Knowledge and Associated Factors of Postpartum Contraceptive Use Among Women in the Extended Postpartum Period in Gondar City, Northwest Ethiopia

Mekonnen, Birye Dessalegn; Gelagay, Abebaw Addis; Lakew, Ayenew Molla

doi:10.2147/oajc.s290337

Cited by 8 publications

(20 citation statements)

References 18 publications

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“…This finding is in line with study done Kebribeyah town, Somali region, 30 Aksum, 23 and Gondar city. 34 The possible reason for this may be that counseling during ANC would create an opportunity for women to have more exposure to information and awareness regarding birth spacing by the use of contraceptives after giving each birth.…”

Section: Discussionmentioning

confidence: 99%

Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia

Getaneh

Jara

Alle

et al. 2021

IJGM

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Background:The extended postpartum period is a one-year follow-up period after giving birth, and it is critical for women to prevent unintended pregnancy and reduce the risk of maternal and child mortality by ensuring safe birth intervals. Many women, however, are unaware that they are at risk for pregnancy throughout this period. Hence, the aim of this study was to assess the utilization and associated factors of modern contraceptives during extended postpartum family planning (EPPP) in northwest Ethiopia. Methods: A community-based cross-sectional study design was conducted using 630 samples from October 01 to October 30, 2020, in northwest Ethiopia. The study participants were drawn through a multistage sampling technique and data were collected using structured questionnaires via interview. The collected data were entered into EpiData version 4.2 and exported into SPSS version 25.0 for management and further analysis. A bivariable logistic regression model was used to identify variables having an association with the outcome variable. In bivariable analysis, variables having P ≤ 0.25 were selected and entered into multivariable logistic regression analysis. Finally, in multivariable analysis, variables having P ≤ 0.05 with a 95% CI were declared as significantly associated with the outcome variable. Results: About 60.6% of women were using modern contraceptive during extended postpartum period. Mothers to partner discussion (AOR= 7.

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Section: Discussionmentioning

confidence: 99%

Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia

Getaneh

Jara

Alle

et al. 2021

IJGM

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show abstract

“…There are other factors that affect postpartum contraceptive practices such as poor knowledge [ 41 ], safety of contraceptive methods and concerns around side effect [ 36 , 40 ], inadequate coverage of postpartum services [ 13 ] and apprehensions of acceptance by husbands [ 42 ]. Other factors significantly associated with uptake of postpartum contraceptive device after birth included completion of secondary education, having 3–4 and ≥ 5 children, attending three ANC, ever hearing about postpartum IUCD, and having received counseling from health-care providers about the postpartum intrauterine contraceptive device [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol

Roy

Adhikary

Kabra

et al. 2021

BMC Pregnancy Childbirth

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Background Postpartum family planning (PPFP) helps women space childbirths, increase exclusive breastfeeding and prevent unintended pregnancies, leading to reduction in maternal, infant and child morbidities and mortality. Unmet need of family planning is highest among women in the postpartum period due to lack of knowledge, cultural and religious barriers, access barriers and low antenatal care service utilization. However, in spite of low prevalence of postpartum family planning practices, birth-to-birth interval is reportedly high in Delhi, India. This study explores the postpartum contraception practices and the relationship between use of postpartum contraception and subsequent child linear growth. Methods This is a mixed method cohort study on PPFP and is nested within an ongoing “Women and Infants Integrated Interventions for Growth Study” (WINGS). Married women aged 18–30 years who have delivered a live baby are recruited for quantitative interviews at 6 weeks, 6, 12, and 24 months postpartum. In-depth interviews are conducted with a randomly selected sub-sample of women at each of the four time points, 35 husbands and 20 local service providers to understand their perspectives on PPFP practices. Discussion The findings from the study will provide useful insights into couples’ contraception preferences and choice of contraception, modern and traditional, initiation time and the effect of birth spacing and contraception use on subsequent linear growth of the child. This knowledge will be of significant public health relevance and will help in designing appropriate interventions for appropriate postpartum contraception use and delivery strategies. The study aims to work address the Sexual and Reproductive Health and Rights goal of promoting reproductive health, voluntary and safe sexual and reproductive choices for women. Trial registration Trial registration number: CTRI/2020/03/023954.

