Utilization and associated factors of modern contraceptives during extended postpartum period among women who gave birth in the last 12 months in Gondar Town, northwest Ethiopia
Open Access
- 22 March 2018
- journal article
- research article
- Published by African Journals Online (AJOL) in Ethiopian Journal of Health Sciences
- Vol. 28 (2), 207-216
- https://doi.org/10.4314/ejhs.v28i2.12
Abstract
Background: The postpartum period is a critical period for addressing widespread unmet needs in family planning and for reducing the risks of closely spaced pregnancies. However, many women do not realize that they are at risk for pregnancy during this period. Therefore, the aim of this study was to assess utilization and associated factors of modern contraceptives during extended postpartum period. Methods: Institutional based cross-sectional study was conducted from March to April, 2015 in six health institutions among women who gave birth in the last 12 months prior to the study period in Gondar Town, Northwest Ethiopia. A systematic random sampling technique was used to select the study participants. Data were analyzed using SPSS version 20. Bivariate and multivariate logistic regression models were fitted to identify the determinants of postpartum modern contraceptive use. Adjusted odds ratios with 95% confidence intervals were calculated, and p-values Result: Of the total 404 participants, 45.8% mothers used modern contraceptives during postpartum period. Injectable contraceptive was the most frequently used method. Menstruating [AOR =3.84, 95% CI: (2.33, 6.35)], resumption of sex [AOR= 3.17, 95% CI: (1.80, 5.58)], 37-51 weeks of postpartum period [AOR= 2.48, 95% CI: (1.11, 5.55)], husband approval of contraceptive [AOR= 2.10, 95% CI: (1.16, 3.82)] and current knowledge on FP [AOR= 5.01, 95% CI: (2.23, 11.24)] were factors affecting contraceptive use in postpartum period. Conclusion: Utilization of modern contraceptive during the postpartum period was significantly decreased placing women at risk for a pregnancy in the extended postpartum period. Menstruating, resumption of sex, variation on postpartum period and husband approval of contraceptive were factors associated with contraceptive use. Strengthening FP counseling service at the ANC clinic and postnatal care would improve contraceptive use during the postpartum period. Keywords: Post partum, Modern contraceptives, Utilization, Northwest EthiopiaKeywords
This publication has 18 references indexed in Scilit:
- Predictors of modern contraceptive use during the postpartum period among women in Uganda: a population-based cross sectional studyBMC Public Health, 2015
- Postpartum contraceptive use in Gondar town, Northwest Ethiopia: a community based cross-sectional studyBMC Women's Health, 2015
- Getting to 70%: Barriers to modern contraceptive use for women in RwandaInternational Journal of Gynecology & Obstetrics, 2013
- Is Effective Contraceptive Use Conceived Prenatally in Florida? The Association Between Prenatal Contraceptive Counseling and Postpartum Contraceptive UseMaternal and Child Health Journal, 2011
- Menstrual Pattern, Sexual Behaviors, and Contraceptive Use among Postpartum Women in Nairobi Urban SlumsJournal of Urban Health, 2010
- Intended postpartum contraceptive use among pregnant and puerperal women at a university teaching hospitalArchiv für Gynäkologie, 2009
- Delivery of MDG 5 by active management with dataThe Lancet, 2008
- Effects of interpregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, BangladeshBJOG: An International Journal of Obstetrics and Gynaecology, 2007
- Family planning: the unfinished agendaThe Lancet, 2006
- Knowledge, attitude and practice of natural family planning methods in a population with poor utilisation of modern contraceptivesJournal of Obstetrics and Gynaecology, 2006