Ahmad B. Alwazzan, Ahmed A. Mousa, Samera F. AlBasri, Abdullah Mohammed Kafy, Morouj A. Kandil, Abdulrahman M. Alkudsi, Esraa A. Roblah, Fayda A. Alkudsi, Abdulrahman E. Alsaggaf


Background: A unique feature of Saudi Arabian society is the desire for huge families.
Objectives: This study aimed to identify the contraceptive methods used with a higher risk of unplanned
pregnancy, and the correlations between parity status and types of contraceptive methods used and contraceptive failure in
women visiting the primary health care clinic of King Abdulaziz University, Jeddah, Saudi Arabia.
Subjects and methods: This cross-sectional study was performed using a self-administrated electronic questionnaire that was
distributed to women visiting a primary health care clinic in the western region of Saudi Arabia. The questionnaire was divided
into 4 parts: patient characteristics, use and knowledge of contraceptive methods, relative risk of pregnancy with the use of
different contraceptive methods, and the risk of pregnancy in relation to parity. Statistical analysis was performed using the
SPSS v.21 software package.
Results: A total of 959 women visiting the primary health care clinic were enrolled. Most of the participants were in the age
group 20-35 years (57.00%). A large proportion of women reported using contraception (n= 649, 67.70%). The most common
type of contraceptive used in this study was contraceptive pills (31.70%) followed by IUD (21.20%).The overall contraceptive
failure rate was high in participants used withdrawal (OR: 1.822; 95%CI: 0.564-5.884), male condom (OR: 1.561; 95%CI: 0.484-
5.031), lactation (OR: 1.202; 95%CI: 0.171-8.464), and contraceptive pills (OR: 1.025; 95%CI: 0.500-2.102), while, the overall
contraceptive failure rate was low in participants using IUD (OR: 0.964; 95%CI: 0.440-2.113). Primigravida cases had the
highest risk of contraceptive failure (8.50%) followed by nullipara (4.80%) then multipara (4.30%).
Conclusion: Usage of withdrawal, male condom, lactation, and contraceptive pills as contraceptive methods had highest risk
of failure in women in the Western Region of Saudi Arabia. Hence, women using these methods of contraception should be so


Contraceptive – Failure – Pregnant – Parity

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Farrag OA, Rahman MS, Rahman J, Chatterjee TK, Al-Sibai MH. Attitude towards fertility control in the Eastern Province of Saudi Arabia. Saudi Med J. 1983; 4(2):111–6.

Al-Nahedh NNA. The effect of sociodemographic variables on child-spacing in rural Saudi Arabia. East Mediterr Health J. 1999; 5(1):136–140.

Sedgh G, Singh S, Hussain R, Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in Family Planning, 2014; 45(3):301–314.

Singh S, Darroch JE, Ashford LS, Adding It Up: The Costs and Benefits of Investing in Sexual and Reproductive Health 2014, New York: Guttmacher Institute, 2014.

Brown SS, Eisenberg L. Demography of unintended pregnancy, in: Brown SS and Eisenberg L, eds., The Best Intentions: Unintended Childbearing and the Well-Being of Children and Families, Washington, DC: National Academy Press, 1995.

Gipson JD, Koenig MA, Hindin MJ. The effects of unintended pregnancy on infant, child, and parental health: a review of the literature, Studies in Family Planning, 2008, 39(1):18–38.

Bradley SEK. The Impact of Contraceptive Failure on Unintended Pregnancy and Abortion . Prepared for the Annual Meeting of the Population Association of America 2010; 1–19

Bradley SEK, Schwandt HM, Khan S, 2009. Levels, Trends, and Reasons for Contraceptive Discontinuation. DHS Analytical Studies No. 20. Calverton, Maryland, USA: ICF Macro.

Curtis SL, Blanc A, 1997. Determinants of contraceptive failure, switching, and discontinuation: An analysis of DHS contraceptive histories. DHS Analytical reports No. 6. Calverton, Maryland: Macro International Inc.

Polis CB, Bradley SEK, Bankole A, Onda T, Croft T, and Singh S. Typical-use contraceptive failure rates in 43 countries with Demographic and Health Survey data: summary of a detailed report. Contraception 2016; 94 (1):11–17.

Brown SS, Eisenberg E (eds). The Best Intentions: Unintended Pregnancy and the Well-being of Children and Families. Committee on Unintended Pregnancy. Institute of Medicine, National Academy of Sciences; 1995:55-59.


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