Contraception and reproductive medicine最新文献

{"title":"Knowledge, attitude, and contraceptive use among married women attending a maternity hospital in Kabul, Afghanistan: a cross-sectional study.","authors":"Mohammad Reza Hussainzada, Fazel Ahmad Muhammadi","doi":"10.1186/s40834-026-00464-w","DOIUrl":"https://doi.org/10.1186/s40834-026-00464-w","url":null,"abstract":"<p><strong>Background: </strong>Family planning is a foundational component of reproductive health that empowers individuals to make informed decisions about childbearing. In Afghanistan, where maternal mortality remains critically high and contraceptive prevalence is low, understanding family planning dynamics is essential for improving reproductive outcomes. This study assessed knowledge, attitudes, and contraceptive use among married women attending a major maternity hospital in Kabul.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted among 356 married women attending Rabia Balkhi Maternity Hospital in Kabul, Afghanistan, from October 2024 to March 2025. Participants were selected using convenience sampling. Data were collected through face-to-face interviews using a structured, validated questionnaire. Descriptive statistics and chi-square tests were employed for analysis using SPSS version 26. Statistical significance was set at p <.05.</p><p><strong>Results: </strong>Out of 356 women, 86.2% had heard of family planning methods. Overall, 77.8% demonstrated good knowledge, and 22.2% demonstrated poor knowledge. Healthcare providers were the primary information source (75.0%), followed by family or friends (46.1%). Regarding attitudes, 84.3% held positive attitudes toward family planning, while 15.7% exhibited negative attitudes. The majority (86.5%) considered family planning important for family well-being. Ever-use of contraceptives was reported by 79.2%, with 72.5% currently using a method. Combined oral contraceptives (COCs) (21.5%) and depot medroxyprogesterone acetate intramuscular injectable (DMPA-IM) (21.4%) were the most commonly used methods. Key barriers to use included husband disapproval (9.6%), lack of knowledge (5.3%), and religious/cultural beliefs (4.8%). Side effects (17.1%) and desire for pregnancy (25.8%) were the primary reasons for discontinuation. Strong positive associations were observed between knowledge and attitude (p <.001), knowledge and practice (p <.001), and attitude and practice (p <.001). Multivariate logistic regression revealed that higher education (AOR = 3.42, 95% CI: 1.87-6.25, p <.001), husband's supportive attitude (AOR = 2.89, 95% CI: 1.65-5.06, p <.001), and higher household income (AOR = 2.31, 95% CI: 1.34-3.98, p =.002) were significant independent predictors of current contraceptive use.</p><p><strong>Conclusion: </strong>Among married women attending this hospital, most demonstrated good knowledge (77.8%), positive attitudes (84.3%), and current contraceptive use (72.5%). Significant barriers, including husband disapproval, side effect concerns, and access challenges, continue to impede optimal contraceptive use. Strengthening provider counseling, expanding media campaigns, engaging religious leaders and husbands, and improving service delivery are essential to enhance family planning uptake and contribute to reduced maternal mortality in Afghanistan.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229641","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-care readiness among healthcare students and workers in Al-Baha, Saudi Arabia: a cross-sectional study.","authors":"Mohammad A Albanghali","doi":"10.1186/s40834-026-00467-7","DOIUrl":"10.1186/s40834-026-00467-7","url":null,"abstract":"<p><strong>Background: </strong>Saudi Arabia has experienced a marked fertility decline alongside health-system reforms under Vision 2030, yet evidence on healthcare workforce readiness for fertility and reproductive health (RH) counselling remains limited at the provincial level. Most Saudi studies have examined community demand, married women in primary care, or specialist groups in major urban centres. Demand-side evidence from Al-Baha indicates limited exposure to family-planning counselling and greater reliance on media than healthcare providers for RH information, highlighting the need to assess provider-side readiness in transitional provinces.