentages.

Result: Two hundred and seventy-one antenatal attendees of the UPTH participated in this study. Their mean parity was 2.65 with a standard deviated of 1.25. Of the total number of respondents, 299(99.26%) had at least a secondary education, 156 were aware of post partum contraception; giving a prevalence of 57.56%. Two hundred and six (76.01%) expressed willingness to use post partum contraception if counseled and offered. Husbands support for the use of contraception was 69.37%.

Conclusion: There was poor awareness of post partum contraception in the UPTH antenatal attendees. However, the expression of willingness to use this method of contraception was high.

Keywords: Awareness, counseled, Port Harcourt, post partum contraception, willingness to accept

References

  1. Dumindin JB. National Library of Medicine-National Center for Biotechnology Information. Family Planning Concept.1981; 21(2): 9-13.
     Google Scholar
  2. Cleland J. Bernstein S, Ezeh A, Faundus A, Glasier A, Innis J. Family. Planning: the unfinished agenda. Lancet. 2006; 68: 1810-1827.
    DOI  |   Google Scholar
  3. WHO: Sexual and Reproductive health. Post partum family planning: essentials for ensuring health of women and their babies. [Internet] 2018. Available from: www.who.int
     Google Scholar
  4. Okeke TC, Ugwu ED, Okezie OA. Post Partum Practices of parturient women in Enugu, South East Nigeria. Ann Med Health Sci. Res. 2013; 3(1): 47-50.
    DOI  |   Google Scholar
  5. Adedokun A, Abdus Salam RA, Babawarum T, Morhaso Bello, Ojengbede. A Resumption of sexual intercourse and Family Planning use among post Partum women attending infant welfare Clinic in Ibadan southwest Nigeria – A Cross-sectional study. Nigeria J Clin Pract. 2020; 23(12): 1648-1655.
    DOI  |   Google Scholar
  6. Zubairu I, Galadanci H, Danlamik, Salih H, Aliyu M. Correlates of Post Partum sexual activity and contraceptive use in Kano, Northern Nigeria. Afri J Reprod Health. 2018; 22(1): 103-112.
     Google Scholar
  7. Tsegaye M, Birhanie M, Zelalem B, Yewbmirt S. Postpartum contraceptive use and its determinants in Ethiopia: A systematic Review and meta analysis. Int j Reprod Med. 2020.
    DOI  |   Google Scholar
  8. Banerjee A. The importance of Post Partum family planning. Public Health Action. 2016; 6(2): 51.
    DOI  |   Google Scholar
  9. Akman M, Tuzun S, Uzunner A, Basgul A, Kavak Z. The influence of prenatal counselling on post partum contraceptive choice. J Int Med Res. 2010; 38(4): 1243-9.
    DOI  |   Google Scholar
  10. Tadese ET, Mesganaw FA, Alemayhu WY. Counseling on FP during ANC increases the likelihood of PPFP use in Bahir Dar City, Northwest Ethiopia: A prospective follow up study. Contracep and Reprod Med. 2018; 3(28): 17-23
     Google Scholar
  11. Yaprak E, Yusuf U, Feray C, Meydanli M, Kafkash A, Sezgin B. Effect of Postpartum counselling on post partum contraceptive use. Arch Gynecol Obstet. 2007; 275(6): 429-32
    DOI  |   Google Scholar
  12. Kasemiss K. Effects of immediate postpartum contraceptive counseling on long acting reversible contraceptive use in adolescents. Adol Health Med. and Thera. 2017; 4(8): 115-123.
    DOI  |   Google Scholar
  13. Gulay V, Elan B. Preferences and related factors for postpartum contraception in pregnant women. Iran J Reprod Med. 2013; 11(10): 801-806.
     Google Scholar
  14. Harrington EK, Mcloy EE, Drake AL. Engaging men in an mHealth approach to support postpartum family planning among couple among couples in Kenya: A qualitative study. Reprod Health. 2019; 16(17): 1-11.
    DOI  |   Google Scholar
  15. Balogun O, Adenirn A, Fowole A, Adeshinna K, Aboyiji A, Adeniran P. Effect of male patners support on spousal modern contraceptive in a low resource setting. Ethiop J Health Sci. 2016; 26(5): 439-448.
    DOI  |   Google Scholar
  16. High Impact Practice. Immediate post partum family planning: a key component of childbirth care. John Hopkins University. 2021.
     Google Scholar
  17. Allagoa DO, Nyengidiki TK. Knowledge, Attitude and practice of Contraception among Antenatal patients at the University of Port Harcourt Teaching Hospital, Port Harcourt. Nig. Health J. 2011; 11(3): 89-92.
     Google Scholar
  18. Ezebialu IU, Eke AC. Resumption of vaginal intercourse in early postpartum period; determinants and consideration for child spacing in a Nigerian population. J ObstetGynaecol. 2012; 32(4): 353-6.
    DOI  |   Google Scholar
  19. Egbonu I, Ezehukwu CC, Chukwuka JO Ikechebela JI. Breast-feeding, return of menses, sexual activity and contraceptive practice among mothers in the first six months of lactation in Onitsha, South East Nigeria. J ObstetgGynaecol. 2005; 25(5): 500-3.
    DOI  |   Google Scholar
  20. Anzaku AS, Mikah S. Post partum resumption of sexual activity, sexual morbidity, and use of modern contraceptive among Nigerian women in Jos. Annal Med Health Sci Res. 2014; 4: 210-6
    DOI  |   Google Scholar
  21. Oranu EO, Ojule JD, Orazulike NC. Associated factors in the declining trend in the use of progesterone only injectable contraceptive in a Niger delta university teaching hospital, Nigeria. Assian J Med and Health. 2017; 3(4): 1-8.
    DOI  |   Google Scholar
  22. Kusum T, Rolina D, Anito M, Pande A, Mishara S, PokhrelSM,et al. Factors affecting the behaviour outcome on post partum intrauterine uptake and continuation in Nepal: a quantitative study. BMC Pregnancy and Child Birth. 2019; 148: 1-7.
     Google Scholar
  23. Weisband YL, Kedar ML, Sarah AK, Gallo M. Post partum intensions and contraceptive use and method choice among breast feeding women attending university hospital in Ohio: a cross-sectional study. J Reprod Health. 2017; 14(45): 1-8.
    DOI  |   Google Scholar
  24. Oranu EO, Ojule JD. A decade of Jadelle subdermal implants contraception in a tertiary health institution in port Harcourt, Southern Nigeria. Journal of Biosciencies and Medicine 2018; 6: 123-130.
    DOI  |   Google Scholar
  25. Nigeria: Family Planning 2020. [Internet] 2020. Available from: www.familyplanning2020.org.
     Google Scholar
  26. Pasha O, Goudars SS, Patel A, Garces A, Liechty E, Kreb N, et al. Unmet need for family planning in fire low-income countries. Reprod. Health J. 2015; 12(11): 1-7.
    DOI  |   Google Scholar