Abstract: The study aimed to examine the link between contraceptive usage and factors related to pregnancy and childbirth in Al-Karkh district, Baghdad.
Method: Employing a descriptive cross-sectional design, the research focused on contraceptive practices among married women visiting primary healthcare centers. Data was gathered from September 2022 to February 2023 using anonymous, self-administered questionnaires, capturing socio-demographic details and obstetric history. The results, based on a sample of 500 married women from Baghdad's Al-Karkh district, revealed that 60.6% were utilizing contraceptives for family planning. Key factors influencing contraceptive use were identified as the number of pregnancies, the gap between deliveries, and the number of living children. The study also highlighted a significant correlation between residency, duration of marriage, abortion history, and the reasons for selecting current family planning methods. Moreover, the source of information on family planning showed significant associations with the number of pregnancies, number of living children, and contraceptive use. In conclusion, understanding the determinants of contraceptive use among married women is crucial for enhancing family planning initiatives and advancing maternal and child health. Addressing challenges like knowledge gaps, accessibility, cultural norms, and male participation is key to boosting contraceptive adoption. Educational and supportive measures empower women and their partners to make informed decisions about reproductive health, fostering healthier families and communities.