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Contraceptive choice in an urban clinic in nigeria

Published online by Cambridge University Press:  31 July 2008

O. K. Ogedengbe
Affiliation:
Unit of Reproductive Endocrinology and Fertility Regulation, Department of Obstetrics and Gynaecology, College of Medicine, Lagos, Nigeria
O. F. Giwa-Osagie
Affiliation:
Unit of Reproductive Endocrinology and Fertility Regulation, Department of Obstetrics and Gynaecology, College of Medicine, Lagos, Nigeria
R. Ola
Affiliation:
Unit of Reproductive Endocrinology and Fertility Regulation, Department of Obstetrics and Gynaecology, College of Medicine, Lagos, Nigeria
M. O. Fasan
Affiliation:
Unit of Reproductive Endocrinology and Fertility Regulation, Department of Obstetrics and Gynaecology, College of Medicine, Lagos, Nigeria

Summary

Contraceptive choice in the first 1075 acceptors at an urban clinic in Lagos has been studied. An IUD was the most popular choice followed by the injectable contraceptive and the pill. Interval tubal ligation was chosen by some patients. Acceptors of injectables were older women of high parity and lower educational standard while pill acceptors were of lower parity and higher educational level. The IUD was acceptable to all ages and parities except those with only one child or none.

Loss to follow-up and the wish to plan another pregnancy were the commonest reasons for discontinuing contraception. Medical reasons for discontinuing the IUD were pain, menstrual disorder, accidental pregnancy and expulsion/perforation, and for discontinuing injectables the reasons were menstrual disorder, accidental pregnancy and raised blood pressure.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1987

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References

Chen, P. C. (1984) China's other revolution: findings from the one in 1000 fertility survey. Int. Fam. Plann. Perspect. 10, 48.CrossRefGoogle Scholar
Giwa-Osagie, O. F., Ogunyemi, D., Emuveyan, E. & Akinla, O. (1984) Aetiologic classification and sociomedical characteristics of infertility in 250 couples. Int. J. Fert. 29, 104.Google ScholarPubMed
Giwa-Osagie, O. F., Savage, J. & Newton, J. R. (1978) Norethisterone oenanthate as an injectable contraceptive: use of a modified dose schedule. Br. med. J. 1, 1660.CrossRefGoogle ScholarPubMed
Ladipo, O. A., Nichols, D. J., Paxman, J. M., Delano, G., Kelly, S. E. & Otolorin, E. O. (1983) Sexual Behaviour, Contraceptive Practice and Reproductive Health among the Young Unmarried Population in Ibadan, Nigeria, p. 28. Final report, UCH Ibadan/Family Health International/Pathfinder Fund, Ibadan.Google Scholar
Lee, N. C., Rubin, G. L., Ory, H. W. & Burkman, R. T. (1983) Type of intra-uterine device and the risk of pelvic inflammatory disease. Obstet. Gynaec. 62, 1.Google ScholarPubMed
Nuttall, I. D., Burslem, R. W. & Elstein, M. (1979) Current trends in contraception. Br. med. J. 2, 641.CrossRefGoogle ScholarPubMed
Oyediran, M. A. & Akinyanju, P. A. (1976) A study of socio-economic characteristics of Nigerian acceptors of medroxyprogesterone (Depo-Provera) and its effects on menstrual patterns, haematological and bio-chemical variation. Nig. med. J. 6, 464.Google Scholar
Phillips, J. F. (1978) Continued use of contraception among Philippine family planning acceptors: a multivariate analysis. Stud. Fam. Plann. 9, 182.CrossRefGoogle ScholarPubMed
Stycos, J. M. (1984) Sterilization in Latin America: its past and its future. Int. Fam. Plann. Perspect. 10, 58.CrossRefGoogle Scholar
Svensson, L., Westrom, L. & Mardh, P. A. (1984) Contraceptives and acute salpingitis. J. Am. med. Ass. 251, 2553.CrossRefGoogle ScholarPubMed
Wilson, E. (1976) Use of long-acting depo-progestogen in domiciliary family planning. Br. med. J. 2, 1435.CrossRefGoogle Scholar
World Fertility Survey (1984) The Nigeria Fertility Survey, 1981. Principal Report, Vol. 1. World Fertility Survey/International Statistical Institute, London.Google Scholar