The authors declare that they have no competing interests.
YA originated and wrote the proposal, participated in data collection, analyzed the data drafted the paper. ZBM and GAT approved the proposal with some revisions, participated in data analysis. YA, ZBM, and GAT revised subsequent drafts of the manuscript. All authors read and approved the final manuscript.
Addressing family planning in the postpartum period is crucial for better maternal, neonatal and child survival because it enables women to achieve healthy interval between births. The contraceptive behavior of women in the postpartum period is usually different from other times in a woman’s life cycle due to the additional roles and presence of emotional changes. Therefore, this study is conducted with the aim of assessing the contraceptive behavior of women in the postpartum period.
A community-based cross-sectional study was conducted in August 2013 among women who gave birth one year before the study period in Gondar town, Northwest Ethiopia. Multistage cluster sampling technique was employed to recruit a total of 703 study participants. For data collection, a structured and pretested questionnaire was used. Descriptive statistics were done to characterize the study population using different variables. Bivariate and multiple logistic regression models were fitted. Odds ratios with 95% confidence intervals were computed to identify factors associated with contraceptive use.
Nearly half (48.4%) of the postpartum women were using different types of contraceptives. The most commonly used method was injectable (68.5%). Resumption of mensus [Adjusted Odds Ratio (AOR) = 8.32 95% Confidence Interval (CI): (5.27, 13.14)], age ≤24 years [AOR = 2.36, 95% CI: (1.19, 4.69), duration of 7–9 months after delivery [AOR = 2.26 95% CI: (1.12, 4.54)], and having antenatal care [AOR = 5.76, 95% CI: (2.18, 15.2)] were the factors positively associated with contraceptive use in the extended postpartum period.
Postpartum contraceptive practice was lower as compared to the Ethiopian demographic and health survey 2011 report for urban areas. Strengthening family planning counseling during antenatal care visit and postnatal care would improve contraceptive use in the postpartum period.
Kassebaum JN, Bertozzi-Villa A, Coggeshall S. Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;6736(14):60696–6.
WHO. Report of a WHO Technical Consultationon on Birth Spacing. Geneva: WHO; 2006.
CSA [Ethiopia] and ICF International: Ethiopia Demographic and Health Survey report 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA. In .; 2012.
Subhi R, Ahmed H, Mawlood Z. Spacing effects on maternal-child health. Tikrit Med J. 2011;17(2):1–6.
USAID MCHIP. Family planning needs during the first two years postpartum in the Ethiopia. Washington DC: USAID; 2013.
Tessema GA, Zeleke BM, Ayele TA. Birth interval and its predictors among married women in Dabat District, Northwest Ethiopia: A retrospective follow up study. Afr J Reprod Health. 2013;17(2):39–45. PubMed
John A, William L. Contraceptive use, intention to Use and unmet need during the extended postpartum period. Int Fam Plan Perspect. 2001;27:20–7. CrossRef
Jhpiego. Postpartum Intrautraine contraceptive Device (PPIUD) services Family planning intiative. Maryland, USA: Jhpiego; 2010.
Global Health Brief. Family planning for postpartum women: Seizing a Missed Opportunity. Maryland, USA: John Hopkins Bloomberg School of Public Health; USAID; 2005.
Federal Democratic Republic of Ethiopia, Ministry of Health. Health Sector Development Programme IV: 2010/11 – 2014/15. Addis Ababa, 2010.
Amhara Regional Health Bureau(ARHB): Amhara Regional Health Bureau Wereda Based plan 2005 .C, Bahir Dar, Ethiopia 2012.
Thomas B, Richard J, Mary S. Efficacy of a New postpartum transition protocol for avoiding pregnancy. Am Board Fam Med. 2012;26:35–44.
Aurellie B, Elizabeth E, Ngabo F, Wesson J, Chen M. Getting to 70%: barriers to modern contraceptive use for women in Rwanda. Int J Gynecol Obstet. 2013;11–15.
USAID. A guide for monitoring and evaluting population- health enviroment program. I. Washington DC: USAID; 2007.
WHO. Medical eligibility criteria for contraceptive use. 4th ed. Geneva, Switzerland: World health organization; 2010.
Ellen K, Christina I, Helen P. Postpartum contraceptive use among adolescent mother in seven state. J Adolesc Health. 2013;52(3):278–83. CrossRef
Salway S, Nurani S. Postpartum contraceptive use in Bangladesh: understanding users' perspectives. NCBI. 1998;29(1):41–57.
Mai D, David H. Relationship between Antinatal and postnatal care and post partum modern contraceptive method. BMC Health Service Res. 2013;13:6. CrossRef
- Postpartum contraceptive use in Gondar town, Northwest Ethiopia: a community based cross-sectional study
Zelalem Birhanu Mengesha
Gizachew Assefa Tessema
- BioMed Central
Neu im Fachgebiet Gynäkologie und Geburtshilfe
Meistgelesene Bücher aus dem Fachgebiet
e.Med Kampagnen-Visual, Mail Icon II