Parity and Pregnancy Intention related to the Use of Contraceptives in Women of Reproductive


  • Wahyuningsih Wahyuningsih Department of Nursing Sciences, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia
  • Dina Putri Department of Nursing, STIKES Yogyakarta, Yogyakarta, Indonesia
  • Lia Endriyani Department of Nursing Sciences, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia
  • Siti Nurunniyah Department of Midwifery, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia
  • Sri Ayu Candra A. Misali Department of Nursing Sciences, Faculty of Health Sciences, University of Alma Ata, Yogyakarta, Indonesia
  • Hamam Hadi Alma Ata Graduate School of Public Health, University of Alma Ata, Yogyakarta, Indonesia; Alma Ata Center for Healthy Life and Foods, University of Alma Ata, Yogyakarta, Indonesia



Parity, Pregnancy intention, Contraceptives, Reproductive-age women


Background: The use of contraceptives in reproductive women is still a problem today. The association between contraceptive use and parity and pregnancy intention amongs legally married reproductive women has never been studied 

Objectives: To determine the relationship between parity and pregnancy intention with contraceptive use among legally married women. 

Methods: A cross-sectional study was conducted with the involvement of 262 legally-married reproductive women, aged 15-49 years, in Bantul District, Indonesia.  Socio-demographic data including age, education, income, parity, pregnancy intentions, and use of contraceptives were collected using a structured questionnaire by trained enumerators. Chi-square test was used to test the association between socio-demographic data and parity and pregnancy intention, while simple logistic regression models were used to examine the relationship between contraceptive use and parity and pregnancy intention. Data analysis was performed using statistical software by SPSS.  

Results:Thirty-eight point five per cent of women of reproductive age who have ≥ 3 children and 16.5% of women of reproductive age who do not want to have children do not use contraception. Parity in women of childbearing age was not related to contraceptives (OR=2.58; 95%:0.67-1.76). Women of reproductive age who had intention of getting pregnant were 61% less likely (OR= 0.39; 95%: 0.37-0.74) to use contraceptives than those who did not have intention of getting pregnant. 

Conclusions:The pregnancy intention is associated with a low contraceptive use in reproductive-age women. Thus, it is necessary to educate women in the reproductive age, their partners and family regarding the importance of birth spacing.  


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Bishwajit G, Tang S, Yaya S, Feng Z. Unmet need for contraception and its association with unintended pregnancy in Bangladesh. BMC Pregnancy Childbirth. 2017;17:186.

Holliday C, Miller E, Decker M, Burke J, Documet P, Borrero S, et al. Racial differences in pregnancy intention, reproductive coercion, and partner violence among family planning clients: A qualitative exploration. Women Health Issues. 2018;28(3):205-11. PMid:29631975

Liauw J, Jacobsen GW, Larose TL, Hutcheon JA. Short interpregnancy interval and poor fetal growth: Evaluating the role of pregnancy intention. Paediatr Perinat Epidemiol. 2019;33(1):O73-85. PMid:30326141

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):e12617. PMid:29770565

Flood D, Petersen A, Martinez B, Chary A, Austad K, Rohloff P. Associations between contraception and stunting in Guatemala: Secondary analysis of the 2014-2015 demographic and health survey. BMJ Paediatr Open. 2019;3(1):e000510. PMid:31531407

National Statistical Office. A Study of Sustainable Development Goals (SDGs) Indicators. Jakarta: BPS; 2014. p. 172.

Badan Kependudukan dan Keluarga Berencana Nasional. Kampung KB Technical Guidelines 2015 [Petunjuk Teknis Kampung KB Tahun 2015]. Vol. 53. Badan Kependudukan Dan Berencana Nasional. Jakarta: BKKBN; 2015. p. 1689-99.

Listyawardani D. Development of Implementation of SDGs 2030 Population, Family Planning and Family Development Program [Perkembangan Pelaksanaan SDGs 2030 Program Kependudukan, KB dan Pembangunan Keluarga]. Jakarta: Bkkbn; 2019.

Melo CR, Borges AL, Duarte LS, De Castro Nascimento N. Contraceptive use and the intention to become pregnant among women attending the brazilian unified health system. Rev Lat Am Enfermagem. 2020;28:e3328. PMid:32813784

Wolgemuth T, Judge-Golden C, Callegari L, Zhao X, Mor M, Borrero S. Associations between pregnancy intention, attitudes, and contraceptive use among women veterans in the ECUUN study tierney. Womens Health Issue. 2018;28(6):480-7. PMid:30241794

Mas’udah AF, Pristya TY, Andarmoyo S. Parity and marital status as factors influencing contraceptive use among adolescents in Indonesia. Kesmas. 2021;16(1):33-8.

