Abebe Ayele Mamo, Wudu Kassaw Mesfin, Estifanos Shewangashaw Nathan
Department of Nursing, Debre Birhan Health Sciences College, Debre Birhan 37, Amhara, Ethiopia.
Department of Nursing, College of Health Sciences, Woldia University, Amhara, Ethiopia.
Int J Reprod Med. 2019 Aug 19;2019:1327351. doi: 10.1155/2019/1327351. eCollection 2019.
Abortion is termination of pregnancy before the viability of the pregnancy. It is one of the major causes for maternal mortality in the world and in Ethiopia. Unintended pregnancies which end up in abortion occur due to contraception method nonuse or misuse. To limit unintended pregnancies and avoid repeated abortions promoting immediate postabortion contraception is crucial.
To assess the proportion of postabortion contraception acceptance among women who got abortion care service and factors associated with it in Marie stopes international clinic and Dessie health center, Dessie, North eastern Amhara, 2017.
An institutional based cross-sectional study design was conducted from May 1 to May 30, 2017, at Marie stopes international clinics and Dessie health center. A sample of 125 women were selected by means of systematic sampling techniques and 118 abortion clients were interviewed in Marie stopes international clinic and Dessie on the use/acceptance of postabortion family planning (PAFP). Data were collected through pretested structured questionnaire. Data was cleaned and checked. Chi-square test was done to assess the association between dependent and independent variables. Odds ratio was done to assess the strength of association. Frequency tables, pie chart, and graphs were used to present the finding of the study.
From a total of 125 participants recruited, 118 participated in the study while 7 were unwilling to participate in the study, yielding the response rate of 94.4%. Among the 118 study participants, 79 (66.9%) were within the age group 25-34. This study found a strong positive association between Postabortion contraception acceptance and age [P = [X test= COR=2.625)]. Study subjects aged 15-24 years were 3 times more likely to accept postabortion family planning as compared with those aged >35 years.
This study revealed that the acceptance of postabortion family planning method was 84%. Age of women, marital status, ever use of history family planning, involvement of others in decision making, and family planning counseling were significantly associated with postabortion family planning acceptance. Therefore it is better to give emphasis on health education about family planning.
堕胎是指在胎儿具有生存能力之前终止妊娠。它是全球及埃塞俄比亚孕产妇死亡的主要原因之一。意外怀孕最终导致堕胎是由于未使用或误用避孕方法。为了减少意外怀孕并避免重复堕胎，推广流产后立即避孕至关重要。
评估2017年在埃塞俄比亚阿姆哈拉州东北部德西的玛丽斯特普国际诊所和德西健康中心接受堕胎护理服务的妇女中接受流产后避孕的比例及其相关因素。
2017年5月1日至5月30日，在玛丽斯特普国际诊所和德西健康中心采用基于机构的横断面研究设计。通过系统抽样技术选取了125名妇女作为样本，在玛丽斯特普国际诊所和德西对118名堕胎患者进行了关于流产后计划生育（PAFP）使用/接受情况的访谈。通过预先测试的结构化问卷收集数据。对数据进行清理和检查。采用卡方检验评估因变量和自变量之间的关联。计算优势比以评估关联强度。使用频率表、饼图和图表展示研究结果。
在总共招募的125名参与者中，118名参与了研究，7名不愿意参与研究，回复率为94.4%。在118名研究参与者中，79名（66.9%）年龄在25 - 34岁之间。本研究发现流产后避孕接受情况与年龄之间存在强正相关[P = [X检验 = COR = 2.625]]。与年龄大于35岁的研究对象相比，15 - 24岁的研究对象接受流产后计划生育的可能性高出3倍。
本研究表明流产后计划生育方法的接受率为84%。妇女年龄、婚姻状况、既往计划生育史、他人参与决策以及计划生育咨询与流产后计划生育接受情况显著相关。因此，最好强调关于计划生育的健康教育。
