Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai
Background: Rural-to-urban migrant women in Shanghai have poor reproductive health; the incidence of postpartum unintended pregnancy and contraceptive practices has not been adequately studied in this population. Study Design: This retrospective study examined the incidence of postpartum unintended pregnancy and associated factors among migrant women and included a medical records reviews, telephone interviews and in-depth face-to-face interviews. Results: The incidence of unintended pregnancy during the first and second years postpartum was 12.8 and 12.9 per 100 women-years, respectively. Eighty-six percent resulted from nonuse of contraception, and 88% ended in induced abortions. Median times of sexual activity resumption and contraception initiation were 2 months and 7.5 months postpartum, respectively. Approximately 17% of women did not adopt effective contraceptive methods until undergoing induced abortion. Conclusions: Concentrated efforts, including contraception counseling prior to discharge and early postpartum visits, are required to increase early use of effective contraception among rural-to-urban migrant women in Shanghai and to reduce their high level of postpartum unintended pregnancy.
Huang, Yong-mei, Ruth Merkatz, Jian-Zhong Kang, Kevin Roberts, Xiao-Yu Hu, Francis Di Donato, Régine Sitruk-Ware, and Li-nan Cheng. 2012. "Postpartum unintended pregnancy and contraception practice among rural-to-urban migrant women in Shanghai," Contraception 86(6): 731–738.