Uptake of contraception during postpartum amenorrhoea : Understandings and preferences of poor, urban women in Bangladesh.
In urban Bangladesh, as in many other settings, an immediate postpartum family planning strategy prevails, where providers seek to promote and provide contraception at 40-45 days following birth to women regardless of their breastfeeding or menstrual status.
Despite such practices, the majority of women choose to delay the initiation of contraception until menses resumes, often several months after birth.
The present paper seeks to explain this discrepancy by describing poor, urban women's understandings regarding the chances of conception and the risks associated with contraceptive use in the postpartum period.
Findings from in-depth interviews reveal that the majority of women perceive no personal risk of pregnancy during amenorrhoea, though most do not recognise an association between this diminished risk of conception and breastfeeding.
In addition. the data illustrate that women are primarily concerned with their own and their newly born child's health and well-being in the period following childbirth, both of which are perceived to be extremely vulnerable.
These perceptions, plus an understanding that modern methods of contraception are « strong » and potentially damaging to the health, mean that the majority of women are reluctant to adopt family planning methods soon after birth. particularly during postpartum amenorrhoea.
The paper advocates that. since breastfeeding affords good protection against pregnancy for six to nine months following birth. (...)
Mots-clés Pascal : Aménorrhée, Postpartum, Contraceptif, Utilisation, Lactation, Planning familial, Mère, Homme, Femelle, Milieu urbain, Bengla Desh, Asie, Attitude, Préférence, Comportement, Appareil génital femelle pathologie, Cycle menstruel pathologie
Mots-clés Pascal anglais : Amenorrhea, Puerperium, Contraceptive, Use, Lactation, Family planning, Mother, Human, Female, Urban environment, Bangladesh, Asia, Attitude, Preference, Behavior, Female genital diseases, Menstruation disorders
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0407362
Code Inist : 002B20A01. Création : 25/01/1999.