Pattern of contraceptive use at a family planning clinic in Southern Nigeria

Authors

  • Esther I. Nonye Enyidah Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • Nonyenim S. Enyidah Department of Medicine, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • Chisomaga Eshemogie Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20202247

Keywords:

Acceptors, Contraceptives, Family planning, Pattern

Abstract

Background: Contraception is very important in preventing unwanted pregnancies thereby reducing maternal and child mortality as well as improving the lives of women and their families. This paper aims to determine the pattern of contraceptive usage, uptake rates of the contraceptives, the socio-demographic characteristics and sources of information on contraceptive use at the Rivers State University Teaching Hospital (RSUTH) during the study period.

Methods: This was a retrospective study of clients’ records in family planning clinic at RSUTH over a period of ten years. Their records were retrieved, reviewed; data extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0.

Results: There were 1893 contraceptive acceptors attending family planning clinic between 1st January, 2008 and 31st December, 2017 in the centre. The uptake rate of the contraceptives throughout the study period was on the downward trend.  Over half of the clients (60.7%) were within the age range of 30-39years and 6 (0.3%) were below 20 years. Age range for the study was 19-51years. Majority of the users (66.1%) were multipara. Modal parity was para 3 and 1862 clients (98.4%) had formal education. Most of the clients were married 1814 (95.8%) and of Christian religion 1813 (95.7%). Most preferred contraceptive method was the intrauterine contraceptive device (IUCD), 814 (43%). Clinical personnel were the commonest source of information accounting for 1425 (75.3%).

Conclusions: There was a downward trend in the use of contraceptives during the study period. Most clients were in their thirties, married, educated and multiparous.

References

Cameron ST. Contraception and Abortion. In: Bickerstaff H, Kenny L.C (Eds.). Gynaecology by Ten Teachers. 20th Edition, London. Taylor and Francis Group CRC Press; 2017: 117- 149.

Cameron ST. Contraception. In: Edmonds DK (Ed.). Dewhurst’s textbook of obstetrics and gynaecology. 9th Edition. John Wiley and Sons Ltd; 2018: 937-951.

Cleland J, Conde-Agudelo A, Peterson H, Ross J, Tsui A. Contraception and health. Lancet. 2012; 380:149-59.

Ahmed S, Li Q, Liu L, Tsui AO. Maternal deaths averted by contraceptive use: an analysis of 172 countries. Lancet. 2012;380(9837):111-25.

Stover J, Ross J. How increased contraceptive use has reduced maternal mortality. Matern Child Health J. 2010;14(5):687-95.

Osotimehin B. Family planning saves lives, yet investments falter. Lancet. 2012;380(9837):06-07.

Monjok E, Smesny A, Ekabua J, Essien J. Contraceptive practices in Nigeria: literature review and recommendation for future policy decisions. Open Access J Contracept. 2010;1(1): 09-22.

Karima AT, Singh S, Panti A, Nwobodo E, Hassan M, Bello S, et al. Overview of contraceptive use in Usman Danfodiyo University Teaching Hospital, Sokoto, north western Nigeria. J Clin Diagnostic Resea, 2019;13(6):QC01-6.

Iseoluwa TA, Adetutu DA. The use of contraceptives in Nigeria. Benefits, challenges and probable solutions. J Law, Policy and Globalization, 2019;86:ISSN 2224-3240.

Tunau KA, Awosan KJ, Adamu H, Muhammad U, Hassan M, Nasir S, et al. Comparative assessment of modern contraceptives’ knowledge and utilization among women in urban and rural communities of Sokoto State, Nigeria. J Med Med Scien. 2016;7(1): 006-14.

Muhammad Z, Maimuna DG. Contraceptive trend in a tertiary facility in North Western Nigeria: A 10-year review. Niger J Basic Clin Sci. 2014;11:99-103.

Dinwoke VO. Okafor CI, Eke A. Intrauterine contraceptive device acceptors in Nnamdi Azikiwe University Teaching Hospital, Nnewi, south eastern Nigeria - A 5 year review. Tropical J Med Resea. 2015;18(2):68-73.

Ezegwui HU, Ikeako LC, Egbuji C. Missing IUCD amongst clients in Enugu, Nigeria. Nigerian J Surger, 2011;17(2):60-3.

