Postpartum Contraceptive Use In Parakou (A City In Northern Benin) In 2018: A Community Based Cross-Sectional Study.

BACKGROUND: Over 30% of maternal deaths and 10% of infant deaths are avoidable if couples space out births at intervals of 2 years or greater. This study aimed to identify factors associated with contraceptive use in the postpartum period. METHODS: This was a cross-sectional study among postpartum women living in Parakou. Participants were selected using a two-stage sampling method. Postpartum contraceptive use was defined as the use of at least one contraceptive method at the time of the survey. Independent variables included socio demographic and reproductive history. For the analysis we performed a multiple logistic regression and we calculated odds ratios with 95% confidence intervals. RESULTS: The study included 453 postpartum women. Among the participants, 59 (13%) were using a contraceptive method. Injectable contraceptives were the most common method used (25.4%). Factors associated with contraceptive use in the postpartum period included history of contraceptive use (AOR=9.4; p<0.001), resumption of sexual intercourse (AOR=5.7; p<0.001), discussion with partner about contraceptive method (AOR=5.7; p=0.005), need of partner's approval before adopting a contraceptive method (AOR=0.4; p=0.014) and counseling during pregnancy, in the delivery room, and during postnatal visits (AOR=2.7; p=0.019). CONCLUSION: The prevalence of contraceptive use during the postpartum period remains low. Interventions should be designed with a focus on the associated factors in order to increase postpartum contraceptive use in Parakou.

Endocarditis tricuspid sub-aigue of post abortion: report of a case.

Tricuspid infective endocarditis is rare and represents five to 10% of all cases of infective endocarditis. It occurs predominantly in intravenous drug users, and patients with central venous catheters or intracardiac probes. We report on the case of subacute tricuspid infective endocarditis in a girl of 17 years. She had no particular cardiovascular history. She was admitted for a persistent fever with cachexy, cough and thoracic pains, and right heart failure that appeared one month after a clandestine abortion. Transthoracic echocardiography found several vegetations on the tricuspid valve with massive tricuspid regurgitation. The chest X-ray showed bilateral excavated lung abscesses and condensation areas. Blood culture was not done and broad-spectrum antibiotic therapy was given. She was apyretic after 10 days. However, the massive tricuspid regurgitation with right heart failure persisted. She was discharged from hospital after 40 days of treatment. Although rare, infective endocarditis is one of the more serious complications of gynaecological procedures, particularly clandestine abortion. Therefore any young girl with persistent fever must be suspected of clandestine abortion.

[Knowledge, attitudes and practices of emergency contraception among female students at Parakou University (Benin)]. / Connaissances, attitudes et pratiques de la contraception d'urgence chez les étudiantes à l'Université de Parakou (Bénin).

OBJECTIVE: This study was designed to assess emergency contraception knowledge, attitude and practices among female students at Parakou University. METHODS: A descriptive cross-sectional survey was conducted on 570 female students recruited after cluster sampling in the various university departments. A predefined questionnaire was used to interview students after they consented to participate in the survey. The data collected were analysed by Epi Info software and variables were compared by Chi-square test with a limit of significance of 5%. RESULTS: More than half of the students (51%) were familiar with the emergency contraception method and had been informed by friends and the media. Only 18% of them had already used this method at least once following unprotected sexual intercourse. Most of them were under the age of 24 and reported having irregular sexual partners. CONCLUSION: Students were familiar with and had easy access to the method. However, repeated use of this method highlights the need for better information of these students concerning classical methods of contraception. An awareness campaign should be conducted on the campus in order to reduce the currently high rate of non-medical clandestine abortion.