Volume 11, Issue 10 (12-2013)                   IJRM 2013, 11(10): 801-0 | Back to browse issues page

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1- Department of Public Health, Health School, Hitit University, Corum, Turkey , gulay-y19@hotmail.com
2- Department of Public Health, Medical Faculty, Erciyes Universty, Kayseri, Turkey
Abstract:   (2646 Views)
Background: The postpartum period is a time of transition for a pregnant woman and her new family. In this period many pregnant women are in search about the family planning methods. But contraceptive options differ depending on women’s desires such as cultural and religious believes, partner attitudes, previous contraceptive experiences.
Objective: This study was conducted to identify status of using a contraceptive method before pregnancy and the factors associated with preferences of contraception in postpartum period.
Materials and Methods: The descriptive research was conducted in a State Hospital March-May 2012 in Turkey. The population of study was formed with 200 pregnant women who applied follow-up pregnant clinics. We took permissions from local authorities and participants. 182 voluntary pregnant women were surveyed. We prepared a 20 item question are form which was asking socio-demographic futures, contraceptives methods before-after delivery and the factors related with using contraceptives after screening literatures related with subject.
Results: The 49.5% of women reported that they didn’t use any methods before. There was a significant relation between using contraceptives before pregnancy with the idea of using contraceptive during the postpartum period and receiving contraception counseling during pregnancy (p=0.004, p=0.035 respectively).
Conclusion: The 86.4% of pregnant implied that they would use a contraceptive method in postpartum period. IUD was the most preferred method. Status of using contraceptive before and receiving contraception counseling in pregnancy were the effective variables on thoughts about using a contraceptive method. To achieve desired goals for maternal and child health in our country health professionals should be more focused on postpartum contraception in antenatal care programs.
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Type of Study: Original Article |

References
1. Shaw E, Levitt C, Wong S, Kaczorowski J; McMaster University Postpartum Research Group. Systematic review of the literature on postpartum care: Effectiveness of postpartum support to improve maternal parenting, mental health, quality of life, and physical health. Birth 2006; 33: 210-220. [DOI:10.1111/j.1523-536X.2006.00106.x]
2. Cwiak C, Gellasch T, Zieman M. Peripartum contraceptive attitudes and practices. Contraception 2004; 70: 383-386. [DOI:10.1016/j.contraception.2004.05.010]
3. Rahmanpour H, Mousavinasab SN, Hosseini SN, Shoghli A. Preferred postpartum contraception methods and their practice among married women in Zanjan, Iran. Pak J Med Assoc 2010; 60: 714-718.
4. Jackson E. Contraversies in postpartum contraception: When is it safe to start oral contraceptives after childbirth? Thromb Res 2011; 127 (Suppl.): 35-39. [DOI:10.1016/S0049-3848(11)70010-X]
5. Oye-Adeniran BA, Adewole IF, Umoh AV, Oladokun A, Gbadegesin A, Ekanem E, et al. Community-based Study of Contraceptive Behaviour in Nigeria. Afr J Reprod Health 2006; 10: 90-104. [DOI:10.2307/30032462]
6. Marston C. Report of a WHO technical consultation on birth spacing. WHO Press; 2005.
7. Adegbola O, Okunovo A. Intended postpartum contraceptive use among pregnant and puerperal women at a university teaching hospital. Arch Gynecol Obstet 2009; 280: 987-992. [DOI:10.1007/s00404-009-1056-6]
8. Marston C, Cleland J. The effects of contraception on obstetric outcomes. WHO Library Cataloguing-in-Publication Data, WHO Press; 2004.
9. World Health Statistics 2013. WHO Library Cataloguing-in-Publication Data, WHO Press; 2013.
10. Ergoçmen B, Yigit E, Tunckanat FH. Family Planning. Turkey Demography and Health Study 2008. 1st Ed. Ankara, Hacettepe University Hospitals Printing Office Press; 2009.
11. Glazer AB, Wolf A, Gorby N. Postpartum contraception: needs vs. reality. Contraception 2011; 83: 238-241. [DOI:10.1016/j.contraception.2010.07.002]
12. Akman M, Tüzün S, Uzuner A, Basgul A, Kavak Z. The Influence of prenatal counselling on postpartum contraceptive choice. Int Med Res 2010; 38: 1243-1249. [DOI:10.1177/147323001003800405]
13. Hernandez LE, Sappenfield WM, Goodman D, Pooler J. Is effective contraceptive use conceived prenatally in Florida? The association between prenatal contraceptive counseling and postpartum contraceptive use. Matern Child Health J 2012; 16: 423-429. [DOI:10.1007/s10995-010-0738-9]
14. Ross JA, Winhrey WL. Contraceptive use, intention to use and unmet to need during the extended postpartum period. Int Family Plan Perspect 2001; 27: 20-27. [DOI:10.2307/2673801]
15. Hani A, Moss M, Cooper D, Morroni C, Hoffman M. Informed choice- the timing of postpartum contraceptive initiation. S Afr Med J 2003; 93: 862-864.
16. Vernon R. Meeting the Family Planning Needs of Postpartum Women. Stud Fam Plann 2009; 40: 235-245. [DOI:10.1111/j.1728-4465.2009.00206.x]
17. Nelson AL. The intrauterine contraceptive device. Obstet Gynecol Clin North Am 2000; 27: 723-740. [DOI:10.1016/S0889-8545(05)70170-4]
18. Krepelka P, Hanacek J, Hrdlicka D. Contraceptive methods used by women in the period before and after giving birth. Caska Gynecol 2009; 74: 211-218.
19. Engin-Üstün Y, Üstün Y, Çetin F, Meydanlı MM, Kafkaslı A, Sezgin B. Effect of postpartum counseling on postpartum contraceptive use. Arch Gynecol Obstet 2007; 275: 429-432. [DOI:10.1007/s00404-006-0287-z]
20. Newman SJ, Goldberg AB, Aviles R, Molina de Perez O, Foster-Rosales AF. Predictors of contraception knowledge and use among postpartum adolescents in El Salvador. Am J Obstet Gynecol 2005; 192: 1391-1394. [DOI:10.1016/j.ajog.2004.12.077]
21. Harper C, Callegari L, Raine T, Blum M, Darney P. Adolescent clinic visits for contraception: support from mothers, male partners and friends. Perspect Sex Reprod Health 2004; 36: 20-26. [DOI:10.1363/3602004]

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