Contaceptive use spacing after childbirth with contraception failure: IDHS 2012 analysis

Contraceptive use after childbirth and contraception failure: an analysis of Indonesia Demographic Health Survey 2012PurposeThis research aimed to evaluate the use of contraception after childbirth with contraception failure. MethodsThis research was an observational study using IDHS 2012 with a retrospective cohort design. Married women who got pregnant while using contraceptives were the unit of analysis. Statistical analysis used survival analysis with stratified Cox Regression methods.ResultsAnalysis showed a higher failure rate in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia was higher by 10 times the global failure rate. Women who had used contraceptive for 33-48 weeks and >48 weeks after childbirth had higher risk of pregnancy with contraceptive failure (respectively HR=1.25; 95% CI: 0.63-2.47 and 1.91; 95% CI: 1-3.67), respectively. Other factors influencing the contraceptive failure were age and met or unmet needs.ConclusionContraceptive use after childbirth is associated with contraceptive failure among woman of childbearing age in Indonesia. Providers of contraceptive implants may introduce additional variations of implantable contraceptives in Indonesia and are supported by qualified health personnel.PurposeThe purpose of this study was to examine the effect of spacing use of contraception after childbirth with contraception failure. MethodAn observational study was conducted using IDHS 2012 with retrospective cohort design. Women of childbearing age who never married were currently using contraception as a unit analysis. The group the analyzed by a spacing use contraception after childbirth. ResultsThe study found higher failure in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia has higher than 10 times the global failure rate. Women has use contraceptive 33-48 weeks and >48 weeks after childbirth to higher risk of preganancy with contraceptive failure (respectively HR=1,25; 95%CI=0,63-2,47 dan 1,91; 95%CI=1-3,67). Another factor influencing the failure is aged and met ned or unmet need.ConclusionThis paper contributes to our understanding of the relationship of contraceptive use spacing after childbirth and contraceptive failure with woman of childbearing age in Indonesia. Appropriate education, counseling and appeals for appropriate use of contraceptives need to be improved to raise awareness and awareness of contraceptive use