Contraception and reproductive medicine最新文献

{"title":"A comparative study on the outcomes of post-placental intrauterine contraceptive device insertion between preterm and term deliveries: a hospital-based observational study.","authors":"Soni Kumari, Sarita Singh, Aditi Chawla, Abhishek Lachyan","doi":"10.1186/s40834-026-00455-x","DOIUrl":"https://doi.org/10.1186/s40834-026-00455-x","url":null,"abstract":"<p><strong>Background: </strong>India is the most populous country in the world, with over 1.4 billion people, facing significant challenges in maternal and reproductive health services. Family planning is a key strategy to prevent unintended pregnancies and optimize spacing between births. Post-placental intrauterine contraceptive device (PPIUCD) insertion is a safe, long-acting, reversible, and cost-effective method of immediate postpartum contraception. This study aimed to compare continuation rates, complications, and expulsion rates of PPIUCD insertion between preterm and term deliveries, and to explore factors influencing outcomes.</p><p><strong>Settings and design: </strong>Hospital-based observational study conducted at VMMC & Safdarjung Hospital, New Delhi.</p><p><strong>Materials and methods: </strong>Among 2000 antenatal women counseled for immediate postpartum IUCD insertion, 240 (12%) consented and were enrolled. Participants were divided equally into preterm (n = 120) and term (n = 120) groups. CuT 380 A devices were inserted immediately post-placentally. Follow-up was conducted at 3, 6, and 12 months to assess continuation, satisfaction, expulsion, and complications. Counseling was provided antenatally and postnatally using standardized IEC materials, models, and checklists.</p><p><strong>Statistical analysis: </strong>Categorical variables were presented as numbers and percentages. Chi-square tests and t-tests were applied where appropriate using SPSS 24.0, with p < 0.05 considered statistically significant.</p><p><strong>Results: </strong>The mean age of participants was 26.9 ± 3.2 years. Continuation rates at 6 and 12 months were significantly higher in term deliveries (96.6% and 85.0%) than in preterm deliveries (88.3% and 63.3%; p < 0.05). Spontaneous IUCD expulsion was higher in preterm women at 6 months (7.5% vs. 1.6%) and 12 months (15.3% vs. 6.4%; p < 0.05), potentially due to smaller uterine size, underdeveloped uterine cavity, and variations in uterine involution. Satisfaction rates were high and comparable between groups at 12 months (81% preterm vs. 85% term; p > 0.05). Acceptance rates were low overall (12%), highlighting the need for structured counseling, provider training, and peer education to improve uptake.</p><p><strong>Conclusion: </strong>Post-placental IUCD insertion is safe, effective, and cost-efficient in both preterm and term deliveries. Higher expulsion rates in preterm deliveries warrant focused counseling and follow-up. Structured antenatal and postnatal counseling, combined with provider confidence and patient education, is essential to increase acceptance and continuation of PPIUCD, particularly in populations at higher risk of early postpartum fertility.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847491","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":"Community-level variations in contraceptive use among women in union and those not in union: a comparative study of 35 sub-Saharan African countries.","authors":"Hailu Refera Debere, Shuai Guo, Xiaoying Zheng","doi":"10.1186/s40834-026-00453-z","DOIUrl":"https://doi.org/10.1186/s40834-026-00453-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Global fertility rates are nearing replacement levels, yet Sub-Saharan Africa continues to experience high fertility with slow declines. Modern contraceptive use is critical to fertility reduction, but comparative multi-country analyses remain limited, particularly for women not in union (never or formerly married). This study compares contraceptive use between women in union and those not in union across the region.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Pooled Demographic and Health Survey (DHS) data from 35 sub-Saharan African countries were analyzed to examine the determinants of modern contraceptive use. We incorporated sampling weights to ensure representativeness, and the final weighted analytic sample comprised 472,811 women. A multilevel random-intercept logistic regression model was employed to account for the hierarchical data structure, with women nested within communities and countries. Both individual- and community-level covariates were included, and analyses were stratified by marital status (in union, never married, and formerly married). Contextual variations in contraceptive use were assessed by estimating intraclass correlation coefficients (ICCs) at the community and country levels. To assess changes in community-level heterogeneity over time, multiple DHS survey waves were analyzed separately for each country, and intraclass correlation coefficients (ICCs) were synthesized using a meta-analytic approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study found that among women in union, older women are less likely to use contraceptive methods, whereas among women not in union, older women are more likely to use contraceptives. Higher educational attainment, access to media, exposure to family planning information, better household socioeconomic status, and women's employment are positively associated with contraceptive use, regardless of marital status. Beyond individual and household factors, community-level variables, such as poverty rates, literacy levels, and health coverage, are also significantly associated with modern contraceptive use. Additionally, the study revealed substantial variation in contraceptive use across countries and communities. Countries with low contraceptive prevalence tended to show greater disparities in usage, whereas those with higher prevalence exhibited more consistent and uniform contraceptive use across communities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;While various individual and community-level factors are associated with contraceptive use in sub-Saharan Africa, there are significant contextual variations both across