Knowledge, Attitudes and Practices About Contraception in Patients who had Undergone A Caesarian Section in N’Djamena Mother and Child University Hospital
Summary
Background: Postpartum contraception is the set of methods designed to prevent pregnancy after a caesarean section [1]. It can be instituted during the caesarean section or in the post-partum period.
The aim of this study is to evaluate the knowledge and practice of contraception in patients who have undergone a caesarean section at N’Djamena Mother and Child University Hospital.
Patients and method: This were a 3-month cross-sectional and descriptive study from September 1st, 2020 - November 30th, 2020 on knowledge, attitudes and practices about contraception in caesarian section patients.
Results: The 20-24 age group was the most represented with 42%.Patientts resided in N’Djamena in 60%.Married women were the most represented with 93.3% . Patients had average knowledge about contraception in 77.3%. Injectable contraceptives were the commonly known of the modern contraceptive methods with 80.7%. Periodic abstinence was the best-known natural method with 61.3%. Implants were the most chosen contraceptive method with 48%. The proposal to use the contraceptive method was made in 79 , 3% of cases by health workers. The most well-known advantages of contraceptives by clients were birth spacing with 82.7%. Infertility was the contraceptive method disadvantage most reported by clients with 54%.
Conclusion: The prescription of contraceptive methods in patients who have undergone a caesarean section is part of our common practice. Injectable contraception remains the commonly known hormonal contraception. The desire to avoid pregnancy is the benefit most noted by patients.
Keywords: Contraception; Caesarean section; NMCUH
Introduction
Postpartum contraception is the set of methods designed to prevent pregnancy after a caesarean section [1]. It can be instituted during the caesarean section or in the post-partum period. There is a disparity in the rate of use of contraceptive methods around the world. The rate of modern contraceptive use is 55% worldwide, reaching 22% in Africa with a rate less than 10% in its central part [1,2]. These disparities in contraceptive use rates also exist between urban and rural areas. For example, high rates can be observed in urban areas compared to rural areas. In Chad, according to data from the 2015 mixed survey, the prevalence of modern contraception is less than 5% for all women of childbearing age [3]. Foumsou L, et al [4] in a hospital series at N’Djamena Mother and Child University hospital in 2016 reported that the rate of contraceptive use in the post-partum period is 15.9%. However, several factors such as social and cultural factors are involved in the use of contraceptives. Few data exist on contraception after Caesarean section in our context. The aim of this study is to evaluate the knowledge and practice of contraception in patients who have undergone a caesarean section at N’Djamena Mother and Child University Hospital.
Patients and Methods
This was a three (3) month cross-sectional and descriptive study from September 1, 2020 - November 30, 2020 on knowledge, attitudes and practices about contraception in caesarian section patients.
Patients were interviewed. According to the answers given during the interview, the knowledge of the patients is classified as follows:
Average knowledge = knowledge of contraceptive methods or their effects.
Good knowledge = knowledge of contraceptive methods and their effects
The data was entered using Word and Excel 2014 software and analyzed using SPSS 18.0.
For More Open Access Journals in Iris Publishers Please Click on: https://irispublishers.com/
For More Information:
No comments:
Post a Comment