Obstetrics and gynecology research最新文献

{"title":"Peri-conceptional folic acid supplementation: A Cross-Sectional Study to Assess the Awareness, Knowledge, Use and Associated Factors Among Pregnant Women Attending Antenatal Care in Two Secondary Health Care Facilities, Southwest Region, Cameroon","authors":"Confidence A. Alemajo, Gregory E. Halle-Ekane, Elvis A. Nkengasong, Emmanuel A. Asongalem","doi":"10.26502/ogr098","DOIUrl":"https://doi.org/10.26502/ogr098","url":null,"abstract":"Background: Neural tube defects(NTDs) are among the most common birth defects, contributing to miscarriages, infant mortality, severe congenital abnormalities, and serious disabilities. The protective effect of peri-conceptional folic acid (PFA) supplementation in reducing the risk of NTDs and other adverse pregnancy outcomes has been scientifically confirmed. Methods: A cross-sectional study was conducted using a structured questionnaire administered to 393 pregnant women seeking routine antenatal care between February to April 2020. Multivariate logistic regression was used to model factors associated with awareness, knowledge, and use of PFA. Results: Approximately 55% of women reported that they had heard of folic acid and only 6.1% had knowledge of folic acid (its benefit in preventing birth defects and the appropriate time to start using it). However, only 5.1% reported that they started using folic acid before pregnancy. Folic acid awareness showed a significant relationship with university education and above (OR=4.30, 95% CI [2.60, 7.30], P<0.001). There was also a significant difference in the odds of knowledge among those with a university education and above (OR=5.06, 95% CI [1.65, 19.0], P=0.0076). There was a statistically significant difference in the odds of awareness and knowledge of folic acid among women who had a history of folic acid education from a healthcare provider before pregnancy compared to those who did not, (OR=23.7, 95% CI [4.84, 430], P=0.002), (OR=12.0, 95% CI [4.31, 35.1], P<0.001) respectively. Even though women who planned their pregnancy (OR=4.89,","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Prophylactic Ondansetron on the Incidence of Spinal Anesthesia-Induced Shivering and Hypotension in Elective Cesarean Sections:Double-Blind, Placebo-Controlled, Randomized Clinical Trial","authors":"A. Salahat, Taha Aa, N. Almasri, E. Sweity","doi":"10.21203/RS.3.RS-498935/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-498935/V1","url":null,"abstract":"\u0000 Background: Spinal anesthesia is the preferred method of anesthesia for caesarean section; however, it is associated with dangerous adverse effects on both mother and fetus, this includes: spinal anesthesia induced shivering and hypotension. Previous studies suggest serotonin may have a role in hypotension, bradycardia, and shivering occurrence perioeratively. In this prospective double-blind randomized control trial study, we evaluated the efficacy of the ondansetron, a serotonin receptor antagonist, on the incidence of spinal anesthesia-induced shivering, hypotension, nausea, vomiting and other possible complications in elective caesarean sections. This study conducted in Palestine, West Bank, Nablus city in the caesarean section operation rooms, and post-anesthesia care unit at Rafidia governmental hospital. Eighty full-term elective caesarean section parturient (Age 18-50 years) with ASA 1 or 2 classification were recruited and randomly allocated into two groups: prophylactic IV ondansetron treatment group and placebo 0.9% saline control group. The primary outcomes were the incidence of spinal anesthesia-induced shivering and hypotension, while secondary outcomes were perioperative bradycardia, nausea, vomiting, headache, pain, pruritus, dizziness and respiratory depression and parturient satisfaction. Results: Incidence of intraoperative hypotension and dizziness in the ondansetron group was significantly lower than which occurred in the control group (22.5% vs. 62.5% respectively; P < 0.001), the incidences and intensity of intraoperative shivering in the ondansetron group was lower than the control group (12.5 % vs. 32.5 % respectively; P = 0.032), Intraoperative nausea intensity in the ondansetron group was lower than control group (P = 0.049). Postoperatively, the incidence of postoperative dizziness in the ondansetron group was lower than the control group (5% vs. 37.5 % respectively; P = 0.001), the incidence and intensity of postoperative shivering in the ondansetron group was lower than the control group (12.5% vs. 37.5 % respectively; P = 0.01). Incidence and intensity of postoperative nausea in the ondansetron group was lower than the control group (17.5% vs. 40 % respectively; P = 0.026), the incidence of postoperative vomiting in the ondansetron group was lower than the control group (25.5% vs. 2.5 % respectively; P = 0.014).Conclusion: Prophylactic 4 mg IV ondansetron can significantly attenuate the incidences of spinal anesthesia-induced shivering and hypotension, dizziness, nausea, and vomiting occurrence and increase parturient satisfaction scale for parturient who undergo caesarean section.