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“…Apart from this, the median survival time of the first modern contraceptive initiation was 7–11 months, far from the recommended time ( 35 , 36 ). The timing of postpartum contraceptive adoption varies with an individual, partner, relationship, and community-level characteristics such as age, place of residence ( 37 , 38 ), maternal education ( 35 , 38 ), household wealth status ( 37 ), appropriate and timely maternal health care utilization ( 35 , 36 ), breast feeding status ( 37 ), menstrual and sexual intercourse resumption and spousal communication ( 39 ). However, little is known about the effects of PIPV on time-to-modern contraceptive adoption among currently married women.…”

Section: Introductionmentioning

confidence: 86%

“…Ethiopia has made significant progress toward meeting the FP2020 agenda, but the contraceptive prevalence rate remains low ( 32 , 33 ). According to studies conducted in the country, about 46–66% of women initiated their first methods postpartum ( 34 – 36 ), whilst only 10–30% of them adopted within 2 months post-delivery ( 35 , 36 ). Apart from this, the median survival time of the first modern contraceptive initiation was 7–11 months, far from the recommended time ( 35 , 36 ).…”

Section: Introductionmentioning

confidence: 99%

“…According to studies conducted in the country, about 46–66% of women initiated their first methods postpartum ( 34 – 36 ), whilst only 10–30% of them adopted within 2 months post-delivery ( 35 , 36 ). Apart from this, the median survival time of the first modern contraceptive initiation was 7–11 months, far from the recommended time ( 35 , 36 ). The timing of postpartum contraceptive adoption varies with an individual, partner, relationship, and community-level characteristics such as age, place of residence ( 37 , 38 ), maternal education ( 35 , 38 ), household wealth status ( 37 ), appropriate and timely maternal health care utilization ( 35 , 36 ), breast feeding status ( 37 ), menstrual and sexual intercourse resumption and spousal communication ( 39 ).…”

Section: Introductionmentioning

confidence: 99%

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Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling

Abota¹,

Gashe²,

Deyessa³

2022

Front. Public Health

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BackgroundAdopting contraception on time is a critical intervention for postpartum women, but violence exposure around pregnancy may interfere with postpartum contraceptive use behaviors. Hence, this study aimed to investigate the time duration of the first modern contraceptive adoption and its individual-and community-level predictors among postpartum women in the Wolaita zone, South Ethiopia.MethodsA community-based prospective follow-up study was conducted among 1,292 postpartum women nested in 38 “Kebles” (clusters) using multistage-clustered sampling techniques. A multilevel Weibull regression model was employed to investigate predictors of time-to-method initiation after childbirth using STATA Version 14. Kaplan-Meier curve and Wilcoxon log-rank test were used to estimate time-to-modern contraceptive use across different variables. All variables with p-values <0.05 were considered for multivariate analysis. Adjusted time ratios (ATR) with 95 % CI were computed using Weibull accelerated failure time models.ResultsOf the respondents, 62% (95% CI: 59.1–64.5) had started the first modern contraception within a year after childbirth. The restricted mean survival time-to-postpartum modern contraceptive use was 6.28 months. Being a rural dweller (aTR: 1.44; 95% CI: 1.06–1.99) and living in the middle household wealth quintiles (aTR: 1.10; 95% CI: 1.02–1.19) predicted longer time duration to adopt first modern contraception by 44 and 10%, respectively. The women from the community with a high early marriage (aTR: 1.14; 95% CI: 1.01–1.28) took longer time to initiate modern postpartum methods. Furthermore, women who had no history of perinatal abuse took less time than those who had a history of abuse to start postpartum contraception (aTR: 0.71; 95% CI: 0.66–0.78).ConclusionRural residence, poor household wealth status, history of perinatal abuse, and a high rate of early marriage in the community are predicted to lengthen the time duration to start modern postpartum contraception. Thus, community-level women's empowerment, particularly among rural women and integration of intimate partner violence screening into family planning counseling throughout the continuum of care will likely to improve postpartum contraception timing.

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Knowledge and Associated Factors of Postpartum Contraceptive Use Among Women in the Extended Postpartum Period in Gondar City, Northwest Ethiopia

Cited by 8 publications

References 18 publications

Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia

Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia

Postpartum contraceptive practices among urban and peri-urban women in North India: a mixed-methods cohort study protocol

Perinatal intimate partner violence and postpartum contraception timing among currently married women in Southern Ethiopia: A multilevel Weibull regression modeling

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