nach oben

Maternal and Child Health Journal

Erschienen in:

18.12.2018

Effect of Family Planning Counseling After Delivery on Contraceptive Use at 24 Weeks Postpartum in Kinshasa, Democratic Republic of Congo

verfasst von: Paul N. Zivich, Bienvenu Kawende, Bruno Lapika, Frieda Behets, Marcel Yotebieng

Erschienen in: Maternal and Child Health Journal | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Introduction Unintended pregnancy during the postpartum period is common. The aim of this study was to describe contraceptive use among postpartum women and assess whether family planning counseling offered by health care providers during well-baby clinic visits increased use of modern contraceptive methods at 6 months following delivery. Methods Data comes from a cohort of women enrolled in a breastfeeding promotion trial in Kinshasa, Democratic Republic of Congo who reported being sexually active at 24-weeks post-partum. Modern contraceptive methods included intrauterine devices, injectables, implants, and contraception pills. Logistic regression models were used to estimate odd ratios (OR) and 95% confidence intervals (CI) for the impact of nurse counseling on use of modern birth control methods. Results Of 522 participants who reported being sexually active, 251 (48.0%) reported doing at least one thing to avoid pregnancy and were included in this analysis. Of these 251, 14.3% were using a modern contraceptive method, despite availability at the clinic. Discussion with a nurse about family planning was associated with increased odds of using modern birth control relative to other methods (OR 4.0, 95% CI 1.9, 8.6). Discussion Discussion of family planning with a nurse increased the odds of using a modern contraceptive among postpartum women. Integration of family planning counseling into postpartum services offers a potential avenue to increase modern contraceptive use among women with access.

Ahmed, S., Ahmed, S., McKaig, C., Begum, N., Mungia, J., Norton, M., & Baqui, A. H. (2015). The effect of integrating family planning with a maternal and newborn health program on postpartum contraceptive use and optimal birth spacing in Rural Bangladesh. Studies in Family Planning, 46(3), 297–312. https://doi.org/10.1111/j.1728-4465.2015.00031.x.CrossRefPubMed

Ahmed, S., Li, Q., Liu, L., & Tsui, A. O. Maternal deaths averted by contraceptive use: An analysis of 172 countries. The Lancet, 380(9837), 111–125. https://doi.org/10.1016/S0140-6736(12)60478-4.

Alkema, L., Kantorova, V., Menozzi, C., & Biddlecom, A. (2013). National, regional, and global rates and trends in contraceptive prevalence and unmet need for family planning between 1990 and 2015: A systematic and comprehensive analysis. Lancet, 381(9878), 1642–1652. https://doi.org/10.1016/s0140-6736(12)62204-1.CrossRefPubMed

Ayiasi, R. M., Muhumuza, C., Bukenya, J., & Orach, C. G. (2015). The effect of prenatal counselling on postpartum family planning use among early postpartum women in Masindi and Kiryandongo districts, Uganda. Pan African Medical Journal, 21, 138. https://doi.org/10.11604/pamj.2015.21.138.7026.CrossRefPubMed

Barber, S. L. (2007). Family planning advice and postpartum contraceptive use among low-income women in Mexico. International Family Planning Perspectives, 33(1), 6–12. https://doi.org/10.1363/ifpp.33.006.07.CrossRefPubMed

Boerma, J. T., & Bicego, G. T. (1992). Preceding birth intervals and child survival: Searching for pathways of influence. Studies in Family Planning, 23(4), 243–256.CrossRefPubMed

Bossyns, P., Miye, H., & VLerberghe, W. (2002). Supply-level measures to increase uptake of family planning services in Niger: The effectiveness of improving responsiveness. Tropical Medicine & International Health, 7(4), 383–390.CrossRef

Canning, D., & Schultz, T. P. (2012). The economic consequences of reproductive health and family planning. Lancet, 380(9837), 165–171. https://doi.org/10.1016/s0140-6736(12)60827-7.CrossRefPubMed

Chirwa, T. F., Mantempa, J. N., Kinziunga, F. L., Kandala, J. D., & Kandala, N. B. (2014). An exploratory spatial analysis of geographical inequalities of birth intervals among young women in the Democratic Republic of Congo (DRC): A cross-sectional study. BMC Pregnancy Childbirth, 14, 271. https://doi.org/10.1186/1471-2393-14-271.CrossRefPubMedPubMedCentral

