Contraceptive use and associated factors among postpartum women from 0 to 6 months in Trang Bom District, Dong Nai Province, Vietnam

Original Research

Abstract

Introduction: Well-timed contraception after delivery using effective methods protects women from unintended pregnancies and improves the quality of life of both women and their children. However, little attention has been paid on the issue in Vietnam. Therefore, this study aimed to determine the percentage of postpartum women from 0 to 6 months using contraceptive methods and associated factors in Trang Bom District, Dong Nai Province, Vietnam.

Methods: A cross-sectional study was adopted. A systematic random sampling method was used to select 355 postpartum women. Women were interviewed about sociodemographic characteristics, reproductive history, and contraceptive use after giving birth.

Results: Of the 355 women, 63.1% used at least one modern or traditional contraceptive method; 58.9% current use, 4.2% previous use, and 36.9% never use. The most selected methods were withdrawal (41.1%), male condom (28.2%), and calendar method (24.4%). Multivariable analysis showed that women who had their menstruation returned, long postpartum duration, high education level, many years of marriage, and previous caesarean section were more likely to use contraception after birth.

Conclusion: The family planning program in Vietnam should focus more on postpartum women. Postpartum contraception should be consulted at all obstetric health centers before and right after delivery. Emphasis should be placed on the initial times to adopt contraception soon and not waiting until the first menses. Women should be encouraged to use modern contraceptive methods instead of traditional ones.
 

Graphical abstract

Sex-selective abortion in Vietnam during 1999-2009: the first quantitative study at national level

Original Research

Abstract

Introduction: The sex ratio at birth has dramatically increased since 1999 in Vietnam and stood at 112.7 boys per 100 girls in 2017. This figure alarms many female fetuses are aborted for sex-selection but the numerical evidence is unknown. To depict an accurate picture about the sex-selective abortion, we conducted a study to analyze the national data for sex-abortion in Vietnam.

Methods: To estimate the number of sex-selective abortions between 1999 and 2009, the 2009 Census and 1999 Life table of Vietnam were adopted. We calculated the actual number of female and male births for ten years using the reverse survival method. Then the number of sex-selective abortions was the gap between the expected and actual numbers of female births.

Results: There was 217,902 sex-selective abortions, which accounted for 11.8% of all causes of abortion in Vietnam from 1999 to 2009. The number of sex-selective abortions was nearly double from 74,179 in 1999-2004 to 143,723 in 2005-2009, even the national punishments on sex-selective abortion were launched since 2003.

Conclusions: Female fetuses are more likely aborted before birth for sex-selection in Vietnam because of the son preference. In the situation of Vietnam, changing the social norm regarding female values and roles in both family and society is the key solution to end this problem.

Graphical abstract

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