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Contraceptive Preference and Associated Factors: Implication on Pregnancy Intentions among Nursing Mothers in Southwest Nigeria | ||
| Women’s Health Bulletin | ||
| مقاله 4، دوره 7، شماره 4 - شماره پیاپی 27، دی 2020، صفحه 19-32 اصل مقاله (500.33 K) | ||
| نوع مقاله: Research Article | ||
| شناسه دیجیتال (DOI): 10.30476/whb.2020.87503.1074 | ||
| نویسندگان | ||
| Adebukunola Olajumoke Afolabi* 1؛ Adenike Ayobola Olaogun2؛ Kolade Afolayan Afolabi3 | ||
| 1Clinical Nursing Services, Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Osun State, Nigeria | ||
| 2Department of Nursing Science, Obafemi Awolowo University, Ile Ife, Nigeria, Ile Ife, Nigeria | ||
| 3Medical and Health Services, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria | ||
| چکیده | ||
| 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-structured questionnaire. 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 analyzed the 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 considered at 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 pregnancies planned. 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 pregnancy intention 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 intervention programs which aim to develop effective strategies towards improving uptake and utilization of reproductive health services | ||
| کلیدواژه‌ها | ||
| Contraceptive uptake؛ Pregnancy؛ Intention؛ Nursing؛ Mothers؛ Nigeria | ||
| مراجع | ||
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1. World Health Organization, WHO. Family planning /contraception methods.2020.http://www.who.int. ## 2. Adedini SA, Odimegwu C, Imasiku E N, Ononokpono DN. Unmet need for family planning: Implication for under-five mortality in Nigeria, J health popul and nutri. 2015;33(1),187–206. PubMed PMID: 25995735; PubMed Central PMCID: PMC4438662. ## 3. Fayehun F. Contraceptive use in Nigeria is incredibly low: A lack of knowledge may be why. The conversation Africa. 2017. https://theconversation.com/contraceptive-use-in-nigeria-is-incredibly-low-a-lack-of-knowledge-may-be-why-81453. ## 4. Singh S, Bankole A, Darroch JE. The impact of contraceptive use and abortion on fertility in sub-Saharan Africa: Estimates for 2003–2014. Popul dev rev. 2017. doi:10.1111/padr.12027. ## 5. Bamigboye EA, Ajayi I. Changing patterns of unmet needs for family planning among women of reproductive age in Nigeria. African journal of reproductive health. 2016;20(3): 127-135. doi: 10.29063/ajrh2016/v20i3.17. PubMed PMID: 29553202. ## 6. Bishwajit G, Tang S, Yaya S, Feng Z. Unmet need for contraception and its association with unintended pregnancy in Bangladesh. BioMed central journal of pregnancy and childbirth.2017;17(1):186. doi: 10.1186/s12884-017-1379-4. ## 7. Adeyemi AB, Loto OM, Ijadunola KT, Asa SS, Ajenifuja KO, Ofili MI. Factors influencing contraceptive use among grandmultipara in Ile-Ife, Nigeria. Tropical journal of obstetrics and gynaecology.2011;28(1). ## 8. Eliason S, Baiden F, Yankey BA, Awusabo–Asare A. Determinants of unintended pregnancies in rural Ghana. BMC pregnancy and childbirth.2014;14 (261). doi: 10.1186/1471-2393-14-261. ## 9. Afolabi AO, Olaogun AA, Afolabi KA, Afolabi EK. Determinants of unintended pregnancies among nursing mothers in southwest Nigeria. African journal of midwifery and women’s health. doi:10.12968/ ajmw.2019.0010. 10. Doskoch P. A fourth of married African women have an unmet need for contraception. International perspectives on sexual and reproductive health.2014; 40(3), 155-156. ## 11. Solanke BL. Factors influencing contraceptive use and non-use among women of advance reproductive age in Nigeria. J health pop. 2017. 2017; 36: 1. doi: 10.1186/s41043-016-0077-6. ## 12. Lamina MA. Prevalence and Determinants of Unintended Pregnancy among women in South-Western Nigeria. Ghana Med J.2015;49(3):187-194. PubMed PMID: 26693195; PubMed Central PMCID: PMC4676590. ## 13. Barrett G, Smith S, Wellings K. Conceptualisation, development and evaluation of a measure of unplanned pregnancy. J Epidemiol Community Health. 2004;58(5):426–433. doi: 10.1136/jech.2003.014787. PubMed PMID: 15082745; PubMed Central PMCID: PMC1732751. ## 14. Fadeyi AO, Oduwole TA. Effect of religion on reproductive health issues in Nigeria. International journal of innovative healthcare research.2016;4(1): 17-33. ## 15. Religion, women’s health and rights: Points of contention and paths of opportunities. United Nations Population Fund. 2016. https://www.unfpa.org/node/15024. 16. Ugwu NU, de Kok B. Socio-cultural factors, gender roles and religious ideologies contributing to Caesarian-section refusal in Nigeria. Reprod;2015: 12:70. doi:10.1186/s12978-015-0050-7. ## 17. Bankole A, Adewole I.F, Hussean R, Awolude O, Singh S, Akinyemi JO. The Incidence of Abortion in Nigeria. Int Perspect Sex Reprod Health. 2015;41 (4), 170-181. doi: 10.1363/4117015. PubMed PMID: 26871725; PubMed Central PMCID: PMC4970740. ## 18. Ameyaw EK, Budu E, Sambah F, Baatiema L, Appiah F, Seidu A et al. Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multicountry analysis of demographic and health surveys. PLoS ONE.2019;4(8). doi:10.1371/journal.pone.0220970. PubMed PMID: 31398240; PubMed Central PMCID: PMC6688809. ## 19. Ayoola AB. Late recognition of unintended pregnancies. Public Health Nurs. 2015;32 (5):462-470. doi: 10.1111/phn.12182. PubMed PMID: 25655426. ## 20. Izugbara C. Household characteristics and unintended pregnancy among ever- married women in Nigeria. Journal of Social Medicine.2014;8(1). ## 21. Calvert C, Baisley K, Doyle AM, Maganja K, Changalucha J, Watson-Jones D, et al. (2013). Risk factors for unplanned pregnancy among young women in Tanzania. J Fam Plann Reprod Health Care.2013;39 (4),2 . doi: 10.1136/jfprhc-2012-100389. PubMed PMID: 23902713; PubMed Central PMCID: PMC3786620. ## 22. Haffejee FO, Connor L, Govender N, Reddy P, Sibiya MN., Ghumann S,Borg D. Factors associated with unintended pregnancy among women attending a public health facility in Kwazulu-natal, South Africa. Journal of South African family practice.2017;1(1),1–5. doi:10.1080/20786190.2017.1396790. ## 23. Sedgh G, Ashford LS, Hussain R. Unmet Need for Contraception in Developing Countries: Examining Women’s Reasons for Not Using a Method. Gutttmacher 2016. ## 24. Fotso JC, Izugbara C, Saliku T, Ochako R. Unintended pregnancy and subsequent use of modern contraceptive among slum and non-slum women in Nairobi, Kenya. Biomed Central Journal of Pregnancy and Childbirth.2014;14:224.doi: 10.1186/1471-2393-14-224. ## | ||
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