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41569400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Triad Study in South Indian Population of Telangana: On the Association of Cytokine Gene Polymorphisms in the Aetiology of Spontaneous Abortions","authors":"Renjini Devi MR, Shehnaz Sultana, V. M, Rambabu Sp, P. Nallari, Venkateshwari A","doi":"10.26502/ogr071","DOIUrl":"https://doi.org/10.26502/ogr071","url":null,"abstract":"Background: Spontaneous abortion is defined as the loss of two or more consecutive pregnancies before 20 week of gestation. About 50% of the cases are remained with unexplained etiology. Potential immune cell differentiation and cytokine profile is detrimental for fetal-maternal communication and maternal recognition of pregnancy. An imbalance in the immune modulatory profile results in consecutive loss of pregnancies. In view of the above, the present study is taken up to understand the role of immunemodulators and their gene polymorphism in the etiology of spontaneous abortion. Methods: In the present case-control triad study genotyping for IFN γ+874 T/A, IL6-137 G/C, IL18174G/C polymorphisms were done by Amplified Refractory Mutation System polymerase chain reaction method (ARMS-PCR) and statistically analyzed. Result: A retrospective analysis for association of gene polymorphisms in the present study showed that Obstet Gynecol Res 2021; 4 (4): 220-232 DOI: 10.26502/ogr071 Obstetrics and Gynecology Research Vol. 4 No. 4– December 2021. 221 maternal and fetal TT genotype of IFN γ+874 polymorphism showed a twofold increased risk (OR 2.22, 95%CI= 1.29-3.84, p=0.004) whereas in IL 18 174G/C gene polymorphism and their association study, the case mother subjects that represented CC genotypes contributed a onefold increased risk towards the development of spontaneous abortion. (OR -2.17, 95%CI1.250-3.788, p=0.005) Conclusion: The proinflammatory and anti-inflammatory gene polymorphisms may contribute towards the susceptibility for spontaneous abortion.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twelve-Month outcomes of a Cluster-Randomized Trial of Home-Based Postpartum Contraceptive Delivery in Southwest Trifinio, Guatemala.","authors":"Margo S Harrison,&nbsp;Saskia Bunge-Montes,&nbsp;Claudia Rivera,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Gretchen Heinrichs,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Stephen Berman,&nbsp;Jeanelle Sheeder","doi":"10.26502/ogr057","DOIUrl":"https://doi.org/10.26502/ogr057","url":null,"abstract":"<p><strong>Design: </strong>We executed a cluster-randomized parallel arm pragmatic trial to observe the association of home-based postpartum contraceptive provision, including the contraceptive implant, with three and 12-month contraceptive utilization, satisfaction, and pregnancy rates.</p><p><strong>Methods: </strong>Eight clusters were randomized to receive either the home-based contraceptive delivery (condoms, pills, injection, implant) during the routine 40-day postpartum visit in addition to routine care, or routine care alone, which included comprehensive contraceptive counseling throughout antepartum care.</p><p><strong>Results: </strong>208 women were enrolled in the study, 108 in the intervention clusters and 100 in control clusters. 94 (87.0%) women in the intervention group and 91 (91%) of women in control clusters were evaluated 12 months post-enrollment. Likelihood of using contraception at that time was borderline increased in intervention clusters (RR 1.1 [1.0,1.3], p = 0.05) with an increased likelihood of long-acting contraceptive use (the implant; RR 1.6 [1.3,1.9], p < 0.001). Pregnancy rates were also borderline reduced in the intervention clusters (RR 1.0 [1.0,1.1], p = 0.07). There was no difference in satisfaction of women with contraceptive use between arms with about 95% of women very satisfied or a little satisfied in each arm. Continuation rates at twelve months of contraceptives in the intervention group were 0.0% for condom users, 80.0% for contraceptive pill users, 57% for injectable users, and 83% for implant users. Most women who discontinued their initial method chose a more long-term or permanent method. There was a trend toward a significant association with reduced short interval pregnancy.