Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria

Ikeanyi Eugene Maduabuchukwu; Ibrahim Isa Ayuba

doi:doi:10.11648/j.cmr.20170603.16

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Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria

Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba

Published in Clinical Medicine Research (Volume 6, Issue 3)

Received: 22 March 2017 Accepted: 1 April 2017 Published: 27 April 2017

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Abstract

Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.

Published in	Clinical Medicine Research (Volume 6, Issue 3)
DOI	10.11648/j.cmr.20170603.16
Page(s)	92-98
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Grandmultiparity, Reasons, high Parity, Contraception uptake, unmet Need

References

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[17]	GeidamAD, AuduBM, OummateZ. Pregnancy outcome among grand multiparous women at the University of Maiduguri Teaching Hospital: a case control study. J ObstetGynaecol. 2011; 31 (5): 404-8. Doi: 10.3109/01443615.2011.561383.
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APA Style

Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. (2017). Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clinical Medicine Research, 6(3), 92-98. https://doi.org/10.11648/j.cmr.20170603.16

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ACS Style

Ikeanyi Eugene Maduabuchukwu; Ibrahim Isa Ayuba. Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clin. Med. Res. 2017, 6(3), 92-98. doi: 10.11648/j.cmr.20170603.16

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AMA Style

Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clin Med Res. 2017;6(3):92-98. doi: 10.11648/j.cmr.20170603.16

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@article{10.11648/j.cmr.20170603.16,
  author = {Ikeanyi Eugene Maduabuchukwu and Ibrahim Isa Ayuba},
  title = {Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria},
  journal = {Clinical Medicine Research},
  volume = {6},
  number = {3},
  pages = {92-98},
  doi = {10.11648/j.cmr.20170603.16},
  url = {https://doi.org/10.11648/j.cmr.20170603.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20170603.16},
  abstract = {Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.},
 year = {2017}
}

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TY - JOUR
T1 - Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria
AU - Ikeanyi Eugene Maduabuchukwu
AU - Ibrahim Isa Ayuba
Y1 - 2017/04/27
PY - 2017
N1 - https://doi.org/10.11648/j.cmr.20170603.16
DO - 10.11648/j.cmr.20170603.16
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 92
EP - 98
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20170603.16
AB - Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.
VL - 6
IS - 3
ER -

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Author Information

Ikeanyi Eugene Maduabuchukwu

Department of Obstetrics and Gynecology, College of Health Sciences, Niger Delta University, Amassoma, Nigeria
Ibrahim Isa Ayuba

Department of Obstetrics and Gynecology, College of Health Sciences, Niger Delta University, Amassoma, Nigeria

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Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. (2017). Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clinical Medicine Research, 6(3), 92-98. https://doi.org/10.11648/j.cmr.20170603.16

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ACS Style

Ikeanyi Eugene Maduabuchukwu; Ibrahim Isa Ayuba. Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clin. Med. Res. 2017, 6(3), 92-98. doi: 10.11648/j.cmr.20170603.16

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AMA Style

Ikeanyi Eugene Maduabuchukwu, Ibrahim Isa Ayuba. Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria. Clin Med Res. 2017;6(3):92-98. doi: 10.11648/j.cmr.20170603.16

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@article{10.11648/j.cmr.20170603.16,
  author = {Ikeanyi Eugene Maduabuchukwu and Ibrahim Isa Ayuba},
  title = {Grandmultiparity: The Reasons Women Give for High Parity in South-South Nigeria},
  journal = {Clinical Medicine Research},
  volume = {6},
  number = {3},
  pages = {92-98},
  doi = {10.11648/j.cmr.20170603.16},
  url = {https://doi.org/10.11648/j.cmr.20170603.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20170603.16},
  abstract = {Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. The rates are still high in Nigeria and most other poorer countries. Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. There has been profuse literature on high parity but limited data on the reasons for high parity. We set out to explore the reasons the women have for high parity in Nigeria. Aim: To investigate the reasons women have for high parity in order to improve reproductive health services. Methods: This was a cross-sectional descriptive study on 288 grandmultiparas (para≥5) in South-south Nigeria between 2012 and 2016. EPI INFO software was used for analysis with statistical significance set at P<.05. Results: The mean age of respondents was 35.3±4.2 years. About 85% and 12% were in first marriage and remarried relationship respectively. The mean parity was 5.95±1.3 and ranged 5-11births. Respondents leading reasons for high parity were mistake (unplanned) 30.9%, desire for specific gender 22% (male child 15.6%) and personal desire for more children 15.3%. Over 90% was aware of contraception, only 29.2% ever used any method. The younger (OR=4.9, P=0.02), less educated (OR=0.39, P=0.01) and employed (OR=0.23, P=0.02) and (OR=6.9, P= 0.04) respondents significantly cited spouse desire, desire of male child, child loss and contraception failure for high parity respectively. Conclusion: Mistake, desire for male child and large family were the leading reasons women gave for high parity. Maternal age, education and employment significantly influenced the reasons for high parity. There was high contraceptive awareness but poor utilization among the respondents; a huge unmet need of contraception in this population.},
 year = {2017}
}

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