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from December 2024 to February 2025 among healthcare students enrolled at Al-Baha University and active healthcare workers employed by Al-Baha Health Cluster across Public Health, Medicine, Nursing, Pharmacy, and Laboratory Medicine. A 23-item instrument assessed four domains: Knowledge and Education, Access and Practice, Beliefs/Attitudes/Cultural Norms, and Lifestyle and Health Status.</p><p><strong>Results: </strong>Among 577 respondents, the mean age was 25.7 ± 9.0 years and 406 (70.4%) were students. Only 75 (13.0%) had attended a fertility/RH workshop, 126 (21.8%) reported full familiarity with international RH guidelines, and 209 (36.2%) were very confident in cross-cultural counselling. In multivariable analysis, high counselling confidence was associated with workshop attendance (adjusted OR [aOR] 10.78; 95% CI 4.92-23.62), cultural-value alignment with family planning (aOR 6.10; 95% CI 3.28-11.35), city residence (aOR 3.21; 95% CI 2.04-5.06), and above-median knowledge (aOR 1.71; 95% CI 1.05-2.79). Healthcare worker status showed a negative adjusted association (aOR 0.37; 95% CI 0.17-0.81), requiring cautious interpretation.</p><p><strong>Conclusion: </strong>Fertility-care readiness in Al-Baha was uneven and was associated mainly with modifiable factors, notably workshop attendance, cultural-value alignment with family planning, and knowledge level, as well as the contextual factor of urban residence, rather than professional role alone. Structured fertility/RH training, culturally responsive counselling education, and capacity building beyond urban centres may strengthen workforce readiness for RH counselling.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":"11 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221088","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":"Current use of modern contraceptives and associated factors among women in Lesotho: evidence from the recent Lesotho demographic and health survey 2023-2024.","authors":"Hiwot Altaye Asebe, Abdu Hailu Shibeshi, Temesgen Gebeyehu Wondmeneh","doi":"10.1186/s40834-026-00462-y","DOIUrl":"10.1186/s40834-026-00462-y","url":null,"abstract":"<p><strong>Background: </strong>One of the most important methods for reducing fertility and improving maternal health is the use of modern contraceptives. However, modern contraceptives were not widely used in developing countries, including Lesotho. Thus, this study aimed to determine the magnitude of modern contraceptive utilization and associated factors among women in Lesotho.</p><p><strong>Methods: </strong>The 2023-2024 Lesotho Demographic and Health Survey data were used for analysis. The study comprised 6,413 women of reproductive age from 400 enumeration areas in 10 districts. A multilevel mixed-effect binary logistic regression model was built to identify individual and community-level factors associated with modern contraceptive utilization. Significant risk factors were determined by odds ratio with 95% CI along with p-value < 0.05.</p><p><strong>Results: </strong>Around half (53%) of women used modern contraceptive methods. Increased odds of modern contraceptive use were observed among women aged 25-34 years (AOR = 2.1, 95% CI: 1.8-2.4) and 35-49 years (AOR = 1.9, 95% CI: 1.6-2.1), those with primary (AOR = 2.6, 95% CI: 1.5-4.7), secondary (AOR = 2.9, 95% CI: 1.6-5.2), and higher education (AOR = 3.0, 95% CI: 1.6-5.5), recently sexually active women (AOR = 2.1, 95% CI: 1.9-2.4), those with one (AOR = 1.88, 95% CI: 1.66-2.1) or ≥ 2 under-five children (AOR = 2.3, 95% CI: 1.9-2.9), and women from communities with high knowledge (AOR = 1.3, 95% CI: 1.13-1.6). In contrast, decreased odds were found among unmarried women (AOR = 0.61, 95% CI: 0.54-0.70), those from rich households (AOR = 0.76, 95% CI: 0.63-0.92), and women in households with ≥6 members (AOR = 0.87, 95% CI: 0.77-0.99). Lower odds were also observed among women residing in Leribe, Berea, Maseru, Mafeteng, Qacha's Nek, Mokhotlong, and Thaba-Tseka compared to Butha-Buthe.</p><p><strong>Conclusion: </strong>Around half of women use modern contraceptive methods. Utilization is influenced by socio-demographic factors such as age, education, sexual activity, number of under-five children, household size, marital status, and wealth. In several districts, modern contraceptive use is lower. Raising community awareness remains key to improving uptake.