Contraceptive use and associated factors among postpartum women from 0 to 6 months in Trang Bom District, Dong Nai Province, Vietnam
Tóm tắt
Introduction: Well-timed contraception after delivery using effective methods protects women from unintended pregnancies and improves the quality of life of both women and their children. However, little attention has been paid on the issue in Vietnam. Therefore, this study aimed to determine the percentage of postpartum women from 0 to 6 months using contraceptive methods and associated factors in Trang Bom District, Dong Nai Province, Vietnam.
Methods: A cross-sectional study was adopted. A systematic random sampling method was used to select 355 postpartum women. Women were interviewed about sociodemographic characteristics, reproductive history, and contraceptive use after giving birth.
Results: Of the 355 women, 63.1% used at least one modern or traditional contraceptive method; 58.9% current use, 4.2% previous use, and 36.9% never use. The most selected methods were withdrawal (41.1%), male condom (28.2%), and calendar method (24.4%). Multivariable analysis showed that women who had their menstruation returned, long postpartum duration, high education level, many years of marriage, and previous caesarean section were more likely to use contraception after birth.
Conclusion: The family planning program in Vietnam should focus more on postpartum women. Postpartum contraception should be consulted at all obstetric health centers before and right after delivery. Emphasis should be placed on the initial times to adopt contraception soon and not waiting until the first menses. Women should be encouraged to use modern contraceptive methods instead of traditional ones.