Prevalence and Determinants of Unmet Need for Modern Contraception and Family Planning Counseling Among Postpartum Women

Abstract

Unmet need for modern contraception among postpartum women remains a significant public health challenge despite increased access to services. In Saudi Arabia, limited research has specifically addressed this issue. This study aimed to assess the prevalence and correlates of unmet need for modern contraception and family planning counseling among postpartum women in Riyadh. A cross-sectional descriptive study was conducted at Prince Sultan Military Medical City in Riyadh. A total of 357 postpartum Saudi women aged 15–49 were recruited using a convenience sampling method. Data were collected through a validated, Arabic-translated questionnaire. Statistical analysis included descriptive statistics, Chi-square tests, and logistic regression to identify factors significantly associated with unmet contraceptive need. The prevalence of unmet need for modern contraception among postpartum women was 63%. Significant associations were found with the number of children and the intention to delay pregnancy. Despite moderate awareness, only 29.5% were currently using contraception. Fear of side effects, lack of counseling, and reliance on lactational amenorrhea were common reasons for non-use. High levels of unmet need highlight the urgency for improved postpartum family planning counseling in Saudi Arabia. Targeted educational interventions and inclusion of partners in counseling may enhance contraceptive uptake. Structured programs should address cultural, informational, and access-related barriers to reduce unintended pregnancies.