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Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey
BACKGROUND: While grand multiparity is now relatively rare in the developed world it is still common in Sub Saharan Africa. Although significant resources have been committed to providing modern contraceptive methods in the Gambia, the total fertility rate is still high at 5.6. Determining the reaso...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982305/ https://www.ncbi.nlm.nih.gov/pubmed/27514824 http://dx.doi.org/10.1186/s12884-016-1016-7 |
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author | Idoko, Patrick Nkeng, Glenda Anyawu, Matthew |
author_facet | Idoko, Patrick Nkeng, Glenda Anyawu, Matthew |
author_sort | Idoko, Patrick |
collection | PubMed |
description | BACKGROUND: While grand multiparity is now relatively rare in the developed world it is still common in Sub Saharan Africa. Although significant resources have been committed to providing modern contraceptive methods in the Gambia, the total fertility rate is still high at 5.6. Determining the reasons grand multiparous women proffer for the current pregnancy may help in understanding this trend and tailoring appropriate messages to address any specific concerns. METHOD: A cross sectional survey of grand multiparous women was carried out at the Royal Victoria Teaching Hospital (now Edward Francis Small Teaching Hospital) to determine the reasons for the current pregnancy. RESULTS: The prevalence of grand multiparity was 26.5 % while the average parity among the study population was 7.2 (sd 1.8). The most common reasons given for the current pregnancy were: the desire for another child (22.8 %), the pregnancy was unplanned - a “mistake” (18.4 %) and the need to replace a dead child (15.4 %). CONCLUSION: Grand multiparity is still very common in The Gambia. Additional efforts are required to target those with unplanned pregnancies. Improving child survival may also decrease the prevalence of grand multiparity. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12884-016-1016-7) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4982305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49823052016-08-13 Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey Idoko, Patrick Nkeng, Glenda Anyawu, Matthew BMC Pregnancy Childbirth Research Article BACKGROUND: While grand multiparity is now relatively rare in the developed world it is still common in Sub Saharan Africa. Although significant resources have been committed to providing modern contraceptive methods in the Gambia, the total fertility rate is still high at 5.6. Determining the reasons grand multiparous women proffer for the current pregnancy may help in understanding this trend and tailoring appropriate messages to address any specific concerns. METHOD: A cross sectional survey of grand multiparous women was carried out at the Royal Victoria Teaching Hospital (now Edward Francis Small Teaching Hospital) to determine the reasons for the current pregnancy. RESULTS: The prevalence of grand multiparity was 26.5 % while the average parity among the study population was 7.2 (sd 1.8). The most common reasons given for the current pregnancy were: the desire for another child (22.8 %), the pregnancy was unplanned - a “mistake” (18.4 %) and the need to replace a dead child (15.4 %). CONCLUSION: Grand multiparity is still very common in The Gambia. Additional efforts are required to target those with unplanned pregnancies. Improving child survival may also decrease the prevalence of grand multiparity. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12884-016-1016-7) contains supplementary material, which is available to authorized users. BioMed Central 2016-08-11 /pmc/articles/PMC4982305/ /pubmed/27514824 http://dx.doi.org/10.1186/s12884-016-1016-7 Text en © The Author(s). 2016 Open AccessThis article is 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, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Idoko, Patrick Nkeng, Glenda Anyawu, Matthew Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey |
title | Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey |
title_full | Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey |
title_fullStr | Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey |
title_full_unstemmed | Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey |
title_short | Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey |
title_sort | reasons for current pregnancy amongst grand multiparous gambian women - a cross sectional survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982305/ https://www.ncbi.nlm.nih.gov/pubmed/27514824 http://dx.doi.org/10.1186/s12884-016-1016-7 |
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