Articles

The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use

The study was conducted to prospectively examine how pregnancy intendedness and prenatal provider counseling about postpartum contraceptive options are associated with lack of contraception use at 6 months pos...

Authors: Karina M. Shreffler, Stacy Tiemeyer, Jameca R. Price and Lance T. Frye

Individual and community-level factors associated with modern contraceptive use among adolescent girls and young women in Mali: a mixed effects multilevel analysis of the 2018 Mali demographic and health survey

Unintended pregnancy constitutes a significant public health challenge in sub-Saharan Africa and particularly among young people, who are more likely to closely space births and experience adverse obstetric ou...

Authors: Bright Opoku Ahinkorah, Abdul-Aziz Seidu, Francis Appiah, Eugene Budu, Collins Adu, Yaa Boahemaa Gyasi Aderoju, Faustina Adoboi and Anthony Idowu Ajayi

Prevalence of anemia and its associated factors among pregnant women attending antenatal care follow up at Wollega University referral hospital, Western Ethiopia

Even if anemia is a worldwide public health problem affecting numerous people in all age groups, particularly the burden of the problem is higher among pregnant women. Anemia is estimated to contribute to more...

Authors: Gemechu Kejela, Aga Wakgari, Tariku Tesfaye, Ebisa Turi, Moa Adugna, Netsanet Alemu and Latera Jebessa

Determinants of female sterilization method uptake among women of reproductive age group in Uganda

Despite its great effectiveness, safety and convenience for women who do not wish to have more children; female sterilization method uptake in Uganda is very low. This study aimed at establishing factors assoc...

Authors: Paula Anita, Abel Nzabona and Richard Tuyiragize

Contraception access during the COVID-19 pandemic

Authors: Jasmine Aly, Kristin O. Haeger, Alicia Y. Christy and Amanda M. Johnson

Determinant of emergency contraceptive practice among female university students in Ethiopia: systematic review and meta-analysis

Despite Ethiopia’s government’s commitment to alleviating unwanted pregnancy and unsafe abortion by increasing holistic reproductive health service accessibility, the rate of unwanted pregnancy among female st...

Authors: Rekiku Fikre, Belay Amare, Alemu Tamiso and Akalewold Alemayehu

Are higher unintended pregnancy rates among minorities a result of disparate access to contraception?

Unintended pregnancy is a major global issue. Women who experience an unintended pregnancy have a significant risk of morbidity and mortality. Additionally, these women also experience substantial financial ha...

Authors: Michele Troutman, Saima Rafique and Torie Comeaux Plowden

Emergency contraceptive knowledge, utilization and associated factors among secondary school students in Wolkite town, southern Ethiopia, cross sectional study

Ethiopia is one of the sub-Saharan African countries with high maternal mortality and morbidity, unsafe abortion and adolescent births. Despite different policy measures taken by the government to improve sexu...

Authors: Dereje Mesfin

Sterilization regret in India: Is quality of care a matter of concern?

According to United Nations, 19% of females in the world relied only on the permanent method of family planning, with 37% in India according to NFHS-4. Limited studies tried to measure the sterilization regret...

Authors: Anjali Bansal and Laxmi Kant Dwivedi

Perception, pattern of use, partner support and determinants of uptake of family planning methods among women in rural communities in Southeast Nigeria

Family planning is a cost-effective strategy for achieving population development. Family planning uptake is low in sub-Saharan Africa, including Nigeria. We assessed the perception, pattern of use, partner su...

Authors: Ifeyinwa Chizoba Akamike, Ugochukwu Chinyem Madubueze, Ijeoma Nkem Okedo-Alex, Chika Julius Anyigor, Benedict Ndubueze Azuogu, Chukwuma David Umeokonkwo and Chinyere Ojiugo Mbachu

Desire for and barriers to obtaining effective contraception among women experiencing homelessness

Homelessness is a significant and growing problem in the United States. Women experiencing homelessness face unique challenges as they have high rates of unintended pregnancy. They often face significant barri...

