Department of Family Medicine, School of Medicine, Moi University, Eldoret.
S Afr Fam Pract (2004). 2020 Aug 13;62(1):e1-e5. doi: 10.4102/safp.v62i1.5093.
Postpartum family planning (PPFP) is associated with health, social and economic benefits to a woman and her family. Its uptake, particularly of the more effective, long-acting reversible contraceptives (LARCs), is low. The role of parity in PPFP uptake is inconclusive. The aim of this study was to compare the uptake of PPFP and LARCs between primiparous and multiparous women accompanying their children for the first measles vaccine, which is at 9 months after delivery, in Webuye County Hospital, Kenya.
This was a cross-sectional study. Study participants were recruited using a systematic random sampling method and data were collected using a pretested, structured, interviewer-administered questionnaire. The collected data were analysed using an independent t-test to compare PPFP uptake between primiparous and multiparous women, whereas chi-square tests (for categorical data) and independent t-tests (for numerical data) were used to compare the various socio-demographic characteristics and occurrence of various predictors of PPFP uptake between the two groups of postpartum women. Factors that were significantly different between the two groups were controlled for using logistic regression.
There was a significant difference on PPFP uptake (22.0%; 95% CI: 11.8-32.3; p 0.001), but none on LARC use (OR = 0.88; 95% CI: 0.46-1.66) between the two groups of women. The unadjusted and adjusted OR for the effect of parity on FP uptake was 3.48 (95% CI: 1.88-6.42) and 2.32 (95% CI: 1.15-4.67), respectively.
There is a significant difference in the uptake of PPFP, but not LARCs, between primiparous women and multiparous women accompanying their children for the 9-month measles vaccine in Webuye County Hospital. Primiparous women are less likely to initiate the use of PPFP compared to their multiparous counterparts.
产后计划生育（PPFP）对妇女及其家庭的健康、社会和经济都有好处。但它的采用率，特别是更有效、长效的可逆避孕措施（LARCs）的采用率很低。生育次数在 PPFP 采用率方面的作用尚无定论。本研究旨在比较初次生育和多胎生育的妇女在肯尼亚韦布uye 县医院为其 9 个月大的孩子接种麻疹疫苗时，对产后计划生育和长效可逆避孕措施的采用情况。
这是一项横断面研究。采用系统随机抽样方法招募研究参与者，使用经过预测试的、结构合理的、由访谈者管理的问卷收集数据。使用独立 t 检验比较初产妇和多产妇之间的 PPFP 采用率，使用卡方检验（用于分类数据）和独立 t 检验（用于数值数据）比较两组产后妇女的各种社会人口统计学特征和各种 PPFP 采用预测因素的发生情况。使用逻辑回归控制两组间存在显著差异的因素。
两组妇女在 PPFP 采用率上有显著差异（22.0%；95%CI：11.8-32.3；p<0.001），但在 LARC 使用上无差异（OR=0.88；95%CI：0.46-1.66）。生育次数对 FP 采用的未调整和调整后的 OR 分别为 3.48（95%CI：1.88-6.42）和 2.32（95%CI：1.15-4.67）。
在韦布uye 县医院，为 9 个月大的孩子接种麻疹疫苗时，初产妇和多产妇在采用产后计划生育方面有显著差异，但在采用长效可逆避孕措施方面无差异。与多胎生育的妇女相比，初产妇更不可能开始采用产后计划生育。
