Intended postpartum contraceptive use among pregnant and puerperal women at a university teaching hospital

Arch Gynecol Obstet. 2009 Dec;280(6):987-92. doi: 10.1007/s00404-009-1056-6. Epub 2009 Mar 26.


Objective: To assess the intention to use postpartum contraceptives and factors influencing use.

Method: A total of 423 consecutive consenting women attending the pregnancy and puerperal clinics at a university teaching hospital were interviewed using structured questionnaire.

Results: The prevalence of previous contraceptive use was 35.5%. Fifty-four percent of the respondents intended to use contraceptives after delivery, though 3% were yet to decide. Condoms (38.3%) followed by intrauterine contraceptive device (IUCD) 11.5%, were the most preferred choice of postpartum contraceptives. However, spermicide (0.4%) was the least preferred. Advanced age and high parity significantly predicted intention to use postpartum contraceptives (P = 0.02 and 0.01, respectively). Also high level of respondent's education and family planning counseling by doctors and nurses increased the intention to use postpartum contraceptives (P = 0.03 and 0.01, respectively).

Conclusion: Family planning counseling and education play a vital role in increasing the use of contraceptives in the postpartum period.

MeSH terms

  • Adult
  • Age Factors
  • Contraception / methods*
  • Contraception / psychology
  • Contraception Behavior / psychology*
  • Cross-Sectional Studies
  • Female
  • Hospitals, Teaching
  • Humans
  • Nigeria
  • Postpartum Period / psychology*
  • Pregnancy
  • Socioeconomic Factors