The effect of promoting attitudes toward the use of implant contraceptive drugs of postpartum women younger than 20 years in Bang Pa In Hospital, Phra Nakhon Si Ayutthaya Province

Abstract

     Repeated pregnancies in under 20 years postpartum women affects the body, mind, emotional and social. Therefore, contraceptive implant was added innational plan for repeated pregnancy rate reduction. This semi-experimental research between two group, posttest evaluation aimed to compare the contraceptive using attitudes and the ratesin under 20 years postpartum women between thepromoted attitude group and normal care group. Sixtyunder 20 years postpartum women were quota selected and divided into 30 per group. The tools were a form of personal information, attitudes questionnaire towards the contraceptive implant usage (adapted from questionnaires of women’s attitudes aboutsemi-permanent contraception method) and the intention to contraceptive implant usagewith the confidence score of 0.77 and 0.82 respectively. Data were presented byfrequency, percentage, mean, standard deviation; and analyzed by Fisher’s exact, chi square and independent t-tests with statistical significant level at 0.05. The study found that the average score of attitude towards the contraceptive implant usage in the promoted attitude group was significantly higher than in the normal care group [35.90±2.10, 20.26±1.79 (p<0.001)]; and the average score of intention to contraceptive implant usage in the promoted attitude group was significantly higher than in the normal care group [19.06±0.63, 10.13±0.86 (p<0.001)]. The rate of contraceptive implant in the promoted attitude group was significantly higher than the normal care group [23 people (93.3%), 6 people (20.0%); (p<0.001)]. Therefore, contraceptive implant attitude promotion plan should be used in family planning service to reduce repeated pregnancy rates in under 20 years postpartum women.