</p><p><strong>Conclusion: </strong>Our study had a borderline increase in overall use of contraception by 12 months, did have an increased likelihood of long-acting contraceptive use of the implant by 12 months, and resulted in a trend toward reduced short interval pregnancy in the intervention clusters as compared to control clusters.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"4 2","pages":"81-89"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112724/pdf/nihms-1694232.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38981556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wound Care Education for Caesarean Section Clients: What Do Midwifery Students Know?","authors":"Angelina Abban Ansu","doi":"10.26502/ogr067","DOIUrl":"https://doi.org/10.26502/ogr067","url":null,"abstract":"Background: Complications associated with Caesarean Section (CS) delivery such as surgical site infection (SSIs) are complex. Infection of the CS wound has enormous consequences. A major risk factor associated with CS wound infection is lack of knowledge of CS clients about wound care. The knowledge of trainee midwives is critical if they are to educate CS clients on wound care. Aim: The objective of the study was to explore midwifery students’ knowledge on the education of CS clients on wound care. Materials and methods: This cross-sectional study purposely used 339 final year midwifery students within the Midwifery Training Colleges of Greater Accra Region. Participants answered a questionnaire formulated from relevant literature. Frequencies and percentages analyses were used for the data. Statistical analysis: Stata SE version 13 software. Results: This study revealed that 317 (93.1%), 325 (96%), 320 (94.4%) were knowledgeable about CS, surgical site wound care and education for CS clients on wound care respectively. Again, 286 (84.37%) of the students indicated that their training has equipped them to give education on wound care to CS clients. However, 227 (65.96%), 287 (84.66%), 179 (52.8%) did not have adequate knowledge on aspects of indications for CS delivery, surgical site wound care and education for CS client on wound care, respectively. Conclusions: Majority of the final year midwifery students recorded higher knowledge scores about CS, surgical site wound care and education for CS clients on surgical site wound care. However, quite a number could not respond to aspects of indication for CS delivery and CS wound care.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and Risk Factors for Depression and Anxiety in Patients with Polycystic Ovary Syndrome Presenting in a Tertiary Care Hospital Karachi, Pakistan","authors":"A. Tariq, Manahil Tariq Malik, H. Tariq, Samina Naseem khattak, T. Yazdani, Rameen Tariq Malik, S. Rauf, T. Malik","doi":"10.26502/ogr068","DOIUrl":"https://doi.org/10.26502/ogr068","url":null,"abstract":"Objective: To determine the frequency and risk factors for depression and anxiety in patients with Poly cystic ovary syndrome (PCOS). Study design: Comparative Analytic Study. Setting and duration: Department of Obstetrics and Gynaecology at a tertiary care hospital in Karachi, Pakistan from July 2020-December 2020. Materials and methods: All females with diagnosed PCOS aged between 15-45yrs were included in the study .A total of 270 females (n=135) formed the study group. Group A (n=135) constituted females diagnosed to have PCOS and group B (n=135) without PCOS. Obstet Gynecol Res 2021; 4 (4): 196-202 DOI: 10.26502/ogr068 Obstetrics and Gynecology Research Vol. 4 No. 4– December 2021. 197 Both groups were compared for anxiety and depression according to Hospital anxiety and Depression Scale (HADS).Demographic features were compared as well (age, qualification, BMI and parity). Results: A total of 270 females were part of this research (n=135).Most 170 (62.9%) of study population was aged between 21-35years.112 (41.5%) were undergraduate .Most 160 (59.2%) of participants had normal BMI <25kg/m .In group A, 38 (28.1%) had depression along with 43(31.9%) having borderline depression versus 12 (8.9%) had borderline depression in group B, p-value 0.000, which is statistically significant .The overall incidence of anxiety in Group A was 116 (85.9%) versus 50 (37%), p value 0.00 which is statistically significant. Conclusion: Depression and anxiety are common in PCOS. There is strong association of depression with young age (21-35), among graduate women and with no children that is subfertility.