Authors: Elizabeth Corey, Stephanie Frazin, Samantha Heywood and Sadia Haider

Family planning practices of women working in the Cambodian garment industry: a qualitative study

Women working in Cambodian garment factories have unmet needs for family planning (contraception and safe abortion) services, because of their background and living conditions. This study describes their exper...

Authors: Chisato Masuda, Elisa Oreglia, Sokhey Ly, Megan McLaren, Caroline Free, Camille Tijamo, Amra Ou, Michelle Helena van Velthoven, Amy Williamson and Chris Smith

Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in Hossana town, southern Ethiopia: cross sectional study

In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can res...

Authors: Biruktawit Fekade Woldu, Tadesse Lelago Ermolo, Lidiya Gutema Lemu and Negeso Gebeyehu Gejo

Utilization and predictors of long acting reversible contraceptive methods among reproductive age women in Hawassa city, South Ethiopia: a community based mixed methods

Long acting reversible contraceptive methods are highly effective, safe and provide uninterrupted protection to women for 3 to 12 years, yet are little used in the Ethiopia. Assessment of the utilization and p...

Authors: Aklilu Tilahun, Amanuel Yoseph and Mesay Hailu Dangisso

Level of knowledge, attitude, and practice of family planning and associated factors among disabled persons, north-shewa zone, Amhara regional state, Ethiopia

In Ethiopia, people with disabilities face socioeconomic disadvantages and they have a limited access to sexual and reproductive health information including family planning service. At present, however, there...

Authors: Alemayehu Gonie Mekonnen, Alebachew Demelash Bayleyegn, Yared Asmare Aynalem, Tigist Demssew Adane, Mikyas Arega Muluneh and Meaza Asefa

The impacts of pill contraceptive low-dose on plasma levels of nitric oxide, homocysteine, and lipid profiles in the exposed vs. non exposed women: as the risk factor for cardiovascular diseases

Consuming oral contraceptive pills is one of the methods for preventing pregnancy worldwide. As using the pills has always caused the greatest concern for the likelihood of developing cardiovascular diseases a...

Authors: Zahra Momeni, Ali Dehghani, Hossein Fallahzadeh, Moslem Koohgardi, Maryam Dafei, Seyed Hossein Hekmatimoghaddam and Masoud Mohammadi

Long acting reversible contraceptives utilization and associated factors among women of reproductive age in Arsi Negele town, Southeastern Ethiopia

Ethiopia is the second populous country in Africa with a total fertility rate of 4.6 and contraceptive prevalence of 35%, where implant and intrauterine contraceptive devices account for 8 and 2% respectively....

Authors: Desalegn Tsegaw Hibstu and Akalewold Alemayehu

Determinants of modern contraceptive use among sexually active men in Ethiopia; using EDHS 2016 national survey

Recently, the focus of family planning programs has changed from female oriented to men oriented, or both partner oriented to have effective outcomes. Although, contraceptive use among sexually active women wa...

Authors: Tamrat Shaweno and Zerihun Kura

Abortion attitudes, training, and experience among medical students in Jamaica, West Indies

To define abortion attitudes, training and experience among medical students in Jamaica, a restricted environment for legal abortion.

Authors: Glenmarie Matthews, Jessica Atrio, Horace Fletcher, Nathalie Medley, Leo Walker and Nerys Benfield

Male partner approval on the use of modern contraceptive methods: factors determining usage among couples in Kibaha district, Tanzania

Men in developing countries play an important role in the adoption of family planning (FP), either as actual users or supporters of their partners. Notwithstanding the universal knowledge on the contraceptive ...

Authors: Judith Msovela, Anna Tengia–Kessy, Susan F. Rumisha, Daudi O. Simba, David P. Urassa and Gernard Msamanga

Contraception need and available services among incarcerated women in the United States: a systematic review

Seventy-five percent of incarcerated women are of reproductive age, most of whom are at-risk for unintended pregnancy. Women who are incarcerated come disproportionately from socioeconomically disadvantaged ba...

