<p>Postpartum Contraceptive Use In Parakou (A City In Northern Benin) In 2018: A Community Based Cross-Sectional Study</p>

Abstract

BackgroundOver 30% of maternal deaths and 10% of infant deaths are avoidable if couples space out births at intervals of 2 years or greater. This study aimed to identify factors associated with contraceptive use in the postpartum period.MethodsThis was a cross-sectional study among postpartum women living in Parakou. Participants were selected using a two-stage sampling method. Postpartum contraceptive use was defined as the use of at least one contraceptive method at the time of the survey. Independent variables included socio demographic and reproductive history. For the analysis we performed a multiple logistic regression and we calculated odds ratios with 95% confidence intervals.ResultsThe study included 453 postpartum women. Among the participants, 59 (13%) were using a contraceptive method. Injectable contraceptives were the most common method used (25.4%). Factors associated with contraceptive use in the postpartum period included history of contraceptive use (AOR=9.4; p<0.001), resumption of sexual intercourse (AOR=5.7; p<0.001), discussion with partner about contraceptive method (AOR=5.7; p=0.005), need of partner’s approval before adopting a contraceptive method (AOR=0.4; p=0.014) and counseling during pregnancy, in the delivery room, and during postnatal visits (AOR=2.7; p=0.019).ConclusionThe prevalence of contraceptive use during the postpartum period remains low. Interventions should be designed with a focus on the associated factors in order to increase postpartum contraceptive use in Parakou.

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

“…That means there is higher health service coverage in Addis Ababa and Hosanna town than in the Goncha Siso Enese district. And the findings of this study are far superior to those of a study conducted in Parakou, a city in Northern Benin 13%, 29 Somalia region Kebribeyah town, 12.3%, 30 Dello Mena district 14.3%, 22 East Gojjam zone, Gozamen district 46.7%. 20 The discrepancy could be due to the time gap between the studies and the presence of some dissimilar sociodemographic and reproductive characteristics among the participants.…”

“…According to the literature, discussion with partners about modern contraceptive use was lower (50.3%) in Parakou, a city in Northern Benin, than in this study. 29 Other possible causes of religion in the Somalia region, Muslims in Kebribeyah town and Dello…”

Postpartum modern contraception utilization and its determinants in Ethiopia: A systematic review and meta-analysis

“…In this systematic review and meta-analysis, the magnitude of postpartum modern contraception utilization among postpartum women in Ethiopia was 45.79% (36.45%, 55.13%). This finding is high as compared to finding from Uganda (8.5%), India (13.8 to 17%), Benin (13%), and Burundi (20%) [39][40][41][42][43]. The reason for variation might be the larger sample size (11,932) in the current review while smaller sample size in the previous studies which ranges from 123 to 1830 [39,40,42,43] and variation in the cultural background of the populations.…”

“…This finding is high as compared to finding from Uganda (8.5%), India (13.8 to 17%), Benin (13%), and Burundi (20%) [ 39 – 43 ]. The reason for variation might be the larger sample size (11,932) in the current review while smaller sample size in the previous studies which ranges from 123 to 1830 [ 39 , 40 , 42 , 43 ] and variation in the cultural background of the populations. However, the current study finding is low when compared to reports from Malawi (75%), Kenya (86.3%), Ghana (67.7%), and Bangladesh (62.4%) [ 44 – 47 ].…”

“…Moreover, this meta-analysis revealed that a history of previous contraceptive use increases the probability of contraception utilization in the postpartum period of 3.64(95% CI: 1.72, 7.73). A finding from a study conducted in Parakou Northern Benin supported this evidence [40]. This implies that counseling on family planning during antenatal & postnatal care has to get due attention and strengthened to overcome maternal and child health problems related to the short birth interval.…”