Role of antenatal and postnatal care in contraceptive use during postpartum period in western Ethiopia: a cross sectional study

Abstract

ObjectiveLittle has been known about the magnitude and predictors of contraceptive use in extended postpartum period in Ethiopia. Thus, this study aims to assess the magnitude and determinants of contraception utilization in extended postpartum period. A community based cross-sectional survey was conducted in Gida Ayana district, Oromia regional state, Ethiopia in February 2015. Six hundred and three postpartum women were included using a multistage sampling technique. Descriptive statistics were used to summarize the data and logistic regressions were used to assess the predictors of modern family planning use at 95% confidence interval.ResultsThe proportion of women using any of the modern family planning in extended postpartum period was 45.4%. Women who had four and more antenatal care visits (AOR = 2.93; 95% CI 1.08–7.94), mothers who received post-natal care (AOR = 4.34; 95% CI 2.37–7.94), and those desiring less number of children (AOR = 5; 95% CI 2.19–11.41) were more likely to use modern family planning methods during the extended postpartum period. Therefore, health care providers should work to improve quality of health services provided during antenatal care and postnatal care to enhance family planning utilization among post-partum women.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3698-6) contains supplementary material, which is available to authorized users.

The role of maternal health care services as predictors of time to modern contraceptive use after childbirth in Northwest Ethiopia: Application of the shared frailty survival analysis

“…These studies showed a dose-response type of relationship between antenatal care and postpartum contraception adoption; that is the likelihood of using postpartum contraception increased when women had frequent antenatal contacts. Our result also demonstrated a significant association between postpartum contraceptive use and early postnatal care, which is in agreement with other studies [20,27].…”

“…The finding is comparable with the finding of the study done in Debre Tabor town, Northwest Ethiopia 63.0% (95% CI: 59%; 67.4%) [26]. This result was, however, higher than the 31.7% prevalence in Southern Ethiopia [20], 45.4% in western Ethiopia [27], and 29.3% in Northern Ethiopia [19], and lower when compared to the studies done in Hosana town (72.9%), Addis Ababa, Ethiopia (80.3%), and 86.3% of Kenya [28][29][30]. The low level of contraceptive use found in this study might reflect the over-reliance of lactating women on breastfeeding and menstruation status.…”

“…Nonetheless, the observed association between prenatal care and contraceptive use is not unique to this study and has been reported in earlier studies from Ethiopia [20,27,32], and other countries [8,16]. These studies showed a dose-response type of relationship between antenatal care and postpartum contraception adoption; that is the likelihood of using postpartum contraception increased when women had frequent antenatal contacts.…”

Prevalence and determinants of modern contraceptive utilization among rural lactating mothers: findings from the primary health care project in two northwest Ethiopian districts

“…Mothers who received antenatal care were 1.74 folds more likely to utilize modern contraceptive than mothers who did not received such care. These higher odds of modern contraceptive utilization are supported by findings reported from Ethiopia [19] and Nigeria [18]. The plausible reason might be that during antenatal care follow ups the mothers obtain counseling on birth spacing and family planning.…”

“…High contraceptive utilization has been documented among literate [13,14], old age [14], rural residences [13], media familiar and richest women [15] who have had many (> 5) live children [16,17]. Health care utilizations during pregnancy and after delivery, antenatal and postnatal care [18,19] and child immunization [20] also increase the likelihood of modern contraceptive utilization.…”