Authors: Mishka S. Peart and Andrea K. Knittel

Comparison of traditional anesthesia method and jet injector anesthesia method (MadaJet XL®) for Nexplanon® insertion and removal

This study compared a needle-free anesthesia method with traditional local anesthesia for insertion and removal of Nexplanon® long-acting removable contraceptive device. In our clinic, patients often avoid thi...

Authors: G. Anthony Wilson, Julie W. Jeter, William S. Dabbs, Amy Barger Stevens, Robert E. Heidel and Shaunta’ M. Chamberlin

Utilization of long-acting and permanent contraceptive methods and associated factors among married women in Adama town, Central Ethiopia: community based cross-sectional study

Long-acting and permanent contraceptive methods have clear advantages over short-acting methods of contraception that benefit both clients and health systems. Despite this importance, studies show that the pro...

Authors: Markos Desalegn, Ayele Belachew, Muluken Gizaw, Gemechu Kejela and Robsan Gudeta

Ovulation rates in a stair-step protocol with Letrozole vs clomiphene citrate in patients with polycystic ovarian syndrome

To compare ovulation rates between Letrozole and Clomiphene Citrate (CC) using a stair-step protocol to achieve ovulation induction in women with Polycystic Ovarian Syndrome (PCOS).

Authors: S. Thomas, I. Woo, J. Ho, T. Jones, R. Paulson, K. Chung and K. Bendikson

Factors affecting demand for modern contraceptives among currently married reproductive age women in rural Kebeles of Nunu Kumba district, Oromia, Ethiopia

Family planning plays a key role in improving the health of the mother and the child. Yet there are still significant levels of demand for family planning that are unmet and these can lead to unintended pregna...

Authors: Alemu Kebede, Sileshi G. Abaya, Elias Merdassa and Tariku Tesfaye Bekuma

Contraceptive use and discontinuation among women in rural North-West Tanzania

Existing estimates of contraceptive use in Tanzania rely on cross-sectional or retrospective study designs. This study used a 2-year, retrospective, month-by-month calendar of contraceptive utilization among w...

Authors: Wende Safari, Mark Urassa, Baltazar Mtenga, John Changalucha, James Beard, Kathryn Church, Basia Zaba and Jim Todd

Postabortion contraceptive use in Bahir Dar, Ethiopia: a cross sectional study

Although promoting postabortion family planning is very important and effective strategy to avert unwanted pregnancy, less attention was given to it in Ethiopia. Thus, this study aimed to assess contraceptive ...

Authors: Anteneh Mekuria, Hordofa Gutema, Habtamu Wondiye and Million Abera

Determinants of modern contraceptive use among postpartum women in two health facilities in urban Ghana: a cross-sectional study

Postpartum contraception is important for spacing and limiting childbirth. Although the use of modern contraception has been shown to reduce maternal and child morbidities and mortalities, postpartum women hav...

Authors: Jonathan Ian Coomson and Abubakar Manu

Factors associated with long-acting family planning service utilization in Ethiopia: a systematic review and meta-analysis

Even though the modern contraceptive use was improved in Ethiopia, the utilization of long-acting family planning services is still low because of numerous factors. The aim of this systematic review was to syn...

Authors: Tamirat Tesfaye Dasa, Teshager Worku Kassie, Aklilu Abrham Roba, Elias Bekele Wakwoya and Henna Umer Kelel

Infertility knowledge and treatment beliefs among African American women in an urban community

To assess infertility knowledge and treatment beliefs among African American women in an urban community in Atlanta, Georgia.

Authors: Ashley Wiltshire, Lynae M Brayboy, Kiwita Phillips, Roland Matthews, Fengxia Yan and Desiree McCarthy-Keith

Intrauterine lidocaine and naproxen for analgesia during intrauterine device insertion: randomized controlled trial

This study evaluates oral naproxen and intrauterine instillation of lidocaine for analgesia with intrauterine device (IUD) placement as compared to placebo.