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355102","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":"A comparative cross-sectional study of planned and unplanned pregnancies, their outcomes, predictors, and health-seeking behaviours among women in Odisha, India.","authors":"Sakshi, Moonjelly Vijayan Smitha","doi":"10.1186/s40834-025-00397-w","DOIUrl":"10.1186/s40834-025-00397-w","url":null,"abstract":"<p><strong>Background: </strong>Unplanned pregnancy continues to pose a major challenge to public health, frequently resulting in negative maternal outcomes and delayed healthcare utilization. In developing nations, its occurrence is influenced by restricted access to contraception, cultural and societal norms, and inadequate awareness of reproductive health. This study primarily aimed to assess the prevalence and factors associated with unplanned pregnancies with a comparative group of planned pregnancies. Secondary objectives included exploring pregnancy outcomes and health-seeking behavior in unplanned pregnancies.</p><p><strong>Methods and materials: </strong>An analytical cross-sectional study was conducted with 430 ever-married women who conceived in the last three years, recruited using convenient sampling from rural and urban areas of Khordha District, Odisha. Data were collected via face-to-face interviews. Descriptive statistics were used to describe the sociodemographic and obstetric characteristics, and bivariate and multivariate logistic regression were used to identify associated factors, outcomes, and health-seeking behavior in unplanned pregnancies.</p><p><strong>Results: </strong>Nearly one-fourth of women (26%) had unplanned pregnancy, 64% continued their pregnancy, while 36% opted for termination. Age at pregnancy ≥ 30 years, gravidity > 2, birth spacing ≤ 24 months, history of induced abortion, and both induced & spontaneous abortions were factors associated with unplanned pregnancies. Secondary findings indicated that unplanned pregnancies were associated with higher rates of complications during pregnancy and puerperium, as well as delayed Urine Pregnancy Test and Antenatal Care registration.</p><p><strong>Conclusion: </strong>Unplanned pregnancies were significantly associated with advanced maternal age, higher gravidity, short birth intervals, and a prior history of abortion. These pregnancies were more likely to result in adverse maternal outcomes and were marked by delayed healthcare utilization, including late antenatal registration and reliance on unsafe abortion methods. Enhancing access to contraception, fostering early engagement with maternal healthcare services, and strengthening reproductive health education are crucial steps toward reducing the incidence and consequences of unplanned pregnancies.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260878","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":"Complex chromosomal rearrangements induce embryonic chromosomal imbalance and significantly compromise reproductive outcomes.","authors":"Yueyun Lan, Xihe Deng, Sheng He, Jingsi Luo, Jiasun Su, Wei Li, Chaofan Zhou, Xianglian Tang, Yuan Wei, Minpan Huang, Jingrong Luo, Jinhui Shu, Caizhu Wang, Xin Zhao, Hong Zhou, Peng Huang","doi":"10.1186/s40834-026-00461-z","DOIUrl":"10.1186/s40834-026-00461-z","url":null,"abstract":"<p><p>This study evaluated Preimplantation Genetic Testing for Structural Rearrangements (PGT‑SR) outcomes in carriers of complex chromosomal rearrangements (CCRs). Four CCR couples underwent PGT‑SR, and 20 karyotypically normal couples underwent Preimplantation Genetic Testing for Aneuploidy (PGT‑A) as controls. Embryo biopsies were analyzed by next‑generation sequencing (NGS), and Mapping Allele with Resolved Carrier Status (MaReCs) was used for breakpoint mapping. Literature data from 31 additional CCR carriers (222 embryos) were also summarized. Among the four CCR couples in this study, 14 blastocysts were biopsied. The high‑quality blastocyst rate (57.1%, 8/14) and euploidy rate (14.29%, 2/14) were significantly lower than in controls (71.5% and 42.37%, respectively; P < 0.05). In the literature cohort of 222 embryos, for CCR types A (three‑way), B (double two‑way), and C (exceptional), the high‑quality blastocyst rates (37.50%, 44.44%, and 32.91%) and chromosomal abnormality rates (86.25%, 92.06%, and 88.61%) showed no significant differences; the overall euploidy rate (11.26%) was significantly lower than that in the PGT‑A control group (42.37%, P < 0.001). In conclusion, CCR carriers show impaired embryonic potential and markedly lower euploidy rates. While Type B CCR embryos have good morphology, their genetic normality is extremely poor, ruling out morphology-only selection. Instead, PGT-SR combined with high-resolution breakpoint mapping is required to reliably identify viable embryos for healthy pregnancy.