Publication:

Determinants of resumption of vaginal intercourse in puerperium period in Ogbomoso: consideration for early use of contraceptives

Background Early postpartum period for mothers is characterized with high demand for neonatal care, adjusting to sudden withdrawal of hormones of pregnancy and dealing with sexual desires of the husband. The study aimed at determines the timing, factors influencing postpartum resumption of vaginal intercourse and the contraceptive usage.

Methods Women in puerperium were interviewed with structured questionnaire on their socio-demographic status, obstetric history, sexual activities, contraception usage and reason for sexual abstinence.

Results About 40% (143) of participants had resumed vaginal intercourse within puerperium with mean resumption period of 3.2 ± 1.8 weeks. Only 12% (48) of them used modern contraceptive. Educational status (P <0.001); occupation (P <0.001); educational status of the husband (P <0.001); occupation of the husband (P <0.001); parity (P <0.05); husband’s income (P <0.05) and use of modern contraception (P <0.001) showed significant statistical difference between the women who had resumed vaginal sexual intercourse and those who have not. Logistic regression showed that educational status of the participants (OR = 0.48, CI = 0.246-0.938; P = 0.032) and parity (OR = 0.34, CI = 0.196-0.591; P = 0.001) were the most significant factors associated with early resumption of vaginal intercourse. One hundred and eighty-five (72%) of women who were yet to resume coitus, did so because of fear of pregnancy.

Conclusions Significant number of women resumed vaginal intercourse during the puerperium despite low contraception usage. There is need to initiate a contraception method before discharge home following delivery.