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2025, Vol: 50, Issue: 4
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RMJ. 2025; 50(3): 673-677


Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery

Amber Tufail, Rozina Mustafa, Sagheera Anjum Munaver, Anusha Anwar, Hurais Malik.


Abstract
Objective: To explore influential factors shaping contraceptive uptake, preferences, and adherence among postpartum women after primary cesarean deliveries in Karachi, Pakistan.
Methodology: This cross-sectional study was conducted at Fazaia Ruth Pfau Hospitals, Karachi from May 2022 to November 2023 and included 216 women aged 18-45, with a history of primary cesarean delivery within the last two years. A comprehensive questionnaire, validated through expert assessment and pilot testing, gathered socio-demographic data, information on cesarean delivery and details on sexual health after the last C-section. Information about counseling, choices, and concerns regarding contraception were also collected.
Result: Our study identifies a 49.1% post-cesarean contraceptive uptake, however, elderly and partner opposition hindered contraceptive uptake. Age, education, occupation, parity, and duration of marriage significantly influenced acceptance rates. Intrauterine Contraceptive Devices (IUCDs) were predominantly preferred (62.3%). Parity, duration of marriage, living children, handicapped child presence, and counseling experiences correlated significantly with adherence, emphasizing healthcare providers' impact on sustained use. There was a significant influence (p<0.01) of prevalent contraceptive counseling during post-cesarean (63.4%) periods on contraceptive uptake.
Conclusion: Post-cesarean contraceptive adoption among women reflects regional, sociocultural, and individual influences. Enhanced counseling, particularly from healthcare providers, empowers informed decision-making, emphasizing the need for comprehensive interventions across the perinatal continuum.

Key words: Contraception, family planning services, patient preference, postpartum period, public health.


 
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How to Cite this Article
Pubmed Style

Tufail A, Mustafa R, Munaver SA, Anwar A, Malik H. Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. RMJ. 2025; 50(3): 673-677.

Web Style

Tufail A, Mustafa R, Munaver SA, Anwar A, Malik H. Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. https://www.rmj.org.pk/?mno=198466 [Access: October 30, 2025].

AMA (American Medical Association) Style

Tufail A, Mustafa R, Munaver SA, Anwar A, Malik H. Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. RMJ. 2025; 50(3): 673-677.


Vancouver/ICMJE Style

Tufail A, Mustafa R, Munaver SA, Anwar A, Malik H. Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. RMJ. (2025), [cited October 30, 2025]; 50(3): 673-677.


Harvard Style

Tufail, A., Mustafa, . R., Munaver, . S. A., Anwar, . A. & Malik, . H. (2025) Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. RMJ, 50 (3), 673-677.


Turabian Style

Tufail, Amber, Rozina Mustafa, Sagheera Anjum Munaver, Anusha Anwar, and Hurais Malik. 2025. Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. Rawal Medical Journal, 50 (3), 673-677.


Chicago Style

Tufail, Amber, Rozina Mustafa, Sagheera Anjum Munaver, Anusha Anwar, and Hurais Malik. "Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery." Rawal Medical Journal 50 (2025), 673-677.


MLA (The Modern Language Association) Style

Tufail, Amber, Rozina Mustafa, Sagheera Anjum Munaver, Anusha Anwar, and Hurais Malik. "Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery." Rawal Medical Journal 50.3 (2025), 673-677. Print.


APA (American Psychological Association) Style

Tufail, A., Mustafa, . R., Munaver, . S. A., Anwar, . A. & Malik, . H. (2025) Influential Factors Shaping Contraceptive Uptake, Preference, and Adherence in Postpartum Women Following Primary Cesarean Delivery. Rawal Medical Journal, 50 (3), 673-677.


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