Use of Contraceptive Methods Among Women Seeking Safe Abortion Services in a Family Planning Center, Kathmandu, Nepal

Sapana Shrestha, Renuka Pradhananga, Ramesh Shrestha, Tulza KC
2020 International Research Journal of Multidisciplinary Scope  
Aims: The aim of the study was to assess the use of contraceptive methods among women seeking safe abortion services in a family planning center, Kathmandu. Methods: It was a descriptive cross sectional study undertaken among 119 women seeking safe abortion services from August 18 to September 2018 at Marie Stopes Center, Gongabu, Kathmandu. Non-probability purposive sampling technique was adopted and data were collected through face to face interview. The collected data was analyzed by SPSS
more » ... analyzed by SPSS version 16 using descriptive statistics and inferential statistics. Results: Among a total of 119 respondents enrolled in the study, a total of 90 (75.64%) women used post abortion contraceptive methods. Among them, nearly half (44; 48.9%) had used oral contraceptive pills and least users were IUCD (19; 14.4%). More than half (67; 56.3%) had terminated the current pregnancy due to the reason of completed family. Almost three-fifth of them (50; 57.47%) had history of discontinuation of family planning methods in the past due to side effects. Similarly, almost three-fifth (68; 57.1%) had preferred medical abortion for termination of the current pregnancy. There was statistically significant association between post abortion contraceptive use with educational level (p=0.01), parity (p=0.000), contraceptive use in past (p=0.012), plan of future pregnancy (p=0.001), and family planning discussion with husband/partner (p=0.000). Conclusion: There is an increasing trend in the use of some forms of post-abortion contraceptive measures in Nepal from 56.0% in 2014 to 75.64% in 2018 after surgical or medical abortion. Among the post-abortion contraceptive non-users, more than half denied use of post-abortion contraceptives due to fear of side effects. Hence, raising the knowledge, attitude, practice and social awareness of post-abortion contraceptive use among women of reproductive age groups would certainly reduce undue fear of the use of post-abortion contraceptive use, its side effects and also help to raise the acceptance and compliance of its use. Sapana S et al. Original Article
doi:10.47857/irjms.2020.v01i01.002 fatcat:hmdyourgvfbohaviey3a3pgptq