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13471364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177398","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":"Trends and determinants of utilization of traditional contraceptive methods among women of reproductive age (WRA) (15-49 years) in Uganda.","authors":"Sarah Nabukeera, Timothy Kasule, Fredrick Edward Makumbi, Juliet Mujuni Kwabaho, Christine Nalwadda","doi":"10.1186/s40834-026-00457-9","DOIUrl":"10.1186/s40834-026-00457-9","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Traditional contraceptive methods (TCM) use is common in areas with limited access to modern options, or in settings where cultural practices discourage the use of modern methods. TCM, including folk methods, rhythm, withdrawal, and lactational amenorrhea method (LAM) beyond six months postpartum, are less effective than modern contraceptive methods. TCM are entrenched as an initial contraceptive method in many settings. We examined the trends and social-demographic factors associated with TCM use among women of reproductive age (WRA) (15-49 years) in Uganda to gain an in-depth understanding of the method-specific determinants of use, and to inform the development of targeted interventions to improve the use of the modern contraceptive method that are more effective than the TCM, and address unmet need for family planning.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A secondary data analysis was performed on multiple cross-sectional datasets obtained from the nationally representative Performance Monitoring for Action (PMA) Surveys conducted between 2017 and 2024. The surveys were based on a multi-stage cluster design, typically using urban-rural and major regions as the strata. Enumeration areas were sampled to create a representative list of households. Data were collected using PMA Collect based on Open Data Kit (ODK), an open-source application with data collection tools designed, programmed and installed on mobile smartphones. We determined the prevalence of and trends in TCM use across the four surveys. Determinants of use were ascertained using the prevalence ratio (PR)_ as a measure of association. PRs, with corresponding 95% confidence intervals and p-values, were obtained using a \"modified\" Poisson regression model via a generalized linear model with the family as Poisson and a log link. All analyses were weighted and accounted for a multi-stage cluster design achieved via the survey set (svyset) command in STATA software version 18.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, TCM use has significantly increased over the years, from 3.8% in 2017 to 6.7% in 2024 (p-value &lt; 0.0001), and contributed 11.8% and 16.4% of total contraceptive prevalence in 2017 and 2024, respectively. The increase in TCM use has been highest among women with tertiary education (6.6% to 15.3%), followed by secondary education (4.3% to 7.7%) and lowest in none/primary education (3.2% to 4.7%) between 2017 and 2024. TCM use was significantly higher in women with tertiary adjusted prevalence ratio (adj.PR) = 2.36 [1.74-3.22] or secondary education, adj.PR = 1.63[1.38-1.91] relative to those with primary or no education. Similarly, TCM use was twice as high among young (20-24 years) adj.PR = 2.43[1.79-3.29] and older (25-49 years) women, adj.PR = 2.37[1.67-3.34] compared to the adolescents (15-19 years).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Traditional contraceptive methods use, and its share to the overall contraceptive use have steadily increased ov","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148152612","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":"The use of TikTok as a source of medical information regarding tubal ligation: a cross-sectional study.","authors":"Emily Bundy, Pranathi Darbha, Ashleigh Post, Dawn M Kopp","doi":"10.1186/s40834-026-00459-7","DOIUrl":"10.1186/s40834-026-00459-7","url":null,"abstract":"<p><strong>Background: </strong>TikTok is a key source of contraceptive information, including female permanent contraception (FPC), for young adults. Therefore, this cross-sectional study seeks to assess the quality of health information regarding FPC as presented in top-viewed TikTok videos.</p><p><strong>Methods: </strong>Two independent reviewers analyzed 101 most viewed videos with the hashtags #tubal, #tuballigation, and #tubestied for creator demographics, tonality, and content. Statistical analysis using the two sample Wilcoxen rank-sum (Mann-Whitney) test was performed to compare DISCERN and Patient Education Materials Assessment Tool (PEMAT) scores between medical professionals and laypeople.