The Prevalence of Postpartum Contraception Use among Teenage Mothers at Vajira Hospital, Thailand

Name: Chaniporn Nawarat

Organization : Department of Pediatrics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University

keyword: contraception use

; determinants

; postpartum

; teenage mother

; Thailand

Abstract: OBJECTIVES: To determine the prevalence of postpartum contraception use among teenage mothers and to identify the factors influencing both postpartum contraception use and loss to postpartum follow-up at the Faculty of Medicine Vajira Hospital in Thailand. METHODS: Four hundred and seventy-five participants were randomly selected from 1,060 Thai teenage pregnant that gave birth at the Faculty of Medicine Vajira Hospital between 1 January 2017 and 31 December 2020 and were scheduled postpartum visits. The clinical factors associated with postpartum contraception use and loss to postpartum follow-up were studied using multiple logistic regressionanalysis. RESULTS: A total of 451 participants remained after excluding criteria. Of these, 212 participants did not follow-up on their postpartum visits, leaving the limitation to summarize the true prevalence of postpartum contraception use of the total population. However, of the 232 participants who visited postpartum follow-ups, the prevalence of contraceptive use was 95.8%. Married status was the only factor associated with higher postpartum contraceptive use (odds ratio (OR) 12.81 [3.38-48.64]). Age 18 years and older (ORadj1.71 [1.16-2.53]), absence of previous contraceptive use (ORadj1.91 [1.29-2.80]), and total antenatal care visits fewer than 8 (ORadj 1.61 [1.07-2.42]) were significantly related with loss to postpartum follow-ups. CONCLUSION: The prevalence of contraceptive use was high among teenage mothers who had follow-up postpartum visits. However, this population also had a high loss rate of postpartum visits. Interventions and close monitoring should be considered to evaluated further for effective adolescent reproductive services.

ห้องสมุดมหาวิทยาลัยนวมินทราธิราช

Address: กรุงเทพมหานคร

Email: nmu_library@nmu.ac.th

Name: Leelarapin Chongwatanasawat

Role: Navamindradhiraj University

Created: 2024

Modified: 2567-12-13

Issued: 2567-12-13

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BibliograpyCitation : Vajira Med J 2024; 68(4) Oct- Dec

Vajira Medical Journal: Journal of Urban Medicine (Vajira Med J)

tha

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