Abstract:
Background: - delayed pregnancy return, refers to the inability of a couple to conceive after
having 12 months of regular sexual intercourse without using any contraceptive method Family
planning is the capability of individuals or couples to decide the desired number of their children
and the spacing and timing of births through the use of contraception. In any case, women’s
reproductive goals change at any moment of the woman’s fertile life; this is why the reversibility
of the chosen method is especially important for them. Despite the advancement in contraceptive
technologies and organized international effort over the last few decades; the concern of women
who use reversible contraception related to time to return of fertility still remained unanswered
Objective:-To assess proportion and Associated factors of delayed pregnancy return following
discontinuation of reversible modern contraceptives among pregnant women attending antenatal
care
Methods: - Institution based cross-sectional study was done in December 2020. Systematic
random sampling technique was used to collect data from 388 pregnant women using a
structured questioner. Binary Logistic regression was used to assess the association between
independent variables and dependent variables. The variables which have significant association
were identified on the basis of P-value ≤0.05 and 95%Cl.
Result: Three hundred eighty eight pregnant women were participated. This made the response
rate of 91.5 %.Proportion of delayed pregnancy return after contraceptive discontinuation was
22.7 %( CI= 18.6-26.8). Prolonged use of contraceptive (AOR= 7.6 95%CI, 4.44-14.446), using
Depo Provera (AOR=4.9 95%CI, 2.536-9.686) and women’s age (AOR=1.399 95% CI, 2.323-
19.679) are statistically significant association with delayed pregnancy return after contraceptive
discontinuation.
Conclusion: - This study found that proportion of delayed pregnancy return is 22.7%.
Prolonged use of contraceptive, contraceptive type (using Depo Provera), and women’s age have
highly statistically significant relationship with delayed pregnancy return after contraceptive
discontinuation. Hence health professionals at health facility can use this finding during
counseling of contraceptive users