</p><p><strong>Results: </strong>Many videos portray personal experiences and have a negative tone, highlighting distrust, side effects, and tubal failure resulting in pregnancy. Educational content has a significantly higher average medical accuracy (p = 0.003) and content accessibility (p = 0.02) scores when created by medical professionals as compared to laypeople.</p><p><strong>Conclusions: </strong>As TikTok promotes engagement over shared concerns, many videos portray a narrative of dissatisfaction and complication following permanent contraception procedures. Healthcare professionals may find value in utilizing the platform to intentionally share credible content and counter misinformation regarding permanent contraceptive methods.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019336","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":"Cross-sectional study on the knowledge, attitude, and experience of emergency contraception among female students of the University of Sierra Leone.","authors":"Michael Lahai, Isha Abie Kamara, Ahmed Vandy, Eugene Conteh, Mohamed Bawoh, Marie Kolipha-Kamara, Foday Marah, Mohamed H Samai","doi":"10.1186/s40834-026-00460-0","DOIUrl":"10.1186/s40834-026-00460-0","url":null,"abstract":"<p><strong>Background: </strong>Emergency contraception (EC) is a safe and effective method of preventing pregnancy after unprotected sexual intercourse, but its use requires good knowledge and a positive attitude. This study assessed the knowledge, attitude, and experience of EC among female students of childbearing age at the University of Sierra Leone.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at the three colleges of the University of Sierra Leone: Fourah Bay College, College of Medicine and Allied Health Sciences, and the Institute of Public Administration Management. A self-administered questionnaire was used to collect data from the 320 female undergraduate students. Knowledge about EC was measured and scored as \"good knowledge\" and \"poor knowledge\". An independent sample t-test was used to determine the significant difference between the socio-demographic characteristics and knowledge score, with statistical significance shown from a p-value < 0.05. The data was analysed using Statistical Package for Social Sciences 21.</p><p><strong>Results: </strong>The mean age of the participants was 24.1 years. More than half of the participants (58.9%) had good knowledge of EC, with significant differences in knowledge scores observed by age and academic discipline. Older students (25-64 years) scored higher (M = 63.26, SD = 21.92) than younger students (18-24 years) (M = 55.93, SD = 21.56; p = 0.003). Health science students also demonstrated greater knowledge (M = 70.25, SD = 25.35) compared to non‑health science students (M = 55.42, SD = 19.95; p < 0.001). Most of the respondents (85.6%) were sexually active, and more than half of them had previously used EC, in the form of I-pills (99.5%). Only 7.8% reported experiencing an unintended pregnancy. While 65.9% believed EC to be safe, misconceptions persisted: 54.4% viewed EC as a form of abortion, 56.9% considered it sinful, and 63.2% believed it promotes promiscuity.</p><p><strong>Conclusion: </strong>More than half of the students demonstrated good knowledge of emergency contraception, with higher scores among older and health science participants. Misconceptions about safety and morality remain widespread. Expanding tailored education, peer‑led initiatives, and integrating sexual health into non‑health science curricula, alongside accessible and respectful services and community engagement, is essential to dispel myths, reduce stigma, and promote informed use among young women.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13371651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977815","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":"Research \"Factors affecting postpartum intention to use contraceptives in Wadajir, Mogadishu, Somalia\".","authors":"Zahra Ali Farah, Timothy A O Oluwasola","doi":"10.1186/s40834-026-00452-0","DOIUrl":"10.1186/s40834-026-00452-0","url":null,"abstract":"<p><strong>Background: </strong>Family planning is typically given less priority by policymakers, service providers, and users. Family planning is widely acknowledged as a women's and children's health-improving and life-saving intervention. Due to the dearth of accurate and up-to-date national data on Somali women of reproductive age's postpartum intention to use contraception, this research aimed to assess the factors affecting postpartum women's intention to use contraceptives in Mogadishu, Somalia.