Abstract
Context: Infertility is rife in Nigeria. Grand multiparous women are also affected and do seek management for various reasons. Objective: The objective of this study is to evaluate the factors, which compel women with at least five living children and a history of secondary infertility to seek further conception in rural Nigeria. Materials and Methods: This was a qualitative study employing in depth interview to study consented participants in a rural mission hospital in Ebonyi state of Nigeria. Research assistants interviewed participants at their second clinic visit for infertility management using a pre tested interview guide. The study lasted for eight months. Principal themes were isolated from the recorded interview and analyzed. Results: Ten women were interviewed with three men who accompanied their wives to the clinic. The main themes evident from the interviews included acquiescence to the male partner's wishes , desirability for male children, desire for more off springs, replacement of demised children, fulfillment of reproductive potentials and not being out done by co-spouses in a polygamous setting. Conclusion: Grand multiparous women still consult for infertility in rural Nigeria. Desires for male children or replacement of lost ones are some of the main reasons for such consultations.
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