Ojule JD, MacPepple DA. Family planning practice in a tertiary health institution in Southern Nigeria. West African J Med, 2011;30(3):178-81.

Idowu OA, Munir’deen AI. Recent trend in pattern of contraceptive usage at a Nigeria tertiary Hospital. J Clin Med Res. 2010;2:180-4.

Mutihir JT, Pam VC. Overview of contraceptive use in Jos University Teaching Hospital, north central Nigeria. Niger J Clin Pract. 2008;11:139-43.

Ajiboye A, Adesina KT, Abdul IF, Ezeoke GG. Patterns of contraceptive usage at family planning clinics in Ilorin, Nigeria. Bangladesh Med J. 2015; 44(3):140-5.

Ojule JD, Abam DS. Contraceptive Trends and Preferred Methods among Users in Port Harcourt, Niger Delta Region of Nigeria. J Biosciences and Med. 2017;5(8):97-107.

Yakassai IA, Yusuf AM. Contraceptive choices amongst women in Kano, Nigeria: A five (5) year review. J Med Trop. 2013;15:113-6.

Ogbe AE, Ayeni HAD, Ononuju C, Oyeniran OF. Modern contraceptive preferences among women accessing family planning services at a specialist hospital in north central Nigeria. Jos J Med. 2014;8 (2):01-6.

Abasiattai AM, Bassey EA, Umoiyoho AJ. Contraceptive practice in a tertiary hospital in South-South, Nigeria. Sahel Med J. 2009;12(2):68-72.

Enyidah CE, Ojule DE, Bassey G. Contraception with intrauterine contraceptive device (IUCD) in Port Harcourt, south south Nigeria. J Biomedical Scien 2011;11(1):35-45.

Wiebe E. Contraceptive practices and attitudes among immigrant and non immigrant women in Canada. Canadian Family Physician. 2013;59: e451-5.

Nonye-Enyidah EI, Ejikem Mazi EC. Profile of intrauterine contraceptive device (IUCD) acceptors at the Rivers State University Teaching Hospital, Southern Nigeria. World J Adv Resea Reviews, 2019;04(02):096-101.

Asuquo EF, John ME. Knwledge, attitude, acceptability and practice of permanent methods of contraception. African J Public Health, 2016;1:36-42.

Utoo BT, Mutihir TJ, Utoo PM. Knowledge, attitude and practice of family planning methods among women attending antenatal clinic in Jos, North-Central Nigeria. Nigerian J Medicine 2010; 19(2):214-8.

Adekunle AO. Recent advances in contraceptive development. In: Okonofua FE, Odunsi K (Eds). Contemporary Obstetrics and Gynaecology for developing countries. Women’s Health and Action Research Centre; 2003:514-29.

Adebara IO.Ijaiya MA. Trends in patterns of contraceptive use in a Nigerian tertiary hospital. J clin med R. 2010;2:(11):180-4.

Okunade KS, Daramola E, Ajepe A, Sekumade A. A 3-year review of the pattern of contraceptive use among women attending the family planning clinic of a University Teaching Hospital in Lagos, Nigeria. Afr J Med Health Sci. 2016;15(2):69-73.

Dimkpa OJ, Okwudili OE. Experience with combined injectable contraceptive (Norigynon) in Port Harcourt. Bri J Med and Medical Research. 2017;19(1):01-6.

Chigbu B, Onwere S, Aluka C, Okoro O. Feyi-Waboso P: Contraceptive choices of women in rural Southeastern Nigeria. Niger J Clin Pract. 2010;13;(2)195-9.

Jejeebhoy SJ. Santhya KG, Zavier AJE. Demand for contraception to delay first pregnancy among young married women in India, Studies in Family Planning. 2014;45(2):183-201.

Ikiaki CU, Inaku JE, Ekabua JE, Odusola PO, Njoku CO. Use of combined oral contraceptive pill among teenage girls in Calabar, Nigeria. Open Access J Contraception. 2012;3:31-5.

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Published

2020-05-26

How to Cite

Nonye Enyidah, E. I., Enyidah, N. S., & Eshemogie, C. (2020). Pattern of contraceptive use at a family planning clinic in Southern Nigeria. International Journal of Research in Medical Sciences, 8(6), 2082–2087. https://doi.org/10.18203/2320-6012.ijrms20202247

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Original Research Articles