Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso

<p>Abstract</p> <p>Background</p> <p>Little is known about the reproductive health of women who survive obstetric complications in poor countries. Our aim was to determine how severe obstetric complications in Burkina Faso affect reproductive events in the first year po...

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Main Authors: Ganaba Rasmané, Marshall Tom, Sombié Issiaka, Baggaley Rebecca F, Ouédraogo Thomas W, Filippi Véronique
Format: Article
Language:English
Published: BMC 2010-08-01
Series:Reproductive Health
Online Access:http://www.reproductive-health-journal.com/content/7/1/22
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author Ganaba Rasmané
Marshall Tom
Sombié Issiaka
Baggaley Rebecca F
Ouédraogo Thomas W
Filippi Véronique
author_facet Ganaba Rasmané
Marshall Tom
Sombié Issiaka
Baggaley Rebecca F
Ouédraogo Thomas W
Filippi Véronique
author_sort Ganaba Rasmané
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Little is known about the reproductive health of women who survive obstetric complications in poor countries. Our aim was to determine how severe obstetric complications in Burkina Faso affect reproductive events in the first year postpartum.</p> <p>Methods</p> <p>Data were collected from a prospective cohort of women who either experienced life threatening (near-miss) pregnancy-related complications or an uncomplicated childbirth, followed from the end of pregnancy to one year postpartum or post-abortum. Documented outcomes include menses resumption, sexual activity resumption, dyspareunia, uptake of contraceptives, unmet needs for contraception and women's reproductive intentions.</p> <p>Participants were recruited in seven hospitals between December 2004 and March 2005 in six towns in Burkina Faso.</p> <p>Results</p> <p>Reproductive events were associated with pregnancy outcome. The frequency of contraceptive use was low in all groups and the method used varied according to the presence or not of a live baby. The proportion with unmet need for contraception was high and varied according to the time since end of pregnancy. Desire for another pregnancy was highest among near-miss women with perinatal death or natural abortion. Women in the near-miss group with induced abortion, perinatal death and natural abortion had significantly higher odds of subsequent pregnancy. Unintended pregnancies were observed mainly in women in the near-miss group with live birth and the uncomplicated delivery group.</p> <p>Conclusions</p> <p>Considering the potential deleterious impact (on health and socio-economic life) of new pregnancies in near-miss women, it is important to ensure family planning coverage includes those who survive a severe complication.</p>
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spelling doaj.art-5ba083f28e6a4259815d984d61047e822022-12-22T02:01:09ZengBMCReproductive Health1742-47552010-08-01712210.1186/1742-4755-7-22Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina FasoGanaba RasmanéMarshall TomSombié IssiakaBaggaley Rebecca FOuédraogo Thomas WFilippi Véronique<p>Abstract</p> <p>Background</p> <p>Little is known about the reproductive health of women who survive obstetric complications in poor countries. Our aim was to determine how severe obstetric complications in Burkina Faso affect reproductive events in the first year postpartum.</p> <p>Methods</p> <p>Data were collected from a prospective cohort of women who either experienced life threatening (near-miss) pregnancy-related complications or an uncomplicated childbirth, followed from the end of pregnancy to one year postpartum or post-abortum. Documented outcomes include menses resumption, sexual activity resumption, dyspareunia, uptake of contraceptives, unmet needs for contraception and women's reproductive intentions.</p> <p>Participants were recruited in seven hospitals between December 2004 and March 2005 in six towns in Burkina Faso.</p> <p>Results</p> <p>Reproductive events were associated with pregnancy outcome. The frequency of contraceptive use was low in all groups and the method used varied according to the presence or not of a live baby. The proportion with unmet need for contraception was high and varied according to the time since end of pregnancy. Desire for another pregnancy was highest among near-miss women with perinatal death or natural abortion. Women in the near-miss group with induced abortion, perinatal death and natural abortion had significantly higher odds of subsequent pregnancy. Unintended pregnancies were observed mainly in women in the near-miss group with live birth and the uncomplicated delivery group.</p> <p>Conclusions</p> <p>Considering the potential deleterious impact (on health and socio-economic life) of new pregnancies in near-miss women, it is important to ensure family planning coverage includes those who survive a severe complication.</p>http://www.reproductive-health-journal.com/content/7/1/22
spellingShingle Ganaba Rasmané
Marshall Tom
Sombié Issiaka
Baggaley Rebecca F
Ouédraogo Thomas W
Filippi Véronique
Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso
Reproductive Health
title Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso
title_full Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso
title_fullStr Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso
title_full_unstemmed Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso
title_short Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): a cohort study in Burkina Faso
title_sort women s sexual health and contraceptive needs after a severe obstetric complication near miss a cohort study in burkina faso
url http://www.reproductive-health-journal.com/content/7/1/22
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