Gebremedhin Almaz Yirga, Kebede Yigzaw, Gelagay Abebaw Addis, Habitu Yohannes Ayanaw
Pathfinder International, Addis Ababa, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Contracept Reprod Med. 2018 Jan 5;3:1. doi: 10.1186/s40834-017-0054-5. eCollection 2018.
Postpartum period is an important entry point for family planning service provision; however, women in Ethiopia are usually uncertain about the use of family planning methods during this period. Limited studies have been conducted to assess postpartum family planning use in Addis Ababa, in particular and in the country in general. So, this study was conducted to assess postpartum family planning use and its associated factors among women in extended postpartum period in Kolfe Keranyo sub city of Addis Ababa.
A community-based cross sectional study was conducted from May to June 2015 on 803 women who have had live births during the year (2014) preceding the data collection in the sub city. The multi-stage cluster sampling technique was used to select study participants. Data were collected by interviewer administered structured questionnaire, entered into EPI INFO version 7 and analyzed by SPSS Version 20. Bivariable and Multivariable logistic regression models were employed to see the presence and strength of the association between the dependent and independent variables by computing the odds ratios with a 95% confidence intervals and -values.
The prevalence of postpartum family planning use was 80.3% (95% CI: 74.5, 83.1). Marriage, (AOR 0.09, 95% CI: 0.03, 0.22), menses resumption after birth, (AOR 2.12, 95% CI: 1.37, 3.41), length of time after delivery, (AOR 2.37, 95% CI: 1.18, 4.75), and history of contraceptive use before last pregnancy, (AOR 0.12, 95% CI: 0.07, 0.18) were the factors associated with postpartum family planning use.
The prevalence of postpartum family planning use was high and the main factors associated with it were marriage, menses resumption, length of time after delivery, and history of previous contraceptive use. Therefore women should get appropriate information about the possibility of exposure to pregnancy prior to menses resumption by giving special emphasis to those who had no previous history of contraceptive use and exposure to the other identified factors.
产后时期是提供计划生育服务的一个重要切入点；然而，埃塞俄比亚的妇女在此期间通常对计划生育方法的使用存在疑虑。关于亚的斯亚贝巴特别是该国产后计划生育使用情况的评估研究有限。因此，本研究旨在评估亚的斯亚贝巴科尔费·凯拉尼奥次市产后延长时期妇女的产后计划生育使用情况及其相关因素。
2015年5月至6月，对该次市在数据收集前一年（2014年）有活产经历的803名妇女进行了一项基于社区的横断面研究。采用多阶段整群抽样技术选取研究参与者。通过访谈员管理的结构化问卷收集数据，录入EPI INFO 7版本，并使用SPSS 20版本进行分析。采用双变量和多变量逻辑回归模型，通过计算95%置信区间的比值比和P值来观察因变量和自变量之间关联的存在情况和强度。
产后计划生育的使用率为80.3%（95%置信区间：74.5，83.1）。婚姻状况（调整后比值比0.09，95%置信区间：0.03，0.22）、产后月经恢复情况（调整后比值比2.12，95%置信区间：1.37，3.41）、分娩后的时间长度（调整后比值比2.37，95%置信区间：1.18，4.75）以及上次怀孕前的避孕使用史（调整后比值比0.12，95%置信区间：0.07，0.18）是与产后计划生育使用相关的因素。
产后计划生育的使用率较高，与之相关的主要因素是婚姻状况、月经恢复情况、分娩后的时间长度以及之前的避孕使用史。因此，应特别向那些没有避孕使用史以及暴露于其他已确定因素的妇女提供关于月经恢复前怀孕可能性的适当信息。
