الفهرس 
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Abstract
Family planning has important implications in population dynamics as unregulated fertility counteract the economic stabilization of Egypt. The extent of contraceptive usage varies according to many factors. Obstacles to contraceptive use are lack of awareness, negative attitudes and fear of side effects. One of the most important determinants of contraceptive use is woman’s knowledge and attitude towards family planning, thus, recently, studying knowledge, attitude and practice is too vital, due to that more specific knowledge can be attained about the factor that causes the fertility and family acceptance, this in turn can be used to develop a suitable program for them.
This is a community-based cross sectional descriptive study which was conducted on 1000 healthy Egyptian women using contraception from different localities in Minia Governorate during the period from December 2017 till October 2018. These women were randomly selected by a stratified random sampling technique.
The aims of this work are to determine the prevalence of different methods of contraception used by Egyptian women “in Minia Governorate”, attitude of women toward these methods regarding their compliance with the method used, knowledge about it, side effects, menstrual pattern and some other data especially motivation to use, religious believe about contraception and husband attitude and to identify who make (s) the decision for contraception use within Egyptian families.
Data were collected by depth interviewing questionnaire contains these main parts as follow:
1) Demographic characteristics: Name, age, Education and its level, residence, duration of marriage, employment, etc.
2) Obstetric history: Number of living children, number of abortion, mode of delivery, lactation, etc.
3) Contracaptive history: Knowledge about contraception, knowledge about mechanism of action, motivation to use, using contra captive method now, Religious believe compliance with the method, etc.
The obtained results are summarized as follow:
The age of the participants ranged from 18 – 50 years with a mean of 31.9 years and about half of them (540 cases, 54 %) are in the age category of 26:35 years.
As regard education and its level, 360 (36%) were illiterate, 420 cases (42%) had primary education, 140 (14%) had secondary education, 80 (8%) had high education. Regarding residence, 570 women (57%) were rural and 430 women (43%) were urban, 870 cases (87%) were house wives and the rest of them (130 cases) were employees
The results showed that the mean duration of marriage of all participants was 11.6 ± 7.1 year, 230 cases (23 %) had a duration of marriage less than 5 years and 290 cases (29%) had 6:10 years. As regard irregularity of menstrual cycle, 150 women (15%) had irregular cycle .
With regard to number of living children of studied women, 330 cases (33%) of them had 3 living children, 260 women had 2 living ones and the rest of them had 1,4,5 and others.
About mode of last delivery, 750 women (75%) had normal vaginal delivery 250cases (25%) had caesarean delivery.
The results showed that the used contraceptive methods of all studied cases were: 310 cases (31%) use Injectable methods, 300 (30%) used intrauterine device, 190 women (19%) used mini pills, 178 cases (17.8%) used combined contraceptive pills, however, 13 women used local methods and 11 ones used traditional methods.
Regarding knowledge about contraception, the results showed that the majority of women (980 women, 98%) had type of knowledge about contraception and the rest of them (20 cases, 2%) had no knowledge. Regarding, the source of this knowledge about contraception, 460 women (46%) know from relatives, 280 cases (28%) know from friends, 120 cases (12%) know from doctors and 120 clients know from media.
The results showed that the majority of women (87%) did not know about the mechanism of contraception. Also, the majority of women
(970 cases, 97%) were convinced.
Regarding history of taking contraceptive before, the majority of them (860 cases, 86%) had positive history.
610 cases (61%) stated that they stopped using the method because of desire of pregnancy and the other 150 cases reported that because related complications (bleeding, pregnancy on top of the methods and other reason for discontinuation).
990 women (98.6%) reported that their husbands were satisfied and all cases answered that their religion allowed using the contraceptive methods.
The majority of the clients (930 cases) reported that the sources of contraceptive method was health centers, however, 70 cases (7%) reported that they obtained the methods from private clinics or pharmacies or other sources.
The results revealed that women who did not had knowledge about contraception had significantly (p<0.01) higher age mean than women who had knowledge. Also, educated women had significantly (p<0.01) higher knowledge about contraception than illiterate ones.
Regarding residence and its relation with knowledge, rural women had significantly less knowledge about contraception as compared with urban women and at the same trend, house wives had significantly less knowledge about contraception as compared to employed women.