</p><p><strong>Methods: </strong>This hospital-based descriptive cross-sectional study used quantitative data collection among 334 reproductive-aged women (19-49 years). Participants were selected by simple random sampling from two Wadajir health centers and Banadir Hospital. Women aged 19-49 years who were postpartum within the previous 12 months and who consented to participate were included. Women who delivered more than 12 months prior, were too ill to participate, or did not provide consent were excluded. Five trained research assistants collected the data. Quantitative data were coded, entered, and analyzed using IBM SPSS Statistics version 26. Descriptive statistics, frequencies, percentages, means, and medians were generated and presented in tables and graphs.</p><p><strong>Results: </strong>Of 334 women approached, 332 consented (response rate: 99.4%). The median age was 25.5 years (IQR: 23-31). Only 44.9% (95% CI: 39.5-50.3) had ever heard of modern contraceptives. Postpartum contraceptive use was reported by 37.7% of participants. The most commonly used methods were progestogen-only pills (22.4%) and combined oral contraceptives (18.4%). Despite low awareness, 87.3% expressed readiness to use modern contraceptives. Intention to use contraception was significantly associated with type of marital union and perceived importance of partner discussion.</p><p><strong>Conclusion: </strong>Awareness of modern contraceptives among postpartum women in Mogadishu remains limited; however, readiness to use them is high. Marital structure and partner communication play significant roles in contraceptive intention. Strengthening culturally sensitive counseling and promoting male involvement may improve postpartum contraceptive uptake in Somalia.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977858","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":"One-year discontinuation rate of the combined injectable contraceptive among post-abortion women: a prospective follow-up study in Shanghai, China.","authors":"Shaojun Yang, Minghong Yin, Yuyan Li, Xiaoying He","doi":"10.1186/s40834-026-00454-y","DOIUrl":"10.1186/s40834-026-00454-y","url":null,"abstract":"<p><strong>Background: </strong>Post-abortion contraception is important for sexual and reproductive health. Combined injectable contraceptives (CICs) are a class of highly effective and reversible contraceptive methods, yet their utilization remains low in China. This study aimed to assess the discontinuation rate, reported side effects, and contraceptive effectiveness of CIC use among post-abortion women in China.</p><p><strong>Methods: </strong>We conducted a prospective follow-up study among post-abortion women who received post-abortion care (PAC) services in Shanghai, China, from 2023 to 2024. Post-abortion women who initiated the \"Compound Norethisterone Enanthate Injection\" (NET-EN 50 mg/ E₂V 5 mg) were followed up for one year. The chi-square test and survival analysis were used for data analysis.</p><p><strong>Results: </strong>A total of 1,156 participants were included. The mean duration of CIC use was 5.73 ± 2.15 months. The one-year discontinuation rate was 98.72% (95% CI: 97.83-99.29). At 6 months, the cumulative user-failure and method-failure rates were 0.49% (95% CI: 0.18-1.30) and 0.12% (95% CI: 0.02-1.13), respectively. Side effects were reported by 331 participants (28.63%), and all had discontinued CIC by the end of follow-up. In univariate analysis, women reporting side effects had a significantly higher discontinuation rate than those without side effects; however, this association was not statistically significant in the multivariable Cox proportional hazards model.</p><p><strong>Conclusions: </strong>The one-year discontinuation rate of monthly CIC was high among post-abortion women in this study. The findings highlight the importance of continued contraceptive support and timely access to alternative methods during post-abortion care follow-up.</p>","PeriodicalId":93956,"journal":{"name":"Contraception and reproductive medicine","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13335338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876336","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}