Does the use of modern family planning promote healthy timing and spacing of pregnancy in Dar es SalaamReport as inadecuate




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Reproductive Health

, 10:65

First Online: 12 December 2013Received: 09 October 2013Accepted: 09 December 2013DOI: 10.1186-1742-4755-10-65

Cite this article as: Muganyizi, P.S. & Mageta, D. Reprod Health 2013 10: 65. doi:10.1186-1742-4755-10-65

Abstract

BackgroundTiming, spacing and limiting of pregnancy are key outcomes of family planning FP whose role in promoting health of mothers and babies is evidence based. Despite the evidence, recent studies in Tanzania have reported a trend towards child birth in older age, non-adherence to standard inter-pregnancy spacing, and preference of large families in the background of a rising national contraceptive prevalence rate. We explored if the use of modern FP promotes healthy timing and spacing of pregnancy among women seeking antenatal services.

DesignAnalytical Cross-sectional study

MethodsWomen seeking antenatal services at Muhimbili National Hospital, Tanzania August-October, 2012 were enrolled. We used a semi-structured questionnaire to obtained information from the women. Data were analyzed using SPSS version 19. Outcomes of interest were adherence to timing of first pregnancy and to inter-pregnancy spacing after normal childbirth. Use of modern FP prior to index pregnancy was the independent variable of primary interest. Bivariate and multivariate logistic regression analyses were conducted to obtain odds ratios OR and 95% confidence intervals CI as estimates risk and clinical importance respectively. Ethical approval was obtained from the Research and Publications Committee at Muhimbili University of Health and Allied Sciences.

ResultsIn total 427 women were interviewed. Ages ranged 15–45 years, mean 29.2 SD ± 5.1. Among all, 129 30.2% were primigravida, 298 69. 8% multigravida. Of these 298 women, 51 17.1% lost pregnancies preceding the index. Overall, 179 41.9% had ever used modern FP, 103 24.1% were on modern FP just prior to index pregnancy.

Non-adherence to timing was increased for primigravida AOR = 4.5, 95% CI: 2.1-9.6 and for women older than 29 years AOR = 7.6 95% CI: 3.8-15.2. Non-adherence to spacing was increased with loss of the immediate past pregnancy AOR = 2.5; 95% CI: 1.3-4.7. Use of modern FP was neither associated with adherence to timing AOR = 1.0; 95% CI: 0.5-1.9 nor spacing AOR = 1.0; 95% CI: 0.6-1.8.

ConclusionModern FP does not promote adherence to timing and spacing of pregnancy among women seeking antenatal services at MNH. Past obstetric experience was key to women’s decisions on spacing. There is need to promote educational messages on timing and spacing of pregnancy for healthy outcomes.

KeywordsFamily planning Pregnancy Childbirth Timing Spacing Tanzania  Download fulltext PDF



Author: Projestine S Muganyizi - Debora Mageta

Source: https://link.springer.com/







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