Unmet need for contraception and associated factors among woman having cardiovascular disease in saint Paul hospital millennium medical collage Addis Ababa, Ethiopia

Abstract

<p><a rel="nofollow"></a><strong>Background:</strong> Cardiovascular illness complicates 1-4% of pregnancy. Cardiovascular disease during pregnancy is challenging for care and carries high morbidity and mortality than uncomplicated pregnancy. Preconception care is important among cardiac patients to prevent complications; however unintended pregnancy is still high among patients with chronic medical follow up including cardiovascular ill patients.<strong> </strong>This research aimed to investigate the magnitude of unmet need and contributing factors.</p> <p><a rel="nofollow"></a><strong>METHODS:</strong> A facility based cross sectional study was conducted through an exit interview of 284 reproductive age women with cardiovascular disease enrolled in chronic care and treatment at Saint Paul hospital medical millennium collage using convenient sampling technique. Structured and pretested questionnaire was used to obtain information from the respondents from February 1/2020 – May 30/2010. Descriptive, bivariate, and multivariate methods was used to analyze the level of unmet need and its contributing factors.</p> <p><a rel="nofollow"></a><strong>RESULTS</strong><strong>: </strong>The overall unmet need for contraception was 36 %. The most common reasons<br>for non-use were related to perceived low risk of pregnancy and fear for drug side effect and interaction. <a rel="nofollow"></a>Unmet need for contraception was found to be more likely among women never used contraception before (AOR= 3.2, CI 1.12-8.92), no partner support on contraception use (AOR=6.2, CI: 1.91-19.8) and never counseled on contraceptive use during chronic care (AOR 6.7, CI 1.83-24.7). However, frequent counseling shows less likelihood of unmet need (AOR =0.56, CI: 0.2-1.59) and women having collaborative decision with the husband on contraception use had less likelihood of unmet need (AOR=0.19, CI 0.07-0.55).</p> <strong>CONCLUSION AND RECOMMENDATIONS</strong>: Unmet need for contraception is high in this high risk population group. Therefore, appropriate preconception counseling to correct misconceptions and addressing the barriers to contraceptive use should be strengthened. Integration of family planning and other reproductive services with the chronic clinic can potentially decrease unmet need of contraception.