Acceptance rate of immediate post-partum intrauterine contraceptive device and associated factors among women who delivered in Ethiopia.

Abstract

Introduction: An immediate postpartum intrauterine contraceptive device is a safe and effective family planning method to prevent unwanted pregnancy by providing it immediately after delivery before the postpartum women leaves the postnatal room Despite the widely recognized demand for postpartum intrauterine contraception devices and address any barriers. Low acceptability resulted in significant unmet needs. Therefore, assessing the acceptance rate of immediate postpartum intrauterine contraceptive devices is very crucial.

Objective: The aim of this study was to assess the acceptance of immediate postpartum Intrauterine devices and associated factors among women who delivered in Ethiopia, 2023.

Method: An institution-based cross-sectional study was employed among 373 systematically selected postnatal women at Bedele General Hospital, Chora Primary Hospital, Didesa Primary Hospital, and Chaweqa General Hospital from June 15 to August 15, 2023. A questionnaire conducted by an interviewer was employed. For logistic regression analysis, data was entered into EpiData version 4.6 and exported to SPSS version 25. At p < 0.25, bivariate analysis was used to select the variables for the multivariate analysis. The variables associated with the acceptance rate of postpartum intrauterine devices have been identified using multivariate logistic regression analysis. A p-value of < 0.05 was used to determine statistical significance.

Results: A total of 373 postpartum womens participated in this study, achieving a response rate of 95.88%. Among them, 127 (34.0%) were in the 26- to 30-year age group. Only 37 postpartum womens (9.9%, 95% CI: 7.1-13.4%) accepted immediate postpartum intrauterine contraceptive device (PPIUD) usage. The following variables were identified as significant factors associated with PPIUD acceptance: mode of delivery (AOR = 0.079, 95% CI: 0.010-0.632), number of pregnancies (AOR = 6.963, 95% CI: 2.039-31.101), and partner occupation (AOR = 0.199, 95% CI: 0.052-0.756).

Conclusion: The acceptance of immediate postpartum intra-uterine contraceptive devices was very low. Community-wide education and qualitative studies should be organized to address perceived fear side effects and uncover causes of lower immediate postpartum intrauterine contraceptive device acceptance.