RESUMEN
Background: The aim of family planning is to prevent unwanted pregnancy. Using safe and effective contraceptive methods is necessary to achieve this goal. This study was conducted to determine the most causes of high application of unsafe contraception methods in Kashan city using a regression model
Materials and Methods: In a case control study 261 married women referring to health centers and using unsafe contraceptive methods [condom and withdrawal] were selected randomly. Also 261 women using safe methods [hormonal, ligation and intrauterine device] were selected as control group. Using multistage [cluster and simple random] sampling we collected data including age, job, educational level of women and their spouse, marriage duration, number of children, age of the last child and satisfaction about gender of children. The data were analyzed using Chi square and t-Student test in univariate step and then binary logistic regression at multivariate model
Results: women's job and level of education, men's age and level of education, duration of marriage and number of children were statistically associated with unsafe contraception application. In the final regression model, women's job [OR=2.241] and age [OR=1.725], duration of marriage [OR=1.074], number of children [OR=0.341] and age of the last child [OR=1.544] were the most important determinants of unsafe contraception
Conclusion: To decrease the application of unsafe methods it is suggested that educational programs should be reinforced for women who have a job, less than 3 children, longer marriage and are older than 35 years old and their last child is older
RESUMEN
Background: Exclusive breast feeding, an important need for infants, can be affected by numerous factors. This study was designed to survey the pattern and period of exclusive breast feeding
Materials and Methods: The study was performed on mothers of 391 newborns at six months of age taking healthcare in health centers of Kashan. The necessary information was recorded and exclusive breast feeding patterns and related factors were determined
Results: Our findings uncovered that the rate of exclusive breast feeding was 33.1%. The exclusive breast feeding showed a significant relationship with the mothers' education level [P=0.001], baby weight loss [P=0.046], exclusive breast feeding education [P=0.004], type of delivery [P=0.045], father's job [P=0.012], birth weight [P=0.007] and growing [P=0.002] status. However, sexuality of the neonate, sexual preference by family, bedding room, technique of breast feeding education, mother's job, immaturity and weight not considerably influenced the exclusive breast feeding
Conclusion: Concerning low rate of exclusive breast feeding it seems increased understanding and knowledge of pregnant women, mothers, as well as their family, can improve exclusive breast feeding