High parity predicts use of long-acting reversible contraceptives in the extended postpartum period among women in rural Uganda

Contraception and Reproductive Medicine
Ronald AnguzuJuliet N Sekandi

Abstract

The use of implants and Intra-uterine devices (IUD) during the post-partum period is very low in Uganda especially in rural settings. Long-acting reversible contraceptives (LARC) are known to be the most cost-effective for prevention of unintended pregnancy and unsafe abortions. This study aimed at determining the factors associated with long-acting reversible contraceptive use among women in the extended postpartum period in rural Uganda. We conducted a household-based, cross-sectional study among 400 women in two rural communities in Mityana district, central Uganda. Eligible women were aged 15 to 45 years who had childbirth within 12 months of study enrollment in September 2014. The outcome variable was self-reported use of a LARC method, either IUD or implants in the extended postpartum period. The main independent variables were previous childbirths (parity), fertility desire, willingness to use modern contraception, duration of postpartum period and previous pregnancies (gravidity). A logistic regression model was run in STATA v12.0 to compute adjusted odds ratios (AOR) for factors that predicted LARC use statistically significant at p < 0.05. Four hundred respondents had a mean age of 27 years (SD = 12) and only 8.5% rep...Continue Reading

References

Jun 24, 2010·Epidemiologic Reviews·Amy O TsuiAnne E Burke
Apr 3, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·David EisenbergJeffrey F Peipert
Jun 12, 2013·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Karen Birchard
Sep 3, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Aurélie BrunieMario Chen
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Jun 5, 2017·BMC Health Services Research·Anthony Idowu AjayiWilson Akpan
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