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics Associated with Choosing Long-Acting Reversible Contraception in Rural Guatemala: A Secondary Analysis of a Cluster-Randomized Trial.","authors":"Margo S Harrison,&nbsp;Saskia Bunge-Montes,&nbsp;Claudia Rivera,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Gretchen Heinrichs,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Stephen Berman,&nbsp;Jeanelle Sheeder","doi":"10.26502/ogr062","DOIUrl":"https://doi.org/10.26502/ogr062","url":null,"abstract":"<p><strong>Design: </strong>We conducted a secondary analysis of a cluster-randomized trial to observe characteristics associated with women who chose to use long-acting reversible contraceptives (LARC) compared to those who chose a short-acting method 12 months after enrollment.</p><p><strong>Methods: </strong>The trial studied four control and four intervention clusters where the intervention clusters were offered contraception at their 40-day routine postpartum visit; control clusters received standard care, which included comprehensive postpartum contraceptive counseling. Women were followed through twelve months postpartum.</p><p><strong>Results: </strong>The study enrolled 208 women; 94 (87.0%) were in the intervention group and 91 (91.0%) were in the control group. At twelve months, with 130 (70.3%) women using contraception at that time. 94 women (50.8%) were using a short acting method compared to 33 (17.9%) who chose a long-acting method, irrespective of cluster. In mixed effect regression modeling adjusted for cluster, characteristics associated with a reduced likelihood of choosing long-acting contraception in multivariate modeling included age (aRR 0.98 [0.96,0.99], p = 0.008) and any education (compared to no education; aRR 0.76 [0.60,0.95], p = 0.02). Women who were sexually active by their enrollment visit (40 days postpartum) were 30% more likely to opt for a long-acting method (aRR 1.30 [1.03,1.63], p = 0.03).</p><p><strong>Conclusion: </strong>Older and more educated women were less likely to be using LARC a year after enrollment, while women with a history of early postpartum sexual activity were more likely to choose LARC.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"4 2","pages":"131-139"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39223200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy outcomes at Mizan-Tepi University Teaching Hospital: A Comparison to the Ethiopian Demographic and Health Surveys.","authors":"Margo Shawn Harrison,&nbsp;Margaret Muldrow,&nbsp;Ephrem Kirub,&nbsp;Tewodros Liyew,&nbsp;Biruk Teshome,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Teklemariam Yarinbab","doi":"10.26502/ogr056","DOIUrl":"https://doi.org/10.26502/ogr056","url":null,"abstract":"<p><strong>Background: </strong>To compare outcomes at Mizan-Tepi University Teaching Hospital to national and regional data and to plan quality improvement and research studies based on the results.</p><p><strong>Methods: </strong>This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1, 000 women who delivered at Mizan-Tepi University Teaching Hospital.</p><p><strong>Results: </strong>Our convenience sample was young (median age 24 years) with a primarily school level or less of education (68.6%). Only about 5% of women had a history of prior cesarean birth, 2.1% reported they were human immunodeficiency virus seropositive, and the median number of prenatal visits was four. Women were commonly admitted in spontaneous labor (84.5%), transferred from another facility (49.2%; 96.8% of which were referred from a health center), and had their fetal heart rate auscultated on admission (94.7%). Only 5.2% of women did not deliver within twenty-four hours and the cesarean birth prevalence was 23.4%. Many women were delivered by midwives (73.2%; all unassisted vaginal births), 89.2% were term deliveries, and 92.5% of neonatal birthweights were 2500 grams or heavier. Less than five percent of women delivered stillbirths (4.3%) and 5.7% of livebirths experienced neonatal death by the day of discharge. There were no maternal deaths in the cohort.</p><p><strong>Conclusion: </strong>The prevalence of stillbirth and neonatal death were the most notable findings, while there was no maternal death in the cohort.