ArticleReproductive health2021
Return to pregnancy after contraceptive discontinuation to become pregnant: a pooled analysis of West and East African populations.
Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Implementing a machine learning model to predict continuation of contraception among women aged 15-49: secondary data analysis of the last 4 demographic and health surveys in the majority of West African countries.Reproductive health · 2026Article
- Return to fertility after subcutaneous depot medroxyprogesterone acetate: a narrative review.BMJ sexual & reproductive health · 2025Review
- Capturing the Dynamic Nature of Choice: Qualitative Perspectives on Contraceptive Acceptability from Cameroon and Kenya.Studies in family planning · 2025Article
- Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa.Global health, science and practice · 2024Article
- Perceptions of indigenous ugandan men on the use of long acting reversible contraceptives (LARCs) by rural women.Contraception and reproductive medicine · 2023Article
- The Relationship Between Contraceptive Method Use and Return of Fecundity Among Women Attempting Pregnancy in Low- and Middle-Income Countries.Demography · 2023Article
- Family planning method discontinuation among Nigerian women: Evidence from the Nigeria Demographic and Health Survey 2018.Journal of Taibah University Medical Sciences · 2023Article
- "You could find a good or a bad provider, I would say you just have to go and see": A qualitative study of the influence of perceptions of service quality on family planning service use in Burkina Faso.PLOS global public health · 2023Article
- Article
- Concern that contraception affects future fertility: How common is this concern among young people and does it stop them from using contraception?Contraception: X · 2023Article
- Does Provider Bias Affect Choice of a Facility for Family Planning Services by Women in Urban Senegal?Studies in family planning · 2022Article
- Providers' views on hormonal family planning methods for young women: a qualitative study from Dosso, Niger.Gates open research · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe fear of infertility or delayed return to fertility is a common barrier to contraceptive use in sub-Saharan Africa, particularly among young or nulliparous women. Global evidence on return to pregnancy after method discontinuation suggests these fears may be misplaced; yet the topic has not been widely studied in sub-Saharan Africa nor by age and parity group.
methodsReproductive calendar data from recent Demographic and Health Surveys of 15 sub-Saharan African countries were used to analyze time-to-pregnancy following discontinuation of a contraceptive method with the reason to become pregnant. The probability of pregnancy at 12 months was estimated using single-decrement life tables run by type of method discontinued, age and parity. Results are presented by region: francophone West Africa, anglophone West Africa and East Africa.
resultsThe 12-month probability of pregnancy after discontinuation of contraception to become pregnant was 73.0% in francophone West Africa, 78.8% in anglophone West Africa, and 82.0% in East Africa. Our results showed significant regional differences in return to pregnancy by 12 months, with probabilities in francophone West Africa being significantly lower than in anglophone West Africa or East Africa. A lower return to pregnancy by 12 months was seen among women ages 35-49 years and was lowest after discontinuation of a hormonal method for all age groups. Differences by parity group were only evident after discontinuation of hormonal methods in francophone West Africa.
conclusionsSustainable gains in increasing contraceptive uptake, especially among youth, may be difficult to achieve without information and counseling that address concerns about infertility and potential delays in return to pregnancy following use of hormonal methods.
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