title: Failed contraception in Nigerian women: outcome of pregnancy and subsequent contraceptive choice.
abstract: The outcome of pregnancy in 56 patients who had contraceptive failure out of the 5,431 new acceptors at the Family Planning Clinic of the Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, between 1 January 1981 and 31 December 1989, were analysed. There were 40 IUD, 6 OC, and 4 injectable failures. Three patients had had voluntary surgical contraception (VSC) and 3 used barrier methods. The mean +/- SD age and parity were 32.2 +/- 4.4 years and 4.4 +/- 1.9, respectively. There were 17 (30.1%) live births, 34 (56.6%) terminations of pregnancy and 3 (5.2%) spontaneous abortions. Two (3.0%) patients were lost to follow-up. There was neither any statistically significant difference in the outcome of pregnancy between patients with 5 or more children and less than 5 children (p greater than 0.05), nor between patients less than 31 years of age and those older. Fifty per cent of the patients who had used the IUD continued with the method. Seven patients subsequently requested VSC. None of the patients using the injectable contraceptive or barrier methods continued with the method (p greater than 0.05).
authors.affiliation: Department of Obstetrics and Gynaecology College of Medicine, University of Lagos, Nigeria.
authors.forename: O K
authors.initials: OK
authors.lastname: Ogedengbe
authors.forename: O F
authors.initials: OF
authors.lastname: Giwa-Osagie
authors.forename: K
authors.initials: K
authors.lastname: Nwadiani
authors.forename: C
authors.initials: C
authors.lastname: Usifoh
mesh_terms: D000328:Adult; D003267:Contraception; D005193:Family Planning Services / Q000379:methods*; D005260:Female; D006801:Humans; D009549:Nigeria; D011247:Pregnancy; D011256:Pregnancy Outcome