Adoption of contraception following a pregnancy loss in India

Int J Gynaecol Obstet. 2024 Jan 8. doi: 10.1002/ijgo.15341. Online ahead of print.

Abstract

Objective: The present study was carried out to describe contraceptive adoption following pregnancy terminations that resulted in outcomes other than live birth.

Method: Retrospective calendar data on 31486 women who had experienced a pregnancy loss within the last 60 months prior to the survey date were drawn from a nationally representative dataset. Logistic regression was employed to model the associated factors with contraceptive uptake.

Results: Overall, 57.8% reported not adopting any method following the end of the recent pregnancy. There was a significant association between the choice of contraceptive method and timing of adoption. Women with living children were significantly more likely to adopt contraception as compared to women without any child.

Conclusion: Contraceptive uptake following a non-live birth is considerably low in India. Interventions in reproductive health should focus on provision of different contraceptive methods and counseling emphasizing on effectiveness and correct use of the methods at the end of any pregnancy.

Keywords: India; NFHS; abortion; contraception; miscarriage; non-live birth; pregnancy loss.