Return of Menstruation and Perceived Risk of Pregnancy among Exclusive Breastfeeding Women in South West Nigeria: Implications for Timely Introduction of Active Contraception

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DOI: 10.21522/TIJMD.2013.SE.19.02.Art001

Authors : Ernest Orji, Kolade Afolabi, K. A., Oluwabukunmi Afolabi, A. O. Ayotunde Titilayo, Omotade Ijarotimi

Abstract:

This study was conducted among 500 exclusively breast-feeding women in Ife Central Local Government Area, Osun State, Nigeria. The objectives of the study are to assess the pattern of resumption of menstruation, identify the determinants of variations in the resumption of menstruation and determine the proportion of women at risk of pregnancy. Quantitative data was collected using semi- structured interviewer administered questionnaire. Data entry and analysis was done using SPSS (version 20). Univariate, bivariate and multivariate analyses done. Chi-Square were used where appropriate. P value was set at < 0.05 Four sessions of Focus Group Discussion were held. Results showed that 50 % were sexually active 125 (25%) were using Modern Contraceptive which included Condom (75); IUCD (25); Injectables (25); Implanon (10). Majority relied on Lactational amenorrhea method 375 (75%). Unplanned Pregnancy occurred among those 4 women not on contraception. Three-quarter of the primiparous women breastfed their babies every 2-3 hours day and night. Majority of multiparous women breast feed mostly on demand. Only increasing age and parity is positively associated with early resumption of menses. In conclusion increasing age and increasing parity increases risks of early menstrual resumption.

Keywords: menstrual resumption, pregnancy risk.

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