Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.
| DOI | 10.11648/j.cmr.20170603.16 |
| Published in | Clinical Medicine Research (Volume 6, Issue 3, May 2017) |
| Page(s) | 92-98 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Grandmultiparity, Reasons, high Parity, Contraception uptake, unmet Need
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APA Style
Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. (2017). Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clinical Medicine Research, 6(3), 92-98. https://doi.org/10.11648/j.cmr.20170603.16
ACS Style
Ikeanyi Eugene Maduabuchukwu; Ibrahim Isa Ayuba. Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clin. Med. Res. 2017, 6(3), 92-98. doi: 10.11648/j.cmr.20170603.16
AMA Style
Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clin Med Res. 2017;6(3):92-98. doi: 10.11648/j.cmr.20170603.16
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Download@article{10.11648/j.cmr.20170603.16,
author = {Ikeanyi Eugene Maduabuchukwu and Ibrahim Isa Ayuba},
title = {Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria},
journal = {Clinical Medicine Research},
volume = {6},
number = {3},
pages = {92-98},
doi = {10.11648/j.cmr.20170603.16},
url = {https://doi.org/10.11648/j.cmr.20170603.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20170603.16},
abstract = {Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.},
year = {2017}
}
TY - JOUR T1 - Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria AU - Ikeanyi Eugene Maduabuchukwu AU - Ibrahim Isa Ayuba Y1 - 2017/04/27 PY - 2017 N1 - https://doi.org/10.11648/j.cmr.20170603.16 DO - 10.11648/j.cmr.20170603.16 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 92 EP - 98 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20170603.16 AB - Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population. VL - 6 IS - 3 ER -
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