Utilization of Immediate Post-Partum Intra Uterine Contraceptive Device and Associated Factors: A Facility based Cross Sectional Study among Mothers Delivered at Public Health Facilities of Sidama Zone, South Ethiopia

Abstract

Background: Insertion of an Intra Uterine device (IUD) immediately after delivery have a proven record of very high effectiveness, protection against unintended pregnancy, cost effectiveness, suitability and high user satisfaction. Despite these benefits, information on Post-Partum Intra Uterine device (PPIUD) acceptance and utilization was limited in Ethiopia. Therefore, this study was aimed to assess postpartum intra uterine contraceptive device utilization and its associated factors among mothers delivered in selected facilities found in South Ethiopia.

Prevalence and pattern of long acting reversible contraceptive (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

“…LARCs. The proportion of women who used IUD in our study was much lower than 21.9% prevalence of immediate postpartum IUD use reported by facility based cross-sectional study conducted in Southern Ethiopia (28). Though there was similar proportion of ANC use (89.6% vs 84.2%), there was significantly lower proportion of counseling for LARCs at ANC (27% vs 72.3%) and all were counseled at postpartum in our study.…”

“…In this study, counseling at ANC was significantly associated with immediate postpartum LARC utilization. Studies conducted in different corners of Ethiopia reported that women counseled at ANC and/or during delivery and/or postpartum and/or received postnatal care were more likely to use LARC (27,36,48). This could because women who received postnatal care were likely to be counseled (33,39,41,47) or previously used it (27,30,43) were more likely to utilize it now.…”

Prevalence and pattern of long acting reversible contraception (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

“…But, our study was limited to specific group of women (immediate postpartum women) who are more likely to accept LARC methods. The proportion of women who used IUD in our study was much lower than 21.9% prevalence of immediate postpartum IUD use reported by facility based cross-sectional study conducted in Southern Ethiopia (28). Though there was similar proportion of ANC use (89.6% vs 84.2%), there was significantly lower proportion of counseling for LARC methods at ANC (27% vs 72.3%) and all were counseled at postpartum in our study.…”

“…Though there was similar proportion of ANC use (89.6% vs 84.2%), there was significantly lower proportion of counseling for LARC methods at ANC (27% vs 72.3%) and all were counseled at postpartum in our study. Hence, the lower percentage of IUD use could be because of the combination of lower proportion of counseling at ANC and availability of alternative LARC methods options in our study but, only IUD in the case of study conducted in Southern Ethiopia (28). However, it was similar to 12.4% prevalence of immediate IUD use reported by facility based cross-sectional study conducted in Bale zone, Southeast Ethiopia which reported similar proportion (87.6%) of ANC use(29).…”

“…In this study, counseling at ANC was significantly associated with immediate postpartum LARC methods utilization. Studies conducted in different corners of Ethiopia reported that women counseled at ANC and/or during delivery and/or postpartum and/or received postnatal care were more likely to use LARC methods (27,36,48 (33,39,41,47) or previously used it (27,30,43) were more likely to utilize it now. Prior use of LARC methods was also positively associated with current use of LARC methods in our study which was in line with literature.…”