Omrana Pasha|Shivaprasad S. Goudar|Archana Patel|Ana Garcés|Fabian Esamai|Elwyn Chomba|Janet Moore|Bhala Kodkany|Sarah Saleem|Richard J. Derman|Edward A. Liechty|Patricia L. Hibberd|K. Michael Hambidge|Nancy F. Krebs|Waldemar A. Carlo|Elizabeth M. McClure|Marion Koso?Thomas|Robert L. Goldenberg
Postpartum contraceptive use and unmet need for family planning in five low-income countries
Aga Khan University|Jawaharlal Nehru Medical College|KLE University|Lata Medical Research Foundation|Moi University|University of Zambia|Statistical and Applied Mathematical Sciences Institute|RTI International|Jawaharlal Nehru Medical College|KLE University|Aga Khan University|Christiana Care Health System|Indiana University – Purdue University Indianapolis|Boston Children's Hospital|Massachusetts General Hospital|University of Colorado Health|University of Colorado Health|University of Alabama at Birmingham|Christiana Care Health System|Eunice Kennedy Shriver National Institute of Child Health and Human Development|Columbia University
postpartum period women wish delay prevent future pregnancies despite unmet need family planning year delivery higher time study aims assess fertility intention contraceptive usage unmet need family planning amongst women six weeks postpartum well identify greatest risk unmet need family planning period using nichd global network womens childrens health researchs multisite prospective ongoing active surveillance system track pregnancies births 100 rural geographic clusters 5 countries india pakistan zambia kenya guatemala assessed fertility intention contraceptive usage day 42 postpartum gathered data 36687 women postpartum period less 5 women wished another pregnancy within year despite rates modern contraceptive usage varied widely unmet need ranged 25 96 even amongst users modern contraceptives uptake effective longacting reversible contraceptives intrauterine devices low women age less 20 years parity two less limited education deliver home highest risk unmet need six weeks postpartum almost women wish delay prevent future pregnancy even sites early contraceptive adoption common substantial unmet need family planning consistently highest amongst women age 20 years interventions aimed increasing adoption effective contraceptive methods urgently needed majority sites order reduce unmet need improve maternal infant outcomes especially amongst young women clinicaltrialsgov id nct01073475