{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:42:39Z","timestamp":1786650159082,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,3]]},"abstract":"\n Background:<\/jats:title>\n Family planning (FP) programme has been integrated since long with MCH programme in order to reduce maternal and child mortality. The period of pregnancy, delivery, and postnatal period is very crucial to sensitize the women to adopt contraceptive practice because during this time they are in constant contact with health provider and more receptive to advice. The present study is designed in this context to see whether the utilization of maternal health services have any impact on adoption of modern contraceptives in extended postpartum period.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Community-based cross-sectional study was done in urban slum of Jamnagar, Gujarat, for 1 year in 2016. Two-stage sampling methodology was used; in first stage, 30 Anganwadi centres (AWC) was chosen by systemic random sampling and in second stage from each AWC, 8 women in extended postpartum period were included. Study included total 240 women. Sampling was done at household level. Descriptive statistics for sociodemographic factors and reproductive characteristics were done. Chi-square test was used to find association between different variables.<\/jats:p>\n <\/jats:sec>\n \n Result:<\/jats:title>\n Prevalence of using modern contraceptive was only 24.6%. The most preferred choice was barrier method (35.5%), followed by sterilization (27.1%), Intrauterine device (IUD) (25.04%), and OCP (12%). Around 57% women had taken \u22654 health center visit during their last pregnancy and 7.5% had never visited or consulted. 12% women were delivered at home. Majority of the participants (63.5%) were not paid visit by health worker, only 15% were provided with adequate postnatal visit and 21% had inadequate visit during their immediate postpartum period. A statistical association was found between usage of contraceptive with health center visit during ANC, postnatal visit by HW, parity and age of women in extended postpartum period.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n There is need to improve the quality of maternal health services to increase the utilization of FP services.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_122_19","type":"journal-article","created":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T01:06:00Z","timestamp":1553735160000},"page":"1164-1169","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Is maternal health services utilization predict the contraceptives adoption in extended postpartum period"],"prefix":"10.4103","volume":"8","author":[{"given":"Mubashshera Firdous","family":"Khan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilesh S.","family":"Kotecha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R4-70-20260109","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/j.1728-4465.2015.00041.x","article-title":"Interventions to improve postpartum family planning in low-and middle-income countries: Program implications and research priorities","volume":"46","author":"Cleland","year":"2015","journal-title":"Stud Fam Plann"},{"key":"R5-70-20260109","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1136\/jfprhc-2015-101271","article-title":"Integration of family planning with maternal health services: An opportunity to increase postpartum modern contraceptive use in urban Uttar Pradesh","volume":"42","author":"Achyut","year":"2016","journal-title":"India J Fam Plann Reprod Health Care"},{"key":"R6-70-20260109","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1186\/s13104-018-3698-6","article-title":"Role of antenatal and postnatal care in contraceptive use during postpartum period in western Ethiopia: A cross sectional study","volume":"11","author":"Teka","year":"2018","journal-title":"BMC Res Notes"},{"key":"R7-70-20260109","first-page":"22","article-title":"Antenatal care, an expediter for postpartum modern contraceptive use","volume":"3","author":"Tisha","year":"2015","journal-title":"Res Obstet Gynecol"},{"key":"R8-70-20260109","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1472-6963-13-6","article-title":"Relationships between antenatal and postnatal care and post-partum modern contraceptive use: Evidence from population surveys in Kenya and Zambia","volume":"13","author":"Mai","year":"2013","journal-title":"BMC Health Serv Res"},{"key":"R9-70-20260109","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s41043-018-0150-4","article-title":"Maternal health care visits as predictors of contraceptive use among childbearing women in a medically underserved state in Nigeria","volume":"37","author":"Ajayin","year":"2018","journal-title":"J Health Popul Nutrt"},{"key":"R11-70-20260109","doi-asserted-by":"crossref","first-page":"469","DOI":"10.4103\/2319-5932.195832","article-title":"Updated BG Prasad socioeconomic classification for 2016","volume":"14","author":"Khairnar","year":"2016","journal-title":"J Indian Assoc Public Health Dent"},{"key":"R12-70-20260109","first-page":"56","article-title":"Postpartum contraceptive use in rural Bareilly","volume":"23","author":"Mahmood","year":"2011","journal-title":"Indian J Community Health"},{"key":"R13-70-20260109","first-page":"280","article-title":"Determinants of Post - partum contraception practices in urban slums of central Karnataka, India","volume":"28","author":"Davalagi","year":"2016","journal-title":"Indian J Community Health"},{"key":"R14-70-20260109","first-page":"134","article-title":"Knowledge attitude and practices of family planning methods among postnatal mothers-A hospital based study","volume":"9","author":"Udgiri","year":"2016","journal-title":"Al Ameen J Med Sci"},{"key":"R15-70-20260109","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s40834-018-0066-9","article-title":"Postpartum fertility behaviours and contraceptive use among women in rural Ghana","volume":"3","author":"Eliason","year":"2018","journal-title":"Contracept Reprod Med"},{"key":"R16-70-20260109","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1186\/1742-4755-12-S2-S11","article-title":"Postpartum contraceptive use and unmet need for family planning in five low-income countries","volume":"12","author":"Pasha","year":"2015","journal-title":"Reprod Health"},{"key":"R17-70-20260109","doi-asserted-by":"crossref","first-page":"684","DOI":"10.5455\/ijmsph.2015.01012015141","article-title":"A cross-sectional study of postnatal coverage and contraceptive use in Bhadravati Taluk, Shimoga, Karnataka, India","volume":"4","author":"Ambure","year":"2015","journal-title":"Int J Med Sci Public Health"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01697686-201908030-00070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:04:50Z","timestamp":1786647890000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01697686-201908030-00070"}},"subtitle":["A community-based cross-sectional study done in urban slums of Western Gujarat"],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_122_19","relation":{},"ISSN":["2249-4863"],"issn-type":[{"value":"2249-4863","type":"print"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}