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Oct 2018, Vol 6, Issue 4
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Original Article
A Pilot Study of the Creighton Model System (CrMS) of Natural Family Planning (NFP) in a subpopulation of women in Enugu, South-East Nigeria
Ijeoma Ezeome1, Margaret Iloanusi2, Samuel Obi1
1University of Nigeria, Nsukka, Obstetrics & Gynaecology, Enugu, Nigeria
2Niger Foundation Hospital and Diagnostic Centre, , Obstetrics & Gynaecology, Enugu, Nigeria

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Keywords : Fertility awareness based methods, family planning, Creighton Model System
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Objective: 16% of Nigerian women have an unmet need for FP, their reasons being fear of contraceptive side effects and religious beliefs. Increasing the range of accessible contraceptives, especially addition of fertility awareness options is likely to reduce unmet need. This study sought to assess the factors influencing the use of the CrMS of natural family planning and its effectiveness in a subpopulation of women in Enugu, Southeast Nigeria.

Materials and Methods: This was a cross-sectional descriptive study involving all consenting women attending the FPC of a private hospital, through a structured questionnaire and information from Follow-up form of each consenting client. Data analysis was done using SPSS version 17 and results expressed in descriptive statistics of frequency and percentage.

Results: 45 couples consented to the study. The age range of the women was 22-47years, with a mean of 32 years. 47% of the women had tertiary education. 2/3rd (67%) and 3/5th (60%) of the couples were using the system to temporarily space their pregnancies and Roman Catholics respectively. One “unplanned” pregnancy occurred during the period of review (October 2010-October 2016). The major reason for discontinuance was the anxiety created between the spouses during periods of avoiding pregnancy.The major advantage was being rid of fear of side effects from artificial contraceptive methods.

Conclusion: Roman Catholicism and high motivation were factors influencing the use of this FP model. For couples who can learn the method, the CrMS of family planning is an effective option for regulating family size.

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