Impact of having a high-risk pregnancy on future postpartum contraceptive method choice

BackgroundTo compare the knowledge and preference of preconceptional contraception to future postpartum contraceptive method choice in high-risk pregnancies.Research questionDoes a high-risk pregnancy condition affect future postpartum contraceptive method choice?MethodWomen hospitalised at the High Risk Pregnancy unit of a tertiary research and training hospital were asked to complete a self-reported questionnaire that included demographic characteristics, presence of unintended pregnancy, contraceptive method of choice before the current pregnancy, plans for contraceptive use following delivery and requests for any contraceptive counselling in the postpartum period.FindingsA total of 655 pregnant women were recruited. The mean age, gravidity and parity of the women were 27.48 ± 6.25 years, 2.81 ± 2.15 and 1.40 ± 1.77, respectively. High-risk pregnancy indications included 207 (31.6%) maternal, 396 (60.5%) foetal and 52 (7.9%) uterine factors. All postpartum contraceptive choices except for combined oral contraceptives (COCs) usage were significantly different from preconceptional contraceptive preferences (p < 0.001). High-risk pregnancy indications, future child bearing, ideal number of children, income and education levels were the most important factors influencing postpartum contraceptive choices. While the leading contraceptive method in the postpartum period was long-acting reversible contraceptive methods (non-hormonal copper intrauterine device Cu-IUD, the levonorgestrel-releasing intrauterine system (LNG-IUS) (40%), the least preferred method was COCs use (5.2%) and preference of COCs use showed no difference between the preconceptional and postpartum periods (p = 0.202). Overall 73.7% of the women wanted to receive contraceptive counselling before their discharge.ConclusionA high-risk pregnancy condition may change the opinion and preference of contraceptive use, and also seems to affect the awareness of family planning methods.     

Quality of College Life (QCL) of Students in Turkey: Students’ Life Satisfaction and Identification

Understanding the complexities of a students’ quality of life has become essential in order for universities to plan their spending most efficiently. This study tests a model which was used to judge the satisfaction of college life and evaluates the overall impact of quality of college life (social, academic, and service satisfaction), life satisfaction, and identification. Secondly, the study assesses the impact of a university’s academic program, social life, facilities, and services on the students’ college life quality in this sample in relation to similar studies from Turkey and other countries. The survey included 1,260 students attending a public university in northwestern Turkey. Measurement tools included the quality of college life scale (QCL), Satisfaction with college life scale, identification scale satisfaction with life scale and personal information form. The results show social satisfaction has the strongest positive impact on QCL. This study found that life satisfaction and university identification had a positive impact on a university student’s satisfaction with college life. According to survey results it is also suggested that University administrators can primarily focus on improving the social satisfaction of the students then improve facilities and services, in order to raise academic satisfaction levels.