Uzma Shahzadi.
Frequency of Barriers for Non-Using of Contraception in Multigravida Women Attending a Tertiary Care Hospital.
Pak J Med Health Sci Jan ;7(4):1154-6.

Aims: To determine the frequency of barriers for non use of contraception in multigravidas attending a tertiary care hospital. Study design: It was cross sectional survey. Duration: The study was conducted from May 2013 to November 2013. Settings: Department of Obstetrics and Gynaecology, Lady Aitchison Hospital, Lahore. Methods: A total of 640 multigravidas between 20-40 years coming for delivery of the live baby who have never use any contraception in their lives were included in the study while women having 2 or 1 living kids and those who not willing to participate in the study were excluded. Results: In our study, 242(37.81%) were between 20-30 years and 398(62.19%) were between 31-40 years, mean±sd was calculated as 30.10±4.89 years, and frequency of barriers of contraception reveals 172(26.88%) had fear of side effects, 112(17.5%) had religious constraint, 126(21.25%) had intention to have a baby boy, 47(7.34%) had lack of knowledge of contraception, 436(68.13%) had illiteracy, 19(2.97%) cannot afford the desired method while 67(10.47%) had husband influence. Conclusion: We concluded that active management of third stage of labour is associated with fewer cases of postpartum hemorrhage, lower incidence of prolonged third stage of labour, retained placenta, short duration of postpartum hospitalization with slight increased incidence of maternal side effects.

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