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Resumption of intercourse after childbirth in southwest Nigeria

Resumption of intercourse after childbirth in southwest Nigeria
Resumption of intercourse after childbirth in southwest Nigeria
OBJECTIVE:

To determine the history of resumption of intercourse after childbirth and associated contraceptive practices among women in the southwest region of Nigeria.
METHODS:

A cohort of 181 women with live births was followed up for 6 months after delivery. Enquiry about the time of first intercourse after childbirth, associated dyspareunia, use of contraception, etc was made during the postnatal clinic visits and/or by telephone contact.
RESULTS:

Fifty (27.6%) had coitus within six weeks of childbirth, it increased to 115 (63.3%) at three months and 127 (70.2%) by six months post-delivery. Prevalence of dyspareunia was 36.2%. Eighty three (65.4%) of sexually active women practiced contraception which was predominantly use of male condom and withdrawal method. Co-habitation with husband (adjusted OR: 6.30; 95% CI: 2.56-17.01; p = 0.001) and mode of delivery (adjusted OR: 2.45; 95% CI: 1.30-4.73; p = 0.006) were strong predictors of commencement of sexual intercourse within six months postpartum. Significantly fewer women who had Caesarean section resumed coitus within six months when compared with those who had vaginal deliveries (59.2% versus 78.4%). Perineal injury did not predict resumption of coitus or experience of dyspareunia.
CONCLUSION:

In contrast to the norm, more women in southwest Nigeria are resuming coitus soon after childbirth. It is imperative to scale up counselling on postpartum sexuality and contraception within the maternal health services in this region.
Childbirth, Postpartum, Intercourse, Contraception, Southwest Nigeria
1362-5187
241-248
Adanikin, Abiodun, Idowu
7c475e5b-223b-4d26-9b60-85b32af15727
Awoleke, Jacob O.
8d76978d-589c-4011-baf0-b3d4102ea299
Adeyiolu, Adewale
467698b0-dbe7-44f5-a793-4788f34a300a
Alao, Omolola
7bb6b36f-2aaa-4658-beaf-7c3527eae4ef
Adanikin, Pipeloluwa O.
e911d0f8-5cb6-4f88-8171-c2ed88717a40
Adanikin, Abiodun, Idowu
7c475e5b-223b-4d26-9b60-85b32af15727
Awoleke, Jacob O.
8d76978d-589c-4011-baf0-b3d4102ea299
Adeyiolu, Adewale
467698b0-dbe7-44f5-a793-4788f34a300a
Alao, Omolola
7bb6b36f-2aaa-4658-beaf-7c3527eae4ef
Adanikin, Pipeloluwa O.
e911d0f8-5cb6-4f88-8171-c2ed88717a40

Adanikin, Abiodun, Idowu, Awoleke, Jacob O., Adeyiolu, Adewale, Alao, Omolola and Adanikin, Pipeloluwa O. (2015) Resumption of intercourse after childbirth in southwest Nigeria. The European Journal of Contraception & Reproductive Health Care, 20 (4), 241-248. (doi:10.3109/13625187.2014.971742).

Record type: Article

Abstract

OBJECTIVE:

To determine the history of resumption of intercourse after childbirth and associated contraceptive practices among women in the southwest region of Nigeria.
METHODS:

A cohort of 181 women with live births was followed up for 6 months after delivery. Enquiry about the time of first intercourse after childbirth, associated dyspareunia, use of contraception, etc was made during the postnatal clinic visits and/or by telephone contact.
RESULTS:

Fifty (27.6%) had coitus within six weeks of childbirth, it increased to 115 (63.3%) at three months and 127 (70.2%) by six months post-delivery. Prevalence of dyspareunia was 36.2%. Eighty three (65.4%) of sexually active women practiced contraception which was predominantly use of male condom and withdrawal method. Co-habitation with husband (adjusted OR: 6.30; 95% CI: 2.56-17.01; p = 0.001) and mode of delivery (adjusted OR: 2.45; 95% CI: 1.30-4.73; p = 0.006) were strong predictors of commencement of sexual intercourse within six months postpartum. Significantly fewer women who had Caesarean section resumed coitus within six months when compared with those who had vaginal deliveries (59.2% versus 78.4%). Perineal injury did not predict resumption of coitus or experience of dyspareunia.
CONCLUSION:

In contrast to the norm, more women in southwest Nigeria are resuming coitus soon after childbirth. It is imperative to scale up counselling on postpartum sexuality and contraception within the maternal health services in this region.

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More information

e-pub ahead of print date: 5 November 2014
Published date: 2015
Keywords: Childbirth, Postpartum, Intercourse, Contraception, Southwest Nigeria
Organisations: Social Statistics & Demography

Identifiers

Local EPrints ID: 396643
URI: http://eprints.soton.ac.uk/id/eprint/396643
ISSN: 1362-5187
PURE UUID: 2a79f059-ddca-46ef-bf7b-b35b6157f700

Catalogue record

Date deposited: 09 Jun 2016 13:01
Last modified: 15 Jul 2019 20:22

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