Knowledge, Attitudes and Practices Regarding modern Methods of Postpartum Contraception among Postnatal Mothers

Abstract

Introduction: Improving postpartum contraceptive use is an important programmatic strategy to improve the health and well-being of women, newborns and children in a country. The aim of this study was to assess the knowledge, attitudes and practices regarding postpartum contraception among postnatal mothers.

Methods: A cross sectional study on 300 postnatal mothers was carried at Teaching Hospital Mahamodara (THM) Galle. Multiparous mothers were recruited using convenient sampling method. Data collection was done using a validated, self-administered structured questionnaire after obtaining informed consent. Questionnaire was designed to assess on knowledge, attitudes and practices of postpartum contraception.

Results: Level of knowledge regarding postpartum contraception was above average in 15.8% of mothers and below average in 46.6% of them. The majority of them were aware regarding Combined Oral Contraceptives Pills (COCP). Almost 60% of women of Islamic and Hindu religions believed that contraception is not accepted by their religion. Among postnatal mothers, 70.2% had previous practices of postpartum contraception and the commonest method used was COCP. Approximately 76% of mothers gained information regarding postpartum family planning from Public Health Midwives (PHM).

Conclusions: Knowledge on post-partum contraception in general was inadequate. The attitudes and practices on postpartum contraception were influenced by their religion. Short acting contraceptives were popular method of contraception among postnatal mothers. The major information provider was PHM.