title: Contraceptive choices among grand multiparous women at Murtala Mohammed Specialist Hospital, Kano.
abstract: BACKGROUND
  Grand multiparity is known to be associated with pregnancy complications. Nigeria with a contraceptive prevalence of <15% and culture of early marriage in the northern part of the country, many women get to grand multiparity early in their obstetric carriers. These women contribute significantly to the bad obstetric performance indices in the country. The present study was to explore the contraceptive choices among grand multiparous women.
  
  
  METHODS
  This study was a descriptive cross-sectional study among grand multiparous women attending an antenatal clinic. Data were collected on sociodemographic characteristics, contraceptive choices, and factors that influence such choices. The data were analyzed using Statistical Package for the Social Sciences version 18.
  
  
  RESULTS
  There were 219 respondents. The mean age was 33.05 ± 3.17, and the mean parity was 6.48 ± 1.83. Most of the respondents (208, 95.50%) were aware of modern contraceptive methods, and oral contraceptive was the method of most of the respondents (197, 90.00%). Only 92 (42.00%) were currently using a modern contraceptive method. Being convenient for the lifestyle was the reason for the choice of a contraceptive method by many of the respondents (42, 19.10%).
  
  
  CONCLUSIONS
  There was high awareness of modern contraceptive methods; however, there was low use prevalence among respondents, and the desire for more pregnancy was the reason for the nonuse.
authors.affiliation: Department of Obstetrics and Gynaecology, Bayero University Kano, Aminu Kano Teaching Hospital, Kano, Nigeria.
authors.forename: Ayyuba
authors.initials: A
authors.lastname: Rabiu
authors.forename: Idris Sulaiman
authors.initials: IS
authors.lastname: Abubakar
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Garba
authors.forename: Iman Usman
authors.initials: IU
authors.lastname: Haruna
mesh_terms: D000328:Adult; D002755:Choice Behavior; D003267:Contraception / Q000379:methods / Q000706:statistics & numerical data*; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D005193:Family Planning Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008423:Maternal Age; D009549:Nigeria / Q000453:epidemiology; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D055815:Young Adult