Fertility regulation among women of reproductive age in Ibadan, south-west Nigeria: contraception, abortion or both

Niger Postgrad Med J. 2012 Mar;19(1):25-9.

Abstract

Objectives: To assess the role of contraception and abortion in fertility regulation amongst Southwestern Nigerian women.

Subjects and methods: A survey was conducted through a self- administered questionnaire to women of reproductive age group attending gynecology clinic. Multinominal logistic regression was done to analyze the independent effects of social and demographic variables on the odds that women would adopt any fertility regulation methods instead of doing nothing.

Results: Only 13% of surveyed women were using modern contraception. About 42.2% of women had had induced abortion, 15% of them neither use contraception nor abortion. Fifteen per cent of women surveyed used both contraception and abortion for fertility control. Muslims women had lower odds than Christians to use any of three fertility regulation methods instead of doing nothing. Unmarried and high levels of educational attainment were associated with significant odds of adopting each of three fertility regulation methods (Odd ratios; 1.38 - 35.5).

Conclusions: There is a need for better fertility regulation. High dependency on abortion especially among the young, unmarried and high level educational status should be discouraged. Government and non-governmental agencies should assist in making modern contraceptives widely available with adequate rural coverage.

Publication types

  • Multicenter Study

MeSH terms

  • Abortion, Induced / statistics & numerical data*
  • Adult
  • Christianity*
  • Contraception / methods
  • Contraception / statistics & numerical data*
  • Contraception Behavior / statistics & numerical data*
  • Contraceptive Agents, Female / supply & distribution
  • Contraceptive Agents, Female / therapeutic use
  • Contraceptive Devices / statistics & numerical data
  • Contraceptive Devices / supply & distribution
  • Contraceptive Devices, Female / statistics & numerical data
  • Contraceptive Devices, Female / supply & distribution
  • Family Planning Services / supply & distribution
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Islam*
  • Marital Status / statistics & numerical data
  • Multivariate Analysis
  • Nigeria
  • Pregnancy
  • Sterilization, Reproductive / statistics & numerical data
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Contraceptive Agents, Female