and within countries. Nations with low levels of modern contraceptive use, particularly in Western and Central Africa, often show inconsistent coverage across communities. In contrast, countries with higher contraceptive prevalence, particularly in Southern Africa and, to some extent, Eastern Africa, tend to exhibit more consistent and equitable coverage across t","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792409","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":"What factors drive unmet need for modern contraception among sexually active adolescent girls and young women in Zambia: a multilevel analysis.","authors":"Million Phiri, Sibongile Namayawa, Clifford Odimegwu","doi":"10.1186/s40834-026-00449-9","DOIUrl":"https://doi.org/10.1186/s40834-026-00449-9","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792363","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":"Modern contraceptive discontinuation and demand-and-supply-side method-mix in urban settings in Eastern Uganda: a mixed methods study.","authors":"Ronald Wasswa, Jacquellyn Nambi Ssanyu, Catherine Birabwa, Felix Kizito, Peter Waiswa, Rornald Muhumuza Kananura","doi":"10.1186/s40834-026-00450-2","DOIUrl":"https://doi.org/10.1186/s40834-026-00450-2","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"11 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792427","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":"Hope for the best, prepare for the worst: male partner involvement in modern family planning and its effect on women's mental health in Northern Ghana - a community-based cross-sectional study.","authors":"Emmanuel Abu Bonsra, Boateng Justice, Emmanuel Adjei Kyeremeh, Elsie Fafa King, Gifty Nyameboame, Petra Osei Amankwah, Berlinda Agbenyenu","doi":"10.1186/s40834-026-00451-1","DOIUrl":"https://doi.org/10.1186/s40834-026-00451-1","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730994","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":"Effectiveness evaluation of endometrial receptivity analysis for recurrent implantation failure and analysis of clinical factors affecting implantation window.","authors":"Xiaofei Wang, Yan Zhou, Xinyue Zhou, Xiangqian Meng, Fangfang He, Yuejiao Huang, Xuehong Zhang, Ling Deng","doi":"10.1186/s40834-026-00447-x","DOIUrl":"https://doi.org/10.1186/s40834-026-00447-x","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663283","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":"Trends and determinants of modern contraceptive use among sexually active adolescent females in Bangladesh: Evidence of four national surveys (2011-2022).","authors":"Md Aslam Hossain, Md Yeasin Arafat, Bristi Rani Saha, Md Mothashin, Abu Sayed Md Al Mamun, Md Golam Hossain","doi":"10.1186/s40834-026-00446-y","DOIUrl":"https://doi.org/10.1186/s40834-026-00446-y","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629405","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":"Magnitude of short birth intervals and associated factors among reproductive-age women in sub-Saharan Africa: a multilevel modified Poisson regression analysis of recent DHS data (2021-2024).","authors":"Temesgen Gebeyehu Wondmeneh","doi":"10.1186/s40834-026-00448-w","DOIUrl":"https://doi.org/10.1186/s40834-026-00448-w","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617125","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":"Fertility desire and its determinants among pregnant women in Ethiopia.","authors":"Ritbano Ahmed Abdo","doi":"10.1186/s40834-026-00445-z","DOIUrl":"10.1186/s40834-026-00445-z","url":null,"abstract":"","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577007","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":"Modern contraceptive use after sexual debut among Ghanaian adolescent girls (15-19 years): a secondary analysis of the 2022 Demographic and Health Survey.","authors":"Musana Henry, Amanda Debuo Der, Faustina AKosua Atongo, Betty Oloo, Hannah Brifo, Prince Tsekpetse","doi":"10.1186/s40834-026-00433-3","DOIUrl":"10.1186/s40834-026-00433-3","url":null,"abstract":"<p><strong>Background: </strong>Early sexual debut among adolescent girls in Ghana contributes to high rates of unintended pregnancy and sexually transmitted infections. However, there is limited evidence on modern contraceptive use after sexual debut among Ghanaian adolescent girls aged 15-19 years. Therefore, this study aimed to examine the prevalence of modern contraceptive use after sexual debut among Ghanaian adolescent girls aged 15-19 years and the factors associated with it.</p><p><strong>Methods: </strong>We analyzed data from the 2022 Ghana Demographic and Health Survey, including a weighted sample of 1,198 adolescent girls aged 15-19 years who had initiated sexual activity. A modified Poisson regression with a log link was used to assess the factors associated with modern contraceptive use. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>The prevalence of modern contraceptive use after sexual debut among Ghanaian adolescent girls aged 15-19 years was 28.5% (n/N: 341/1,198; 95% CI: 25.30-31.93). Factors associated with modern contraceptive use included being in the richer wealth quintile (aPR = 1.58; 95% CI: 1.02-2.45; p = 0.039), exposure to family planning information through social media (aPR = 1.57; 95% CI: 1.14-2.16; p = 0.006), and health facilities (aPR = 1.39; 95% CI: 1.02-1.92; p = 0.040).</p><p><strong>Conclusion: </strong>Approximately one in four Ghanaian adolescent girls aged 15-19 years used modern contraceptives after their sexual debut. We found that belonging to a richer household wealth quintile and exposure to family planning information through social media and health facilities were significantly associated with modern contraceptive use. These findings suggest the need for targeted interventions to enhance modern contraceptive use among adolescent girls from poorer households. Additionally, the findings highlight the need to continue promoting family planning information through social media and support the integration of family planning services into routine facility-based care within the primary health care system.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534661","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}