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

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