Melkie Abenezer, Addisu Dagne, Mekie Maru, Dagnew Enyew
Debre Tabor University, College of Health Sciences, Midwifery Department, Ethiopia.
Heliyon. 2021 Jan 21;7(1):e06034. doi: 10.1016/j.heliyon.2021.e06034. eCollection 2021 Jan.
Intrauterine contraceptive device (IUCD) prevents unwanted pregnancy. An immediate postpartum period is a good opportunity to place IUCD for women who want to delay pregnancy. However, in Sub-Saharan Africa mainly in Ethiopia, this procedure is not widely used. This study aimed to determine the utilization and factors associated with an immediate postpartum intrauterine contraceptive device (IPPIUCD).
Multi-level facility-based cross-sectional study was conducted from Januarey12 to March 12/2019GC on 423 women who delivered at selected hospitals of the west Gojjam zone. A systematic random sampling technique was applied to select study participants. Proportional allocations of samples were done based on the delivery caseload of each hospital. Data were entered in Epi info version 7.1 software and exported to SPSS version 23 for editing, cleaning, and analysis. Bivariable and multivariable logistic regression analysis were performed to determine factors associated with the utilization of IPPIUCD.
The utilization of IPPIUCD was 4.02 % (95% CI: 1.65, 5.24). The following factors were significantly associated with IPPIUCD utilization; Being age 35-49 (AOR: 2.98; 1.31, 4.68), College and above education (5.01; 2.21, 7.90), Being counseled about IPPIUD (2.76: 1.79, 7.58), and needing of birth spacing >36 months (2.01: 1.52, 10.12).
The utilization of IPPIUCD was low in selected hospitals of west Gojjam zone. According to this finding; age between 35-49 years, having college and above education, being counseled about IPPIUCD, and needing above 36 months birth spacing were significant factors for utilization of IPPIUCD. Encouraging women's education and informing health professionals of the importance of IPPIUCD may enhance IPPIUCD utilization. This finding may be useful in both reproductive health promotion at an individual level and policy-making regarding this issue.
宫内节育器（IUCD）可预防意外怀孕。对于希望推迟怀孕的女性来说，产后即时放置宫内节育器是一个好时机。然而，在撒哈拉以南非洲地区，主要是在埃塞俄比亚，这一程序并未得到广泛应用。本研究旨在确定产后即时宫内节育器（IPPIUCD）的使用情况及其相关因素。
于2019年埃塞俄比亚历1月12日至3月12日在西戈贾姆地区选定医院对423名分娩妇女进行了基于设施的多层次横断面研究。采用系统随机抽样技术选择研究参与者。根据各医院的分娩病例数进行样本的比例分配。数据录入Epi info 7.1软件，并导出到SPSS 23版本进行编辑、清理和分析。进行双变量和多变量逻辑回归分析以确定与IPPIUCD使用相关的因素。
IPPIUCD的使用率为4.02%（95%置信区间：1.65，5.24）。以下因素与IPPIUCD的使用显著相关：年龄在35 - 49岁（调整后比值比：2.98；1.31，4.68）、大专及以上学历（5.01；2.21，7.90）、接受过IPPIUD咨询（2.76：1.79，7.58）以及需要生育间隔>36个月（2.01：1.52，10.12）。
在西戈贾姆地区选定的医院中，IPPIUCD的使用率较低。根据这一发现，年龄在35 - 49岁、具有大专及以上学历、接受过IPPIUCD咨询以及需要36个月以上生育间隔是IPPIUCD使用的重要因素。鼓励妇女接受教育并告知卫生专业人员IPPIUCD的重要性可能会提高IPPIUCD的使用率。这一发现可能对个体层面的生殖健康促进以及关于该问题的政策制定都有用。
