Professional Documents
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(2MRS)
CHAPTER ONE
INTRODUCTION
The use of contraceptive to delay conception after a recent birth is said to be the best practice
for lactating mothers. This is so because short-inter pregnancy intervals can lead to negative
complications such as maternal anaemia, low birth weight and neonatal/infant mortality
According to report by Reeves (2011), contraceptive use is known to be safe and effective even
during early stages after delivery, but its use in Kenya remains as low as 1.3% and its use by
lactating mothers is almost negligible. Pandey (2011) also states that the acceptance of
contraceptives within a society, class and religious group varies. Ndugwa, Cleland, Madise,
Fotso, Zulu (2011) revealed that after delivery a lactating mother confronts a lot of challenges
relations. The uptake of contraceptive among lactating mothers remains abysmally low in sub-
Saharan Africa and little knowledge is known about how pregnant women arrive at their decision
to adopt its use (Eliason, Baiden, Quansah-Asare, Graham-Hayfron, Bonsu, Phillips, 2013).
Asamoah (2015) revealed that the use of contraceptives improves the status of women, reduces
pregnancy-related complication that leads to prevention of loss of human resources and revenue
to the country.
The changes after delivery poses difficulty situations for most women, such as care for a newly
born child or children as well as coping with cultural, emotional and physical change, various
studies have also revealed that women especially suffer from postpartum stress and depression
According to Depineres, Blumenthal and Diener-West (2005) during this period woman
especially women who just had their first delivery are presented with a rising risk of unwanted
conception and often frustrated desire for contraceptive protection. The study therefore seeks to
explore the factors that influence contraceptive uptake among lactating mothers.
Problem Statement
According to Rao and Mathada (2015) many of the nursing mothers who prefer to delay next
Even though the delay conception after a recent birth is known to be the best practice for
lactating mothers short inter pregnancy outcome it can lead to negative complications such as
maternal anaemia, low birth weight and neonatal/infant mortality (Cleland, Conde-Agudelo,
Peterson, Ross, Tsui, 2012), personal observation shows that traditional beliefs, religious
barriers, misconceptions and the lack of male involvement have weakened the influence of
contraceptive use which is known to assist in birth spacing. The study therefore seeks to explore
General Objective
The main objective of the study is to examine the factors influencing contraceptive uptake
Specific Objective
The following specific objectives will be used to address the main objectives of the study.
i. To assess the prevalence of contraceptive use among lactating mothers at the 2MRS.
ii. To identify who influence the type of family planning methods at the 2MRS.
iii. To identify limitations to the use of contraceptives among lactating mothers at the
2MRS.
Research questions
2MRS?
ii. Who influences the type of family planning method at the 2MRS?
iii. What are the limitations to the use of contraceptives among lactating mothers at the
2MRS?
The study aims to explore the factors of contraceptive uptake among lactating mothers. The
results of the study are expected to be beneficial to nurses and health professional in general on
how to educate lactating women on the uptake of contraceptives. The results of the study will
also be beneficial to health institutions in Ghana and Africa as a whole on the factors influencing
contraceptives uptake among lactating mothers. Moreover, the study will serve as a source of
reference for students and researchers who wish to conduct further studies on this topic.
The study is structured under five chapters. Chapter two presents a review of literature in relation
to the topic, chapter three also presents the various methods adopted to help achieve the objective
of the study. Chapter four presents the result as well as a discussion of the findings made by the
study. Finally, chapter five presents a summary of the study, conclusion and recommendation
http://csis.org/publication/scaling-prevention-mother-child-transmission-hiv
Pandey SM. (2011) Correlates of modern contraception practices among married couples in rural
42(3):274- 77.
Ndugwa RP, Cleland J, Madise NJ, Fotso J-C, Zulu EM. (2011) Menstrual pattern, sexual
Asamoah N (2015) Determinants of postpartum family planning uptake among women in the Kumasi
Technology.
Depineres, T., Blumenthal, P.D and Diener-West, M. (2005). Postpartum contraception: The
422-425.
Rao, B.S & Mathada V.D (2015). Awareness and determinants of contraceptive use among