2009, Number 11
Ginecol Obstet Mex 2009; 77 (11)
Acceptance of contraceptives in the postpartum period in unplanned pregnancies
Romero GG, Soria VSO, Ponce PLAL
PDF size: 321.19 Kb.
In spite the high rate of contraceptives use, the unplanned pregnancies still frequently occur. It is unknown the amount of women with unplanned pregnancies who accept contraceptive methods at immediate postpartum.
To determine the frequency of women with unplanned pregnancies who accept contraceptives at immediate postpartum and the associated factors with its acceptance.
Material and method:
In a cross-sectional study, women at immediate postpartum were recruited. They were asked if their pregnancy was planned or unplanned; if at postpartum accepted some contraceptive method and reasons for acceptance or not. The statistical analysis included arithmetic mean, standard error, percentages, χ2
, Student t
test; and logistic analysis regression for determining the associated factors with the acceptance of contraceptives. An alpha value was set at 0.05.
Of 1,024 women 566 (55.3%) had a planned pregnancy and 457 of them (80.7%) accepted contraceptives. The remaining 458 women (44.7%) had an unplanned pregnancy and 402 (87.8%) accepted contraceptives, p
= 0.003. The significant factor associated with the acceptance of contraceptives was the multiparity, p
There is more acceptance of contraception in women with unplanned pregnancy. In these women the multiparity is associated with higher acceptance of contraceptive methods. It is recommended to reinforce the contraceptive counselling in this group of women.
Roosmalen J. World population, family planning and development. Ned Tijdschr Geneeskd 1992;21:589-90.
Ahued-Ahued JR, Fernández del Castillo CS. Ginecología y obstetricia aplicadas. 2ª ed, 2003;pp:146.
Henshaw SK. Unintended pregnancy in the United States. Fam Plann Perspect 1998;30:24-29.
Gadow EC, Jennings VH, López-Camelo JS, Paz JE, et al. Knowledge of likely time of ovulation and contraceptive use in unintended pregnancies. Adv Contracept 1999;15:109-18.
Che Y, Cleland J. Unintended pregnancy among newly married couples in Shanghai. Int Fam Plan Perspect 2004;30:6-11.
Rivera R, Solís JA. Improve family planning after pregnancy. Network 1997;17:4-6.
Denton AB, Scott KE. Unintended and unwanted pregnancy in Halifax: the rate and associated factors. Can J Public Health 1994;85:234-8.
Ali S, Mohammed S, Mungrue K. The epidemiology of unplanned pregnancies in North-Central Trinidad. Int J Adolesc Med Health 2009;21:73-77.
Núñez-Urquiza RM, Hernández-Prado B, García-Barrios C, González D, Walker D. Embarazo no deseado en adolescentes y utilización de métodos anticonceptivos postparto. Salud Publica Mex 2003;45(Supl. 1):S92-102.
Navarro-Nuñez C, Gutiérrez-Suazo D, Álvarez-González G, Aguayo-Godínez A. Causas de no uso de anticonceptivos en el puerperio inmediato. Ginecol Obstet Mex 2002;70:566-71.
Trussell J, Lalla AM, Doan QV, Reyes E, et al. Cost effectiveness of contraceptives in the United States. Contraception 2009;79:5-14.
Miller VL, Laken MA, Ager J, Essenmacher L. Contraceptive decision making among Medicaid-eligible women. J Community Health 2000;25:473-80.
Rojnik B, Kosmelj K, Andolsek-Jeras L. Initiation of contraception postpartum. Contraception 1995;51:75-81. 14. Espey E, Cosgrove E, Ogburn T. Family planning American style: why it’s so hard to control birth in the US. Obstet Gynecol Clin North Am 2007;34:1-7.