Immediate postpartum modern family planning utilization and associated factors among postpartum women in Gurage Zone, Southern Ethiopia 2022: community-based cross-sectional study.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY
Frontiers in global women's health Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI:10.3389/fgwh.2025.1355620
Tolesa Gemeda Gudeta, Ayana Benti Terefe, Girma Teferi Mengistu, Seboka Abebe Sori
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引用次数: 0

Abstract

Background: The period immediately following delivery is crucial for addressing the many requirements women have in terms of reproductive health, including the need for family planning after delivery and for lowering the risks associated with closely spaced pregnancies. However, contraception during the immediate postpartum period has not received enough attention in Ethiopia. Information on the use of modern family planning in the immediate postpartum period is also sparse in this study area. Therefore, the current study aimed to assess the level of immediate postpartum modern family planning utilization and associated factors among mothers who had given birth within the past twelve months in Gurage Zone, Southwest Ethiopia.

Methods: The present study was conducted from May 1 to July 1, 2022, involving 844 mothers who had given birth in the previous year in the Gurage Zone of Southern Ethiopia. A community-based cross-sectional study design was utilized, with participants selected through a multistage sampling method. Data collection was performed via face-to-face interviews using a structured questionnaire. After data entry, which was done using EpiData version 3.1, analysis was carried out using the Statistical Package for Social Science (SPSS) version 26. To investigate the relationships between dependent and independent variables, both binary and multivariable logistic regressions with 95% confidence intervals were applied. In the multivariable logistic regression analysis, variables with P-values below 5% were considered statistically significant.

Result: Altogether, a total of 836 postpartum women participated in the current study. The overall prevalence of immediate postpartum modern family planning utilization (IPPFP) was (42.9%) with 95% CI (39.6-46.3%). Attending secondary school [AOR = 1.966(1.028-3.761)], postpartum women from wealthier families [AOR = 2.57 (95% CI: 1.44-4.58)], giving birth in health facility [AOR = 2.06 t (95% CI: 1.26-3.38)], reporting higher women empowerment [AOR = 4.365 (2.436-7.824)], having favorable attitude [AOR = 2.65 (95% CI: 1.86-3.78)], getting counseling during ANC [AOR = 1.93 (95% CI: 1.36-2.76)] and immediate postpartum period [AOR = 2.51 (95% CI: 1.77-3.56)] were significant associated factors of IPPFP utilization.

Conclusion: This study concluded that approximately two in five postpartum women utilized immediate postpartum family planning this study area. Socio-economic and informational factors significantly influence the adoption of these methods. To enhance the uptake of immediate postpartum family planning, it is essential to improve the quality of counseling provided during antenatal care visits and at the time of delivery, thereby empowering women with the knowledge needed for informed decision-making. Additionally, efforts to change attitudes toward immediate postpartum family planning through community education and awareness campaigns are vital for increasing acceptance and utilization of these services.

2022年埃塞俄比亚南部古拉格地区产后妇女的产后立即现代计划生育利用及相关因素:基于社区的横断面研究
背景:分娩后的一段时间对于满足妇女在生殖健康方面的许多要求至关重要,包括产后计划生育的需要和降低与怀孕间隔过短有关的风险。然而,在埃塞俄比亚,产后期间的避孕没有得到足够的重视。在本研究地区,关于在产后立即使用现代计划生育的信息也很少。因此,本研究旨在评估埃塞俄比亚西南部古拉格地区过去12个月内分娩的母亲在产后立即实施现代计划生育的水平及其相关因素。方法:本研究于2022年5月1日至7月1日进行,涉及埃塞俄比亚南部古拉格地区前一年分娩的844名母亲。采用基于社区的横断面研究设计,通过多阶段抽样方法选择参与者。数据收集通过面对面访谈,使用结构化问卷。使用EpiData 3.1版本录入数据后,使用SPSS (Statistical Package for Social Science) 26版本进行分析。为了研究因变量和自变量之间的关系,采用了95%置信区间的二元和多变量logistic回归。在多变量logistic回归分析中,p值低于5%的变量被认为具有统计学意义。结果:共有836名产后妇女参与了本研究。产后立即实施现代计划生育(IPPFP)的总体患病率为(42.9%),95% CI为(39.6-46.3%)。上中学[AOR = 1.966(1.028-3.761)]、富裕家庭的产后妇女[AOR = 2.57 (95% CI: 1.44-4.58)]、在医疗机构分娩[AOR = 2.06 t (95% CI: 1.26-3.38)]、报告妇女赋权程度较高[AOR = 4.365(2.436-7.824)]、态度良好[AOR = 2.65 (95% CI: 1.86-3.78)]、在产前产前[AOR = 1.93 (95% CI: 1.36-2.76)]和产后立即[AOR = 2.51 (95% CI: 1.36-2.76)]期间接受咨询[AOR = 1.93 (95% CI: 1.36-2.76)]和产后期间[AOR = 2.51 (95% CI: 1.51):(1.77-3.56)]是IPPFP使用的显著相关因素。结论:本研究得出的结论是,大约五分之二的产后妇女在本研究领域采用了产后立即计划生育。社会经济和信息因素对这些方法的采用有重大影响。为了加强对产后立即计划生育的接受,必须提高产前保健访问期间和分娩时提供咨询的质量,从而使妇女获得知情决策所需的知识。此外,通过社区教育和提高认识运动,努力改变对产后立即计划生育的态度,对于提高对这些服务的接受和利用至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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