Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-26T14:04:06.648Z Has data issue: false hasContentIssue false

Continuation of contraception following menstrual regulation–a Bangladesh experience

Published online by Cambridge University Press:  31 July 2008

Halida H. Akhter
Affiliation:
Family Planning Evaluation Division, Center for Health Promotion and Education, Centers for Disease Control, Atlanta
Rowland V. Rider
Affiliation:
Department of Population Dynamics, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, USA

Summary

The study compares the 3 years of birth control practice of 1172 women who underwent early menstrual regulation (MR) and 499 others who accepted contraceptives only (nonMR) from an urban clinic in Bangladesh. About 60% of the women in the sample were followed-up, and their all-method continuation rate was analysed by life table technique. The 3-year overall continuation rate in the MR group (64%) did not differ from that of the nonMR group (62%). In the age groups 25 and over, the continuation rate was higher in the MR group. Among the women who did not desire any more children, the continuation rate in the MR group was significantly higher than that of the nonMR group (80% versus 68%, P< 0·05). Of women with parity greater than two, the MR group had significantly higher continuation rates than the nonMR group. The MR group had higher extended use-effectiveness for IUDs, conventional contraceptives (condom and foam), injectables, and oral contraceptives than the nonMR group. These findings indicated effective contraceptive practice following MR for this urban population. Easy availability of a multimethod service after MR seemed to be important in promoting effective contraception.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1984

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Akhter, H.H. & Rider, R.V. (1983) Characteristics of clients choosing menstrual regulation vs. contraception. Stud. Fam. Plann. in press.CrossRefGoogle Scholar
Bhatia, S. & Ruzicka, L.T. (1980) Menstrual regulation clients in a village-based family planning program. J. biosoc Sci. 12, 31.CrossRefGoogle Scholar
Hall, R.F. (1973) Continuation and pregnancy rates with four contraceptive methods. Am. J. Obstet. Gynec. 116, 671.CrossRefGoogle ScholarPubMed
Laing, J.E. (1974) Differentials in contraceptive use effectiveness in Philippines. Stud. Fam. Plann. 5, 202.Google Scholar
Lewit, S. & Tietze, C. (1968) Statistical evaluation of contraceptive methods, use-effectiveness and extended use-effectiveness. Demography, 5, 931.Google Scholar
Measham, A.R., Obaidullah, M., Rosenberg, M.J., Rochat, W.R., Khan, A.R. et al. (1981) Complications from induced abortion in Bangladesh related to types of practitioner and methods, and impact on mortality. Lancet, 1, 199.CrossRefGoogle ScholarPubMed
Potter, R.G. (1963) Additional measures of use effectiveness of contraception. Milbank Meml Fund Q. Bull. 41, 400Google Scholar
Potter, R.G. (1966) Application of life table technique to measurement of contraceptive effectiveness. Demography, 3, 297.CrossRefGoogle ScholarPubMed
Potter, R.G. (1969) The multiple decrement life table as an demographic effectiveness and of contraception. In: Handbook of Service Statistics in Family Planning Programs, p. 124. Edited by Ross, T. A., Stephan, F. F. and Watson, W. B.. Population Council, New York.Google Scholar
Potts, M., Diggory, P. & Peel, J. (1977) Abortion. Cambridge University Press, Cambridge.Google Scholar
Romm, F., Armstrong, P.S. & Prior, A.P. (1975) A comparison of program and contraceptive use continuation rates in a family planning clinic. Am. J. publ. Hlth, 65, 693.Google Scholar
Sinquefield, J.C. (1973) Single and Multiple Decrement Life Table Procedures for the Analysis of the Use-Effectiveness of Contraception, p. 71. Community and Family Study Center. University of Chicago.Google Scholar
Tietze, C. (1973) Two years experience with a liberal abortion law: its impact on fertility trends in New York City. Fam. Plann. Perspect. 5, 36.Google Scholar
Tietze, C. & Lewit, S. (1973) Recommended procedures for the statistics evaluation of intrauterine contraception. Stud. Fam. Plann. 4, 35.Google Scholar
Vander, Tak J. (1974) Abortion, Fertility, and Changing Legislation: an International Review, p. 2. Lexington Books, New York.Google Scholar