DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20221746
Published: 2022-06-28

Postpartum sexual activity and contraceptive use among women in a southwest health facility Osun State Nigeria

Oluwaseyi F. Oke, Elizabeth O. Oke, Kola M. Owonikoko, Taiwo W. Oladiran, Adefisoye O. Adewole, Temitope S. Adu, Samson A. Ojedokun, Ernest O. Orji

Abstract


Background: The post-partum period presents a risk in unwanted/unplanned conception and often frustrating desire for contraceptive. This study aimed to determine the factors enhancing resumption of sexual intercourse, contraceptive usage and barriers to timely uptake of family planning methods.

Methods: This cross-sectional study was conducted among 340 women within 3 to 16 weeks postpartum. Structured questionnaires adopted from similar studies were administered within three months. Statistical analysis was performed using the statistical package for the social sciences (SPSS) version 21.

Results: 62.6% (213) of women resumed sexual activity with a mean time of 11.37 weeks±8.85 postpartum. More than one-third 37.6% (80) did so within puerperium and husbands in 78.4% (167) initiated sex. About 50% (107) were on modern contraceptives, whereas only 39.3% (42) were on contraception before their first postpartum sexual experience.

Conclusions: There was high rate of resumption of sexual intercourse early in postpartum with less attention on contraceptive usage mostly due to misconceptions surrounding fertility return. Sexual and contraceptive education after delivery is necessary for both mothers and their husbands.

 


Keywords


Sexual activity resumption, Puerperium, Contraceptive usage, Postpartum sexual intercourse

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References


Thompson JF, Roberts CL, Currie M, Ellwood DA. Prevalence and persistence of health problems after childbirth: Associations with parity and method of birth. Birth. 2002;29:83-94.

Lamont J. Female sexual health consensus clinical guidelines. J Obstet Gynaecol Can. 2012;34:769-75.

Handa VL. Sexual function and childbirth. Semin Perinatol. 2006;30:253-6.

Salway S, Nurani S. Uptake of contraception during postpartum amenorrhea:

understandings and preferences of poor, urban women in Bangladesh. Soc Sci

Med. 1998;47(7):899-909.

Palamuleni ME. Estimates of Fertility for South Africa based on Rele method 1996-2011. J Hum Ecol. 2013;43(3):257-65.

Byrd JE, Hyde JS, De-Lamater JD, Plant EA. Sexuality during pregnancy and the year postpartum. J Fam Pract. 1998;47:305-8.

Signorello LB, Harlow BL, Chekos AK, Repke JT. Postpartum sexual functioning and its relationship to perineal trauma: A retrospective cohort study of primiparous women. Am J Obstet Gynecol. 2001;184:881-8.

Ross AJ, Winfrey WL. Contraceptive use, intention to use and unmet need during the extended postpartum period. Int Fam Plan Perspect. 2001;27(l):20-7.

Depineres T, Blumenthal PD, Diener-West M. Postpartum contraception: the New Mexico pregnancy risk assessment monitoring system. Contraception. 2005;72(6):422.

McKaig C, Deller B. After the fact: family planning for the postnatal period. 2006. Available at: http://ww.maqweb.org/miniu/present/2006/After%20the%20Fac t-PPFP.ppt. Accessed on 24 March 2022.

Grudzinskas JG, Atkinson L. Sexual function during the puerperium. Arch Sex Behav. 1984;13:85-91.

Dada OA, Akesode FA, Olanrewaju DM, Olowu OA, Sule-Odu O, Fakoya TA, et al. Infant feeding and lactational amenorrhea in Sagamu, Nigeria. Afr J Reprod Health. 2002;6:39-50.

Sule-Odu AO, Fakoya TA, Oluwole FA, Ogundahunsi OA, Olowu AO, Olanrewaju DM, et al. Postpartum sexual abstinence and breastfeeding pattern in Sagamu, Nigeria. Afr J Reprod Health. 2008;12:96-100.

Abdool Z, Thakar R, Sultan AH. Postpartum female sexual function. Eur J Obstet Gynecol Reprod Biol. 2009;145:133-7.

Zerai A, Tsui AO. The relationship between prenatal care and subsequent modern

contraceptive use in Bolivia, Egypt and Thailand. Afr J Reprod Health. 2001;5:68-82.

Borda MR, Winfrey W, McKaig C. Return to sexual activity and modern family planning use in the extended postpartum period: An analysis of findings from seventeen countries. Reprod Health. 2010;14:72-9.

Nyengidiki KT, Eyindah CE. Contraceptive prevalence amongst women attending infant welfare clinic at the university of Port Harcourt teaching hospital. Port Harcourt Med J. 2008;3:42-8.

Return to Fertility & Pregnancy Risk After Delivery Global Online Discussion Forum September 24-October 5, 2012. Available at: https://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng.pdf. Accessed on 24 March 2022.

Anzaku AS, Mikah S. Postpartum Resumption of Sexual Activity, Sexual Morbidity and Use of Modern Contraceptives Among Nigerian Women in Jos. Ann Med Health Sci Res. 2014;4:2.

Desgrees-du-Lou A, Brou H. Resumption of sexual relations following childbirth: Norms, practices and reproductive health issues in Abidjan, Cote d'lvoire. Reprod Health. 2005;13(25):155-63.

Odar E, Wandabwa J, Kiondo P. Sexual practices of women within six months of childbirth in Mulago hospital, Uganda. Afr Health Sci. 2003;3:117-23.

Speroff L, Mishell DR. The postpartum visit: It's time for a change in order tooptimally initiate contraception. Contraception. 2008;78(2):90-8.

Susu B, Ransjo-Arvidson AB, Chintu K, Sundstrom K, Christensson K. Family planning practices before and after childbirth in Lusaka, Zambia. East Afr Med J. 1996;73:708-13.

Newmann SJ, Goldberg AB, Aviles R, Molina de Perez O, Foster-Rosales AF. Predictors of contraception knowledge and use among postpartum adolescents in El Salvador. Am J Obstet Gynecol. 2005;192:1391-4.

Kennedy K, Trussell J. Postpartum contraception and lactation, in Contraceptive Technology, 18th Edition. Ardent Media, Inc. New York. 2004.

Rowland M, Foxcroft L, Hopman WM, Patel R. Breastfeeding and sexuality immediately post partum. Can Fam Physician. 2005;51:1366-7.