Pregnancy History and Associated Factors Among Hawassa University Regular Undergraduate Female Students, Southern Ethiopia

Fikadu, Yohannes; Siyoum, Melese; Tirfie, Walellign Animut

doi:10.11648/j.ajlm.20200503.13

Cited by 2 publications

(2 citation statements)

References 28 publications

(44 reference statements)

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“…World Health Organization (WHO) recommends spacing pregnancies by at least 24 months [ 6 ]. However, unmet need for family planning is high in the postpartum period, ranging from 32 to 62% in low and middle- income countries [ 3 , 7 , 8 ]. Because of unmet need, unintended pregnancy is common in postpartum period [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Fikadu

Nejaga

Belete

et al. 2021

Contracept Reprod Med

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Background Postpartum intrauterine device (PPIUCD) utilization remains very low in Ethiopia beside high levels of unmet need for postpartum family planning even if nongovernmental organizations efforts to promote its use. This study investigates immediate PPIUCD utilization and influencing factors. Methods Institution based cross-sectional study was conducted on public hospitals of Addis Ababa city. All public hospitals which have PPIUCD service were included and systematic random sampling technique was used to select 286 participants. Data were entered using Epi Data and exported to SPSS for analysis. Bivariate and multivariate logistic regression analysis was used to determine the effect of independent variables on immediate PPIUCD utilization. Variables which have P-value< 0.2 on bivariate analysis were candidate for multivariate analysis. Variables which have P-value ≤0.05 on multivariate analysis was considered as statistically significant. Results Utilization of immediate PPIUCD among participants who gave birth in Addis Ababa public hospitals was 26.6% (95%CI: 21.3, 31.8). Eighty one percent respondents occupation was housewife were (AOR = 0.19, 95%CI: 0.06, 0.67) less likely to utilize PPIUCD compared to those who have personal job. In the other hand respondents who have discuss about PPFP with their partner were 1.21times (AOR = 1.21, 95%CI: 1.14, 25.67) more likely to utilize PPIUCD compared to those who never discuss. Contrarily 81% of respondents who need partner approval were (AOR = 0.19, 95%CI: 0.05, 0.79) less likely to utilize PPIUCD compared to those who doesn’t need approval. Respondents who have been counseled about PPIUCD were 1.13 times (AOR = 1.13, 95%CI: 1.10, 2.21) more likely to utilize PPIUCD compared to those who were not counseled. Similarly respondents who have good knowledge about PPIUCD were 7.50 times (AOR = 7.50, 95%CI: 4.06, 9.31) more likely to utilize PPIUCD compared to those who have poor knowledge. Conclusion This study verifies that immediate PPIUCD utilization is high compared to other studies. Having a housewife occupation and necessity of partner approval to utilize PPIUCD have negative influences, whereas spousal discussion about PPIUCD, counseled during pregnancy and having good knowledge have positive influences on PPIUCD utilization. Therefor empowering women by the government and other organizations working on maternal health will advance immediate PPIUCD utilization.

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Section: Introductionmentioning

confidence: 99%

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Fikadu

Nejaga

Belete

et al. 2021

Contracept Reprod Med

View full text Add to dashboard Cite

show abstract

“…8,16 Despite this, there exists a notable unmet need for family planning during the postpartum period, ranging from 32 to 62% in low and middle-income countries. 9,17,18 Due to the limited acceptance of postpartum family planning (PPFP), the key factors influencing PPFP acceptance include the level of education, perinatal family planning, counseling, resumption of menstruation, breastfeeding status, return of sexual activity, concerns about side effects, and a perceived low risk of pregnancy. 19 Numerous investigations have revealed that socio-demographic factors, including women's age, marital status, educational attainment, place of residence, and religious affiliation, influence the acceptance of long-acting reversible contraception (LARC) in diverse contexts.…”

Section: Introductionmentioning

confidence: 99%

Determinants of immediate postpartum long acting reversible contraceptive utilization among women who gave birth in public health facilities in northwest Ethiopia: unmatched case-control study design

Adella,

Abtew,

Gellaw

et al. 2024

F1000Res

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Background The aftermath of childbirth plays a vital role in addressing unmet family planning requirements and is instrumental in mitigating the risks associated with pregnancies that are closely spaced. Recognizing factors that indicate immediate postpartum utilization of long-acting reversible contraceptives is essential for crafting focused initiatives. This helps meet unaddressed family planning needs and contributes to the reduction of maternal and child mortality rates in the country. Therefore, this research aimed to pinpoint factors influencing the utilization of long-acting reversible contraceptives immediately after childbirth among women delivering in public health facilities in northwest Ethiopia. Methods A facility-based unmatched case-control study was carried out, involving 342 postpartum women (comprising 108 cases and 216 controls) who delivered in public health facilities in northwest Ethiopia. Data collection involved employing a structured interviewer-administered questionnaire, and binary logistic regression analysis was conducted. The statistically significant association between independent factors and the outcome variable was assessed using the adjusted odds ratio with a 95% confidence interval, considering a p-value less than 0.05. Result The educational status of women at secondary level and above (AOR=2.314, 95% CI=1.645-5.043), adherence to ANC follow-up (AOR=2.930, 95% CI=1.829-4.769), lack of desire to have a child (AOR=1.421, 95% CI=1.026-2.006), receiving counseling (AOR=3.029, 95% CI=2.085-5.988), and possessing knowledge (AOR=1.642, 95% CI=1.086-3.186) were identified as significantly correlated with immediate postpartum LARC utilization at p <0.05. Conclusion In this investigation, the utilization of immediate postpartum long-acting reversible contraceptives (LARC) was significantly linked to women’s educational attainment, attendance at antenatal care (ANC), their desire for additional children, counseling, and knowledge about immediate postpartum LARC. To promote family planning in the postnatal phase, it is recommended to prioritize maternal education, offer comprehensive counseling and health education, and enhance adherence to targeted ANC services.

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Pregnancy History and Associated Factors Among Hawassa University Regular Undergraduate Female Students, Southern Ethiopia

Cited by 2 publications

References 28 publications

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Determinants of immediate postpartum long acting reversible contraceptive utilization among women who gave birth in public health facilities in northwest Ethiopia: unmatched case-control study design

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