Inhibiting factors for the acceptance of postpartum contraception at the maternity ward of the Ignace Deen University Hospital in Conakry in 2022

Abstract

Introduction: Postpartum family planning is the prevention of unwanted and closely spaced pregnancies during the 12 months following childbirth. The objective of this work was to calculate the contraceptive proportion of women in the postpartum period and to identify the inhibiting factors of women's acceptance of postpartum contraception. partum at the maternity ward of the Ignace Deen National Hospital CHU in Conakry. Methodology: This was a prospective, cross-sectional, analytical study carried out in the gynecology-obstetrics department of the Ignace Deen National Hospital in Conakry from December 1, 2022 to January 31, 2023, covering women who gave birth in the department and who received postpartum contraception counseling, whether or not they accepted a contraceptive method. Results: Modern contraceptive prevalence was 11.11%. Factors likely to be associated with non-acceptance of postpartum contraceptive methods were: no schooling (P=0.000), monogamy (P=0.009) and pauciparity (P=0.001). The known modern contraceptive methods were the contraceptive pill (73.33%) and the male condom (38.33%). Nearly 2/3 of the respondents were in favor of contraception (72.5%) and 62.22% of the partners were not. The majority of respondents cited protection against unwanted pregnancy (55.83%) and birth spacing (46.94%) as advantages of modern contraceptive methods. The main disadvantages cited by the respondents were sterility (76.74%) and decreased libido (56.59%). Conclusion: This study shows that the prevalence of modern postpartum contraception remains low. Factors influencing the acceptance of postpartum contraception were marriage, monogamy, poverty, and lack of schooling.