De Vargas Nunes Coll C, Ewerling F, Hellwig F, De Barros AJ. Contraception in adolescence: The influence of parity and marital status on contraceptive use in 73 low-and middle-income countries. Reprod Health. 2019;16(1):1-12.

Samandari G, Speizer IS, O’Connell K. The role of social support and parity on contraceptive use in Cambodia. Int Fam Plan Perspect. 2010;36(3):122-31. PMid:20880797

Li X, Fan Y, Assanangkornchai S, McNeil EB. Application of the theory of planned behavior to couples’ fertility decision-making in inner Mongolia, China. PLoS One. 2019;14(8):e0221526. PMid:31442271

Sommer L. The theory of planned behaviour and the impact of past behaviour. Int Bus Econ Res J. 2011;10(1):91-110.

Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211.

Wai MM, Bjertness E, Htay TT, Liabsuetrakul T, Myint AN, Stigum H, et al. Dynamics of contraceptive use among married women in North and South Yangon, Myanmar: Findings from a cross-sectional household survey. Contracept X. 2020;2:100015.

Ngome E, Odimegwu C. The social context of adolescent women’s use of modern contraceptives in Zimbabwe: A multilevel analysis. Reprod Health. 2014;11(1):64. PMid:25108444

Al Sheeha M. Awareness and use of contraceptives among saudi women attending primary care centers in Al-Qassim, Saudi Arabia. Int J Health Sci (Qassim). 2010;4(1):11-21. PMid:21475521

Rizwan F, Aref N, Alasmari N, Alzahrani M. Effect of education and parity on the use of contraception in Taif Region. Int J Adv Res. 2016;4(11):451-6.

Hamid S, Stephenson R. Provider and health facility influences on contraceptive adoption in urban Pakistan. Int Fam Plan Perspect. 2006;32(2):71-8. PMid:16837387

Roe AH, McAllister A, Sammel MD, Schreiber CA. Pregnancy Intentions and Contraceptive uptake after misccarriage. An Int Reprod Heal J Contracept. 2020;110(6):427-31. PMid:32199790

Lundsberg LS, Pensak MJ, Gariepy AM. Is periconceptional substance use associated with unintended pregnancy? Womens Health Rep. 2020;1(1):17-25. PMid:33786469

Wuni C, Turpin CA, Dassah ET. Determinants of contraceptive use and future contraceptive intentions of women attending child welfare clinics in urban Ghana. BMC Public Health. 2017;18(1):79. PMid:28764670

Wahyuningsih W, Septiani AK. The role of health workers related to the unmet need for family planning in metes, Argorejo Sedayu, Bantul Yogyakarta [peran tenaga kesehatan berhubungan dengan kejadian unmet need KB di Dusun Metes Kelurahan Argorejo Sedayu Bantul Yogyakrta]. Indones J Hosp Adm. 2018;1(2):70-8.

Sariyati S, Mulyaningsih S, Hadi H. Independence in family planning (KB) for couples of childbearing age in Yogyakarta [Kemandirian Keluarga Berencana (KB) pada Pasangan Usia Subur di Kota Yogyakarta]. J Ners Kebidanan Indones. 2016;2(2):62.

Foster DG, Biggs MA, Raifman S, Gipson J, Kimport K, Rocca CH. Comparison of health, development, maternal bonding, and poverty among children born after denial of abortion vs after pregnancies subsequent to an abortion. JAMA Pediatr. 2018;172(11):1053-60. PMid:30193363

Lang AY, Hall JA, Boyle JA, Harrison CL, Teede H, Moran LJ, et al. Validation of the London Measure of Unplanned Pregnancy among pregnant Australian women. PLoS One. 2019;14(8):e0220774. PMid:31393966

Morof D, Steinauer J, Haider S, Liu S, Darney P, Barrett G. Evaluation of the London Measure of Unplanned pregnancy in a United States population of women. PLoS One. 2012;7(4):e35381. PMid:22536377

Hall J, Barrett G, Copas A, Stephenson J. London measure of unplanned pregnancy: Guidance for its use as an outcome measure. Patient Relat Outcome Meas. 2017;8:43-56. PMid:28435343




How to Cite

Wahyuningsih W, Putri D, Endriyani L, Nurunniyah S, Misali SACA, Hadi H. Parity and Pregnancy Intention related to the Use of Contraceptives in Women of Reproductive. Open Access Maced J Med Sci [Internet]. 2022 Jan. 3 [cited 2022 Dec. 9];10(T8):97-101. Available from:

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