Authors: Shana M. Miles, Katerina Shvartsman and Susan Dunlow

Maternal and community factors associated with unmet contraceptive need among childbearing women in Northern Nigeria

Unmet need for modern contraceptive remains a critical reproductive health challenge in Nigeria. Numerous studies in Nigeria and other countries have investigated the patterns, prevalence and associated factor...

Authors: Bola Lukman Solanke, Funmilola Folasade Oyinlola, Olaoye James Oyeleye and Benjamin Bukky Ilesanmi

Tribute to James Trussell (1949–2018)

Authors: Deborah Kowal

Acceptability and utilization of family planning benefits cards by youth in slums in Kampala, Uganda

This study was conducted to test the acceptability and utilization of family planning benefits cards (FPBCs) as incentives to increase family planning uptake among youth living in urban slums in Uganda.

Authors: Afra Nuwasiima, Elly Nuwamanya, Janet U. Babigumira, Robinah Nalwanga, Francis T. Asiimwe and Joseph B. Babigumira

Factors associated with long acting and permanent contraceptive methods use in Ethiopia

Long acting and permanent contraceptives methods are more effective, save cost and enable women to control their reproductive lives better. Although the Ethiopian government is promoting its use through variou...

Authors: Gedefaw Abeje Fekadu, Akinyinka O. Omigbodun, Olumuyiwa A. Roberts and Alemayehu Worku Yalew

Prevalence of unintended pregnancy and associated factors among pregnant mothers in Jimma town, southwest Ethiopia: a cross sectional study

Unintended pregnancy is a pregnancy that occurred when no children were desired or earlier than desired. One in three births in Ethiopia were unintended, which is major contributor to maternal morbidity and mo...

Authors: Girma Alemayehu Beyene

Cystoscopic removal of a migrated intrauterine device to the bladder; a case report

An intrauterine device (IUD) is a well-accepted means of reversible contraception. Migration of IUD to the bladder through partial or complete perforation has been rarely reported. This phenomenon could be str...

Authors: Masnoureh Vahdat, Mansoureh Gorginzadeh, Ashraf Sadat Mousavi, Elaheh Afshari and Mohammad Ali Ghaed

An application of mixed-effect models to analyse contraceptive use in Malawian women

In Malawi, the current approach to family planning using contraceptive methods is individualised, yet studies have shown that variability in contraceptive-use still remains after accounting for it at individua...

Authors: Davis James Makupe, Save Kumwenda and Lawrence Kazembe

Predictors of unmet need for family planning among all women of reproductive age in Ethiopia

Contraception is a good indicator of the extent to which couples have access to reproductive health services. Survey data on unmet need can provide overall direction by helping to pinpoint the obstacles in soc...

Authors: Afework Tadele, Dessie Abebaw and Rahma Ali

Characteristics and contraceptive outcomes of women seeking medical or surgical abortion in reproductive health clinics in Cambodia

Since the approval of medical abortion in Cambodia in 2010, the proportion of women reporting an abortion has increased. We describe the characteristics and contraceptive outcomes of women seeking medical abor...

Authors: Chris Smith, Rachel H. Scott, Caroline Free and Tansy Edwards

Suboptimal child spacing practice and its associated factors among women of child bearing age in Serbo town, JIMMA zone, Southwest Ethiopia

Birth spacing is the time gaps between two consecutive life births. Optimal spacing until the next pregnancy is the resting period that allows the mother time to recover from pregnancy, and labor. Birth interv...

Authors: Girma Bacha Ayane, Kalkidan Wondwossen Desta, Birhanu Wondimeneh Demissie, Netsanet Abera Assefa and Emebet Berhane Woldemariam

Contraceptive use among HIV-positive and negative women: implication to end unintended pregnancy

With the advancement of antiretroviral therapy and improved life expectancy, women living with HIV/AIDS are enjoying a better sexual life. Yet, the consistent utilization of contraceptive in such patients is h...

