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However, despite the importance of these studies, they have been unable to detect the effects of other variables on choice of withdrawal as a birth control method.It is argued that it is crucial for the health care providers to assess women's attitude about family planning prior to educating them and providing them with contraceptive services .
The mean duration for withdrawal use was 6.5 (SD = 4.9) and for modern contraceptive it was 2.3 (SD = 2.9) years.
The most common reasons for using withdrawal were: no cost involvement, did not need medical advice, having fewer side effects and easier to use than other methods.
Withdrawal and other traditional methods of contraception are still a method of choice for family planning in a number of developing countries such as Iran, although modern methods for family planning are easily available.
Withdrawal is known to be associated with high rates of unintended pregnancy, and in turn it is associated with adverse effects including delayed prenatal care, pre-maturity and low birth weight [1, 2].
Burundi’s high maternal and child mortality is caused in part by the high fertility rate, prompted by low rate of contraceptive use.