Is maternal health services utilization predict the contraceptives adoption in extended postpartum period: A community-based cross-sectional study done in urban slums of Western Gujarat

Abstract

Background: Family planning (FP) programme has been integrated since long with MCH programme in order to reduce maternal and child mortality. The period of pregnancy, delivery, and postnatal period is very crucial to sensitize the women to adopt contraceptive practice because during this time they are in constant contact with health provider and more receptive to advice. The present study is designed in this context to see whether the utilization of maternal health services have any impact on adoption of modern contraceptives in extended postpartum period. Materials and Methods: Community-based cross-sectional study was done in urban slum of Jamnagar, Gujarat, for 1 year in 2016. Two-stage sampling methodology was used; in first stage, 30 Anganwadi centres (AWC) was chosen by systemic random sampling and in second stage from each AWC, 8 women in extended postpartum period were included. Study included total 240 women. Sampling was done at household level. Descriptive statistics for sociodemographic factors and reproductive characteristics were done. Chi-square test was used to find association between different variables. Result: Prevalence of using modern contraceptive was only 24.6%. The most preferred choice was barrier method (35.5%), followed by sterilization (27.1%), Intrauterine device (IUD) (25.04%), and OCP (12%). Around 57% women had taken ≥4 health center visit during their last pregnancy and 7.5% had never visited or consulted. 12% women were delivered at home. Majority of the participants (63.5%) were not paid visit by health worker, only 15% were provided with adequate postnatal visit and 21% had inadequate visit during their immediate postpartum period. A statistical association was found between usage of contraceptive with health center visit during ANC, postnatal visit by HW, parity and age of women in extended postpartum period. Conclusion: There is need to improve the quality of maternal health services to increase the utilization of FP services.

Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis

“…Additionally, 12 primary articles were excluded because of the study population and outcome of interest. Among these, eight of the studies were conducted in Uganda [48,49], Ghana [50,51], Burundi and Rwanda [52], Thailand [53], International Journal of Reproductive Medicine India [54], and Kenya [55]. From the remaining four studies, one was conducted in Addis Ababa, Ethiopia [56] and excluded because of the unreported outcome of interest.…”

Provisión de métodos anticonceptivos en el posparto inmediato en México, 2018-19

“…Este hallazgo concuerda con otros estudios que señalan que tanto la edad de la madre como la paridad, son factores determinantes en la APP. 17 Particularmente, una alta paridad y expectativas reproductivas satisfechas se asocian con la utilización de OTB. 18 Adicionalmente, la mayor posibilidad de APP en mujeres con cesárea, y en particular la alta demanda y aceptación de OTB después de ésta, coincide con otras investigaciones que señalan el periodo posparto, en especial poscesárea, como el momento ideal para adoptar un MAC quirúrgico.…”

“…Se realizó un análisis bivariado de las características sociodemográficas y reproductivas de las mujeres por condición de recepción de APP mediante pruebas ji-cuadrada. Posteriormente, se realizó un análisis descriptivo del tipo de MAC posparto, estratificado por grupos de edad al momento del nacimiento del último hijo nacido vivo: adolescentes (12)(13)(14)(15)(16)(17)(18)(19), jóvenes (20-29) y adultas (30 o más). Se ajustó un modelo de regresión logística (n=4 544) para conocer la asociación entre APP y características sociodemográficas y de atención del parto.…”