Authors: Amanual Getnet Mersha, Daniel Asfaw Erku, Sewunet Admasu Belachew, Asnakew Achaw Ayele, Begashaw Melaku Gebresillassie and Tadesse Melaku Abegaz

Prevalence and determinants of unmet need for family planning among married women in Ghana-a multinomial logistic regression analysis of the GDHS, 2014

Documentary evidence points to high unmet need for family planning across sub-Saharan Africa. Modern contraceptive use has been staggering over decades with unacceptable marginal increases given that one in th...

Authors: Joseph K. Wulifan, Jacob Mazalale, Christabel Kambala, William Angko, Job Asante, Stephen Kpinpuo and Albino Kalolo

Pre-service knowledge, perception, and use of emergency contraception among future healthcare providers in northern Ghana

Emergency contraception, if used properly, can prevent up to over 95 % of unwanted and mistimed pregnancies. However, a number of obstacle including healthcare providers knowledge, perception, and attitude tow...

Authors: Shamsudeen Mohammed, Abdul-Malik Abdulai and Osman Abu Iddrisu

Counseling on family planning during ANC service increases the likelihood of postpartum family planning use in Bahir Dar City Administration, Northwest Ethiopia: a prospective follow up study

Closely spaced pregnancies within the first year postpartum increases the risk of death for both the mother and baby. Many countries recommend providing pregnant women with post-partum family planning counsell...

Authors: Tadese Ejigu Tafere, Mesganaw Fanthahun Afework and Alemayehu Worku Yalew

Pregnancy intention screening tools: a randomized trial to assess perceived helpfulness with communication about reproductive goals

Federal and clinical guidelines support integration of reproductive life planning in the care of female patients to aid in the reduction of unplanned pregnancies. A multitude of tools have been created to help...

Authors: Maureen K. Baldwin, Patricia Overcarsh, Ashlesha Patel, Lindsay Zimmerman and Alison Edelman

Assessment of women’s satisfaction with family planning service at public health facilities in Northwest Region of Ethiopia: a cross sectional study

Ethiopia is a Sub Saharan African country with an estimated contraceptive prevalence rate of 36% and 22% unmet need for family planning service among married women. Client satisfaction influences the use of Fa...

Authors: Woineshet Asrat, Teferi Mekonnen and Melkamu Bedimo

Women’s informed choice and satisfaction with immediate postpartum long-acting reversible contraception in Georgia

Several state Medicaid agencies have recently started reimbursing for long-acting reversible contraception (LARC) placement immediately postpartum. Women’s perspectives are critical for ensuring that this chan...

Authors: Carla L. DeSisto, Arden Handler, Sadia Haider, Rachel Caskey, Nadine Peacock, Melissa Kottke and Kristin Rankin

Prevalence of glucose intolerance and metabolic syndrome within one year following delivery of a pregnancy complicated by gestational diabetes

Women with a history of gestational diabetes (GDM) are at risk for development of both overt Type 2 diabetes (T2DM) and cardiovascular disease (CVD) at higher rates and at earlier ages than control women. Curr...

Authors: Neetu K. Sodhi and Anita L. Nelson

“Family planning in Rwanda is not seen as population control, but rather as a way to empower the people”: examining Rwanda’s success in family planning from the perspective of public and private stakeholders

Rwanda has made significant strides in improving the health of its people, including increasing access to and use of family planning. Contraceptive use has increased from 17% to 53% in just one decade, from 20...

Authors: Hilary M. Schwandt, Seth Feinberg, Akrofi Akotiah, Tong Yuan Douville, Elliot V. Gardner, Claudette Imbabazi, Erin McQuin, Maha Mohamed, Alexis Rugoyera, Diuedonné Musemakweli, Cliff Wes Nichols, Nelly Uwajeneza Nyangezi, Joshua Serrano Arizmendi, Doopashika Welikala, Benjamin Yamuragiye and Liliana Zigo