<p>Determinants of Postpartum IUCD Utilization Among Mothers Who Gave Birth in Gamo Zone Public Health Facilities, Southern Ethiopia: a Case-Control Study</p>

Abstract

Background: The postpartum intrauterine contraceptive device (PPIUCD) is an effective, reliable, safe and recommended contraceptive method for the postpartum women. However, only a small proportion of women who gave birth at health facilities in the world have used it. There are limited studies about determinants of PPIUCD utilization. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia. Methods: A facility based unmatched case-control study was done at Gamo zone public health facilities, southern Ethiopia. Data were collected using a pretested interviewer-administered questionnaire from March 1 to April 15, 2019. The data were coded, cleaned and entered into Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Binary logistic regression was performed to identify the determinants of PPIUCD utilization. Results: A total of 510 (175 cases and 335 controls) participants were involved in the study yielding a response rate of 95.1%. Partner support for IUCD insertion (AOR [95% CI]: 10 [4.03, 24.3]), birth interval (AOR [95% CI]: 9.7 [1.7, 55.1]), fertility plan (AOR [95% CI]: 4 [1.44, 10.84]), and timing of counseling (AOR [95% CI]:1.25 [0.034, 0.46]) are the determinant factors for postpartum IUCD. Conclusion and Recommendation: Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were the determinant factors identified in this study. Therefore, counseling of both partners during antenatal follow-up, delivery and immediately after delivery by health professionals are recommended.

Postpartum intrauterine contraceptive device use and its associated factors in Ethiopia: systematic review and meta-analysis

“…These 12 eligible studies were observational study (cross-section and case–control) in design and reported in English. The sample size ranged from 188 women in Amhara [ 10 ] to 536 in South Nation Nationalities People of Region (SNNPR) [ 26 ]. The prevalence of PPIUCD reported was between 3.3% [ 10 ] and 35.2% [ 27 ] (Table 1 ).…”

“…In the present review and meta-analysis, subgroup analysis was done by regions, study population, and study design indicated that there were variations in the utilisation of PPIUCD among different included regions, population and study design in Ethiopia. Accordingly, the highest in utilization of PPIUCD was observed in Addis Ababa 25.68% (95% CI: 11.07, 40.29) [ 27 , 32 – 34 ], 34.09% (95% CI: 32.52, 35.66) [ 32 , 35 ], and 21.63% (95% CI: 14.45, 28.81) [ 26 , 32 , 36 ] by region, study population and study design respectively. The observed differences could be due to culture, residence, educational status and religious differences across the region.…”

A systematic review and meta-analysis of immediate postpartal intrauterine contraceptive device use in Ethiopia

“…Influencing factors included in this systematic review and meta-analysis were fertility plan (Yes, no), heard about IPPIUCD (yes, no), counseled about IPPIUD (yes, no), birth interval (<3 years, >3 years), time of counseling about IPPIUCD (on ANC, on labor), discuss about IPPIUCD with their partner (yes, no), age group [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] and level of education (literate, illiterate), knowledge (good, poor).…”

“…[ 38 ] 2020 Amhara Cross-sectional Debretabor 182 3.3 (2.85, 3.75) Seid et al. [ 39 ] 2020 SNNPR Case control Gamo 510 – Lidetu et al. [ 40 ] 2017 SNNPR Cross-sectional Sidama 310 21.9 (17.3, 26.5) SNNPR: Southern Nation Nationality and Peoples Region.…”

Intracesarean Postpartum Insertion of Intrauterine Contraceptive Device as an Alternative to Delayed Insertion: Safety and Complications

“…Countries in the developing world had 99% of these deaths. Proper family planning [FP] could reduce pregnancy and child-birth associated complications and subsequently reduced associated mortality [1] .…”