Conde-Agudelo, A., Rosas-Bermudez, A., & Kafury-Goeta, A. C. (2006). Birth spacing and risk of adverse perinatal outcomes: A meta-analysis. JAMA, 295(15), 1809–1823. https://doi.org/10.1001/jama.295.15.1809.CrossRefPubMed

Jarvis, L., Wickstrom, J., Vance, G., & Gausman, J. (2018). Quality and cost interventions during the extended perinatal period to increase family planning use in Kinshasa, DRC: Results from an initial study. Global Health: Science and Practice, 6(3), 456–472. https://doi.org/10.9745/ghsp-d-18-00075.CrossRef

Kandala, N. B., Mandungu, T. P., Mbela, K., Nzita, K. P., Kalambayi, B. B., Kayembe, K. P., & Emina, J. B. (2014). Child mortality in the Democratic Republic of Congo: Cross-sectional evidence of the effect of geographic location and prolonged conflict from a national household survey. BMC Public Health, 14, 266. https://doi.org/10.1186/1471-2458-14-266.CrossRefPubMedPubMedCentral

Kayembe, P., Babazadeh, S., Dikamba, N., Akilimali, P., Hernandez, J., Binanga, A., & Bertrand, J. T. (2015). Family planning supply environment in Kinshasa, DRC: Survey findings and their value in advancing family planning programming. Global Health: Science and Practice, 3(4), 630–645. https://doi.org/10.9745/ghsp-d-15-00298.CrossRef

Keogh, S. C., Urassa, M., Kumogola, Y., Kalongoji, S., Kimaro, D., & Zaba, B. (2015). Postpartum Contraception in Northern Tanzania: Patterns of use, relationship to antenatal intentions, and impact of antenatal counseling. Studies in Family Planning, 46(4), 405–422. https://doi.org/10.1111/j.1728-4465.2015.00040.x.CrossRefPubMed

Kuate Defo, B. (1997). Effects of infant feeding practices and birth spacing on infant and child survival: A reassessment from retrospective and prospective data. Journal of Biosocial Science, 29(3), 303–326.CrossRefPubMed

Kuhlmann, A. S., Gavin, L., & Galavotti, C. (2010). The integration of family planning with other health services: A literature review. International Perspectives on Sexual and Reproductive Health, 36(4), 189–196. https://doi.org/10.1363/3618910.CrossRefPubMed

Mathe, J. K., Kasonia, K. K., & Maliro, A. K. (2011). Barriers to adoption of family planning among women in Eastern Democratic Republic of Congo. African Journal of Reproductive Health, 15(1), 69–77.PubMed

Morse, J. E., Rowen, T. S., Steinauer, J., Byamugisha, J., & Kakaire, O. (2014). A qualitative assessment of Ugandan women’s perceptions and knowledge of contraception. International Journal of Gynecology & Obstetrics, 124(1), 30–33. https://doi.org/10.1016/j.ijgo.2013.07.014.CrossRef

Muanda, M., Ndongo, G., Taub, L. D., & Bertrand, J. T. (2016). Barriers to modern contraceptive Use in Kinshasa, DRC. PLoS ONE, 11(12), e0167560. https://doi.org/10.1371/journal.pone.0167560.CrossRefPubMedPubMedCentral

Muanda, M. F., Ndongo, G. P., Messina, L. J., & Bertrand, J. T. (2017). Barriers to modern contraceptive use in rural areas in DRC. Culture, Health & Sexuality, 19(9), 1011–1023. https://doi.org/10.1080/13691058.2017.1286690.CrossRef

Orji, E. O., Ojofeitimi, E. O., & Olanrewaju, B. A. (2007). The role of men in family planning decision-making in rural and urban Nigeria. The European Journal of Contraception & Reproductive Health Care, 12(1), 70–75. https://doi.org/10.1080/13625180600983108.CrossRef

