Contraception
Volume 86, Issue 6, 2012, Pages 731-738

Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai (Article)

Huang Y.-M. , Merkatz R. , Kang J.-Z. , Roberts K. , Hu X.-Y. , Di Donato F. , Sitruk-Ware R. , Cheng L.-N.*
  • a Center for Biomedical Research, Population Council, Rockefeller University, 1230 York Avenue, New York, NY 10065, United States
  • b Center for Biomedical Research, Population Council, Rockefeller University, 1230 York Avenue, New York, NY 10065, United States
  • c International Peace Maternal and Child Health Hospital, Affiliated to Medical College, Shanghai Jiao Tong University, Shanghai 200030, China
  • d Center for Biomedical Research, Population Council, Rockefeller University, 1230 York Avenue, New York, NY 10065, United States
  • e Shanghai Institute of Family Planning Technical Instruction, Shanghai 200030, China
  • f Center for Biomedical Research, Population Council, Rockefeller University, 1230 York Avenue, New York, NY 10065, United States
  • g Center for Biomedical Research, Population Council, Rockefeller University, 1230 York Avenue, New York, NY 10065, United States
  • h Shanghai Institute of Planned Parenthood Research, Shanghai 200032, China

Abstract

Background: Rural-to-urban migrant women in Shanghai have poor reproductive health; the incidence of postpartum unintended pregnancy and contraceptive practices has not been adequately studied in this population. Study Design: This retrospective study examined the incidence of postpartum unintended pregnancy and associated factors among migrant women and included a medical records reviews, telephone interviews and in-depth face-to-face interviews. Results: The incidence of unintended pregnancy during the first and second years postpartum was 12.8 and 12.9 per 100 women-years, respectively. Eighty-six percent resulted from nonuse of contraception, and 88% ended in induced abortions. Median times of sexual activity resumption and contraception initiation were 2 months and 7.5 months postpartum, respectively. Approximately 17% of women did not adopt effective contraceptive methods until undergoing induced abortion. Conclusions: Concentrated efforts, including contraception counseling prior to discharge and early postpartum visits, are required to increase early use of effective contraception among rural-to-urban migrant women in Shanghai and to reduce their high level of postpartum unintended pregnancy. © 2012 Elsevier Inc.

Author Keywords

Postpartum period China Migrants Contraception Unintended pregnancy

Index Keywords

urban population induced abortion China immigrant sexual behavior oral contraceptive agent human condom rural population unplanned pregnancy oral contraception patient counseling female sterilization female spermicidal agent Review Contraception Incidence adult retrospective study intrauterine contraceptive device puerperium
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84869084619&doi=10.1016%2fj.contraception.2012.05.007&partnerID=40&md5=20216f2f5108f423276dabdd7d999b9a
DOI: 10.1016/j.contraception.2012.05.007
ISSN: 00107824
Cited by: 12
Original Language: English