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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Women's sexual health and contraceptive needs after a severe obstetric complication ("near-miss"): A cohort study in Burkina Faso
Reproductive Health, Volume 7, No. 1, Article 22, Year 2010
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Description
Background: Little is known about the reproductive health of women who survive obstetric complications in poor countries. Our aim was to determine how severe obstetric complications in Burkina Faso affect reproductive events in the first year postpartum. Methods: Data were collected from a prospective cohort of women who either experienced life threatening (near-miss) pregnancy-related complications or an uncomplicated childbirth, followed from the end of pregnancy to one year postpartum or post-abortum. Documented outcomes include menses resumption, sexual activity resumption, dyspareunia, uptake of contraceptives, unmet needs for contraception and women's reproductive intentions. Participants were recruited in seven hospitals between December 2004 and March 2005 in six towns in Burkina Faso. Results: Reproductive events were associated with pregnancy outcome. The frequency of contraceptive use was low in all groups and the method used varied according to the presence or not of a live baby. The proportion with unmet need for contraception was high and varied according to the time since end of pregnancy. Desire for another pregnancy was highest among near-miss women with perinatal death or natural abortion. Women in the near-miss group with induced abortion, perinatal death and natural abortion had significantly higher odds of subsequent pregnancy. Unintended pregnancies were observed mainly in women in the near-miss group with live birth and the uncomplicated delivery group. Conclusions: Considering the potential deleterious impact (on health and socio-economic life) of new pregnancies in near-miss women, it is important to ensure family planning coverage includes those who survive a severe complication. © 2010 Ganaba et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Ganaba, Rasmané
Unknown Affiliation
Marshall, Thomas Fde C.
Unknown Affiliation
Sombié, Issiaka
Unknown Affiliation
Baggaley, Rebecca F.
Unknown Affiliation
Ouedraogo, T. W.
Unknown Affiliation
Filippi, Véronique G.A.
Unknown Affiliation
Statistics
Citations: 34
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1186/1742-4755-7-22
e-ISSN:
17424755
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Burkina Faso
Participants Gender
Female