Pasha, O., Goudar, S. S., Patel, A., Garces, A., Esamai, F., Chomba, E., et al. (2015). Postpartum contraceptive use and unmet need for family planning in five low-income countries. Reproductive Health, 12(Suppl 2), S11. https://doi.org/10.1186/1742-4755-12-s2-s11.CrossRefPubMedPubMedCentral

Perin, J., & Walker, N. (2015). Potential confounding in the association between short birth intervals and increased neonatal, infant, and child mortality. Global Health Action, 8, 29724. https://doi.org/10.3402/gha.v8.29724.CrossRefPubMed

Ross, J. A., & Winfrey, W. L. (2001). Contraceptive use, intention to use and unmet need during the extended postpartum period. International Family Planning Perspectives, 27(1), 20–27. https://doi.org/10.2307/2673801.CrossRef

Sano, Y., Antabe, R., Atuoye, K. N., Braimah, J. A., Galaa, S. Z., & Luginaah, I. (2018). Married women’s autonomy and post-delivery modern contraceptive use in the Democratic Republic of Congo. BMC Womens Health, 18(1), 49. https://doi.org/10.1186/s12905-018-0540-1.CrossRefPubMedPubMedCentral

Sedgh, G., Singh, S., & Hussain, R. (2014). Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in Family Planning, 45(3), 301–314. https://doi.org/10.1111/j.1728-4465.2014.00393.x.CrossRefPubMedPubMedCentral

Yotebieng, M., Chalachala, J. L., Labbok, M., & Behets, F. (2013). Infant feeding practices and determinants of poor breastfeeding behavior in Kinshasa, Democratic Republic of Congo: A descriptive study. International Breastfeeding Journal, 8(1), 11. https://doi.org/10.1186/1746-4358-8-11.CrossRefPubMedPubMedCentral

Yotebieng, M., Labbok, M., Soeters, H. M., Chalachala, J. L., Lapika, B., Vitta, B. S., et al. (2015). Ten steps to successful breastfeeding programme to promote early initiation and exclusive breastfeeding in DR Congo: A cluster-randomised controlled trial. Lancet Global Health, 3(9), e546–e555. https://doi.org/10.1016/s2214-109x(15)00012-1.CrossRefPubMed

You, D., Hug, L., Ejdemyr, S., Idele, P., Hogan, D., Mathers, C., et al. (2015). Global, regional, and national levels and trends in under-5 mortality between 1990 and 2015, with scenario-based projections to 2030: A systematic analysis by the UN Inter-agency group for child mortality estimation. Lancet, 386(10010), 2275–2286. https://doi.org/10.1016/s0140-6736(15)00120-8.CrossRefPubMed

Zivich, P., Lapika, B., Behets, F., & Yotebieng, M. (2018). Implementation of steps 1–9 to successful breastfeeding reduces the frequency of mild and severe episodes of diarrhea and respiratory tract infection among 0–6 month infants in Democratic Republic of Congo. Maternal and Child Health Journal, 22(5), 762–771. https://doi.org/10.1007/s10995-018-2446-9.CrossRefPubMedPubMedCentral

Titel: Effect of Family Planning Counseling After Delivery on Contraceptive Use at 24 Weeks Postpartum in Kinshasa, Democratic Republic of Congo
verfasst von: Paul N. Zivich
Bienvenu Kawende
Bruno Lapika
Frieda Behets
Marcel Yotebieng
Publikationsdatum: 18.12.2018
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 4/2019
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-018-2667-y

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Effect of Family Planning Counseling After Delivery on Contraceptive Use at 24 Weeks Postpartum in Kinshasa, Democratic Republic of Congo

Abstract

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2019

Trends in the Mode of Delivery of Pregnant Women in Rural Guatemala from a Quality Improvement Database

Previous Adverse Outcome of Term Pregnancy and Risk of Preterm Birth in Subsequent Pregnancy

A Qualitative Exploration of Mothers’ Experiences Receiving Mental Health Services in a Supermarket Setting

Demand-Side Causes and Covariates of Late Antenatal Care Access in Cape Town, South Africa

Dual Versus Single Parental Households and Differences in Maternal Mental Health and Child’s Overweight/Obesity

Associations of Asian Ethnicity and Parental Education with Overweight in Asian American Children and Adolescents: An Analysis of 2011–2016 National Health and Nutrition Examination Surveys