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"4 2","pages":"62-80"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39012086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Endometrial Scratching in Implantation Failures","authors":"K. Banerjee, B. Singla","doi":"10.26502/ogr070","DOIUrl":"https://doi.org/10.26502/ogr070","url":null,"abstract":"Objective: To assess the role of endometrial scratching in implantation failure cases. Design: Retrospective analysis. Materials and Methods: 60 infertile females with at least one IVF failure in the age group of 23 to 35 years were evaluated in a period of 6 months. In the group 1 of 30 females, endometrial scratching was done between Day 21 to 25 of previous periods and in the group 2 of 30 females, endometrial scratching was not done. Controlled ovarian stimulation (COH) was started from day 2 of next period in all subjects with the antagonist protocol. Transvaginal guided oocyte aspiration was done. Day 3 embryo transfer was performed in all subjects. Results: There was no difference between the two groups regarding demographic variables, egg reserve, sperm parameters, number of embryos transferred and embryo quality. The pregnancy rate was 40% (12 out of 30 cases) in the group 1 that was similar to 36.7% in the group 2 (11 out of 30 cases). The clinical pregnancy rate was 36.7% (11 out of 30 cases) in the group 1 that was similar to 33.3% in the group 2 (10 out of 30 cases). Conclusions: The local injury caused by endometrial scratching though result in local inflammation and angiogenic environment in uterus but it does not improve the pregnancy rate. Further studies are needed to prove the efficacy of endometrial scratching with larger sample size. This is one of the few studies done in South Asia that showed scratching has no role in implantation failure.","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69352312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Postpartum Birth Control in Rural Women in Southwest Guatemala: Analysis of a Quality-Improvement Database.","authors":"Kathryn Feller,&nbsp;Claudia Rivera,&nbsp;Amy S Nacht,&nbsp;Saskia Bunge-Montes,&nbsp;Andrea Jimenez-Zambrano,&nbsp;Molly Lamb,&nbsp;Gretchen Heinrichs,&nbsp;Antonio Bolanos,&nbsp;Edwin Asturias,&nbsp;Sephen Berman,&nbsp;Margo S Harrison","doi":"10.26502/ogr069","DOIUrl":"https://doi.org/10.26502/ogr069","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to observe the prevalence of postpartum contraceptive use in a population of rural women in Southwest Guatemala by type, and to determine characteristics associated with long-acting reversible contraceptive (LARC) use and sterilization.</p><p><strong>Methods: </strong>We conducted a secondary analysis of prospectively collected quality improvement data from a cohort of postpartum women. We compared women intending to use or already using contraception to those not intending to utilize a method; bivariate comparisons were used to determine if there were differences in characteristics between these groups. If differences occurred (p < 0.2), those covariates were included in multivariable regression analyses to determine characteristics associated with use, and then specifically with LARC use and sterilization.</p><p><strong>Results: </strong>In a cohort of 424 women who were surveyed between 2015-2017, the average age was 23 years old, and the prevalence of use or plan to use postpartum contraception was 87.5%. Women with a parity of 2 - 3 were 10% more likely to use any form of postpartum birth control (RR 1.1, CI [1.01, 1.2]) compared to primiparous women. Women who were married were also more likely to use a postpartum method (RR > 10, CI [>10,>10]). The prevalence of LARC use was low (4.0%), and women were more likely to choose this method if they were employed (RR 3.5 CI [1.1, 11.3]).Regarding sterilization, women with a parity of greater than one compared to primiparous women had an increased likelihood of sterilization (RR 3.6 CI [2.5,4.9]); each year a woman aged was associated with a 10% increased likelihood of postpartum sterilization (RR 1.1 CI [1.01,1.08]). Women were also more likely to choose sterilization if delivered by a skilled birth attendant (RR 1.8 CI [1.1,2.9]) or by cesarean birth (RR 2.1 CI [1.4,3.1]).</p><p><strong>Conclusion: </strong>In this cohort, married women of higher parity were more likely to use postpartum contraception, with employed women more likely to use a LARC method. Older women of higher parity who were delivered by a skilled attendant by cesarean birth were the most likely to pursue sterilization.</p>","PeriodicalId":74336,"journal":{"name":"Obstetrics and gynecology research","volume":"4 4","pages":"203-213"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39887204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}