Factors associated with contraceptive use and initiation of coital activity after childbirth
John E Ekabua1, Kufre J Ekabua2, Patience Odusolu1, Chritopher U Iklaki1, Thomas U Agan1, Aniekan J Etokidem21Department of Obstetrics and Gynecology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria; 2Department of Community Medicine, University of Calabar Teaching Hospi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2010-08-01
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| Series: | Open Access Journal of Contraception |
| Online Access: | http://www.dovepress.com/factors-associated-with-contraceptive-use-and-initiation-of-coital-act-a5103 |
| _version_ | 1818751809650425856 |
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| author | John E Ekabua Kufre J Ekabua Patience Odusolu et al |
| author_facet | John E Ekabua Kufre J Ekabua Patience Odusolu et al |
| author_sort | John E Ekabua |
| collection | DOAJ |
| description | John E Ekabua1, Kufre J Ekabua2, Patience Odusolu1, Chritopher U Iklaki1, Thomas U Agan1, Aniekan J Etokidem21Department of Obstetrics and Gynecology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria; 2Department of Community Medicine, University of Calabar Teaching Hospital, Calabar, Cross River State, NigeriaAbstract: The aim of the study is to identify the factors influencing contraceptive use and initiation of sexual intercourse after childbirth. This was a cross-sectional descriptive survey involving 256 consecutive women, who delivered between April and October, 2007, presenting at the Immunization Clinic, University of Calabar Teaching Hospital, Nigeria in April, 2008. Data was obtained using an interviewer-administered structured questionnaire. Women who had antenatal and postnatal counseling were significantly more likely to use contraceptives than those who did not have counseling (odds ratio (OR) 0.29; 95% confidence interval (CI) 0.14–0.59; P = 0.0002 and OR 0.18; 95% CI 0.08–0.38; P = 0.0000002 respectively). Other variables significantly associated with contraceptive use included education (P = 0.0470) and reproductive goal (P = 0.0303). Linear regression analysis showed direct relationship between caesarean section and episiotomy as modes of delivery, and initiation of coitus (r2 = 0.439 and 0.45 respectively). Concerning residence after childbirth, staying at home and with in-laws showed direct relationship with initiation of coitus (r2 = 0.208 and 10.750 respectively). The number of women abstaining from intercourse showed a decreasing trend with increasing months after childbirth. Initiation of coitus was significantly associated with resumption of menstruation (P < 0.0001) and non-contraceptive use (P = 0.0089). In conclusion, this study shows the need for use of postpartum contraception before fecund women become susceptible to pregnancy.Keywords: postpartum contraception, factors affecting use |
| first_indexed | 2024-12-18T04:41:28Z |
| format | Article |
| id | doaj.art-24f340eee9674567b5387a1ba68ab7de |
| institution | Directory Open Access Journal |
| issn | 1179-1527 |
| language | English |
| last_indexed | 2024-12-18T04:41:28Z |
| publishDate | 2010-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Journal of Contraception |
| spelling | doaj.art-24f340eee9674567b5387a1ba68ab7de2022-12-21T21:20:42ZengDove Medical PressOpen Access Journal of Contraception1179-15272010-08-012010default8591Factors associated with contraceptive use and initiation of coital activity after childbirthJohn E EkabuaKufre J EkabuaPatience Odusoluet alJohn E Ekabua1, Kufre J Ekabua2, Patience Odusolu1, Chritopher U Iklaki1, Thomas U Agan1, Aniekan J Etokidem21Department of Obstetrics and Gynecology, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria; 2Department of Community Medicine, University of Calabar Teaching Hospital, Calabar, Cross River State, NigeriaAbstract: The aim of the study is to identify the factors influencing contraceptive use and initiation of sexual intercourse after childbirth. This was a cross-sectional descriptive survey involving 256 consecutive women, who delivered between April and October, 2007, presenting at the Immunization Clinic, University of Calabar Teaching Hospital, Nigeria in April, 2008. Data was obtained using an interviewer-administered structured questionnaire. Women who had antenatal and postnatal counseling were significantly more likely to use contraceptives than those who did not have counseling (odds ratio (OR) 0.29; 95% confidence interval (CI) 0.14–0.59; P = 0.0002 and OR 0.18; 95% CI 0.08–0.38; P = 0.0000002 respectively). Other variables significantly associated with contraceptive use included education (P = 0.0470) and reproductive goal (P = 0.0303). Linear regression analysis showed direct relationship between caesarean section and episiotomy as modes of delivery, and initiation of coitus (r2 = 0.439 and 0.45 respectively). Concerning residence after childbirth, staying at home and with in-laws showed direct relationship with initiation of coitus (r2 = 0.208 and 10.750 respectively). The number of women abstaining from intercourse showed a decreasing trend with increasing months after childbirth. Initiation of coitus was significantly associated with resumption of menstruation (P < 0.0001) and non-contraceptive use (P = 0.0089). In conclusion, this study shows the need for use of postpartum contraception before fecund women become susceptible to pregnancy.Keywords: postpartum contraception, factors affecting usehttp://www.dovepress.com/factors-associated-with-contraceptive-use-and-initiation-of-coital-act-a5103 |
| spellingShingle | John E Ekabua Kufre J Ekabua Patience Odusolu et al Factors associated with contraceptive use and initiation of coital activity after childbirth Open Access Journal of Contraception |
| title | Factors associated with contraceptive use and initiation of coital activity after childbirth |
| title_full | Factors associated with contraceptive use and initiation of coital activity after childbirth |
| title_fullStr | Factors associated with contraceptive use and initiation of coital activity after childbirth |
| title_full_unstemmed | Factors associated with contraceptive use and initiation of coital activity after childbirth |
| title_short | Factors associated with contraceptive use and initiation of coital activity after childbirth |
| title_sort | factors associated with contraceptive use and initiation of coital activity after childbirth |
| url | http://www.dovepress.com/factors-associated-with-contraceptive-use-and-initiation-of-coital-act-a5103 |
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