Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Reprod Health. 2021 Nov 13;18(1):225. doi: 10.1186/s12978-021-01273-x.
The intrauterine contraceptive device, a type of long-acting reversible contraception, is one of the most effective and safe contraceptive methods. In Ethiopia, intrauterine contraceptive device is little known and practised to delay pregnancy. Therefore, this study aimed to assess post-partum intrauterine contraceptive device utilisation and its associated factors among women in Ethiopia.
In the current meta-analysis, variables were searched from different electronic database systems, including PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were also analysed by using STATA 16 statistical software. I tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled utilisation of postpartum intrauterine contraceptive device.
Twelve full-article studies were included. The pooled prevalence of post-partum intrauterine contraceptive device among women in Ethiopia was 21.63%. Occupation (OR = 4.44, 95% CI, 2.24-8.81), educational level of college and above (OR = 5.93, 95% CI, 2.55-13.8), antenatal care (OR = 2.09, 95% CI, 1.4-3.12), age (OR = 4.8, 95% CI, 2.3-10.04), good knowledge (OR = 4.16, 95% CI, 1.65-10.49), counseling (OR = 3.05, 95%CI, 1.41-6.63), husband support (OR = 11.48, 95% CI, 6.05-21.79) and awareness about IUCD (OR = 3.86, 95% CI, 1.46-10.2) were positively associated with utilization of postpartum intrauterine contraception device.
Utilisation of post-partum intrauterine contraceptive device was significantly low. Scaling up women's educational status and ANC use has paramount importance in increasing post-partum IUD use, which further improves maternal and child health in general. This finding may be useful in both reproductive health promotion at an individual level and policy-making regarding this issue.
宫内节育器是一种长效可逆避孕方法，是最有效和安全的避孕方法之一。在埃塞俄比亚，宫内节育器鲜为人知，也很少用于延迟怀孕。因此，本研究旨在评估埃塞俄比亚妇女产后宫内节育器的使用情况及其相关因素。
在本次荟萃分析中，变量从不同的电子数据库系统中检索，包括 PubMed、Google Scholar、EMBASE、HINAR、Scopus、Web of Sciences 和灰色文献。使用标准化数据收集测量工具提取数据。还使用 STATA 16 统计软件分析数据。I 检验评估了研究之间的异质性。使用随机效应模型预测产后宫内节育器的总体使用情况。
纳入了 12 项全文研究。埃塞俄比亚妇女产后宫内节育器的总使用率为 21.63%。职业（OR=4.44，95%CI，2.24-8.81）、大专及以上学历（OR=5.93，95%CI，2.55-13.8）、产前护理（OR=2.09，95%CI，1.4-3.12）、年龄（OR=4.8，95%CI，2.3-10.04）、知识良好（OR=4.16，95%CI，1.65-10.49）、咨询（OR=3.05，95%CI，1.41-6.63）、丈夫支持（OR=11.48，95%CI，6.05-21.79）和对宫内节育器的认识（OR=3.86，95%CI，1.46-10.2）与产后宫内节育器的使用呈正相关。
产后宫内节育器的使用率明显较低。提高妇女的教育水平和 ANC 的使用对于增加产后 IUD 的使用至关重要，这进一步普遍改善了母婴健康。这一发现对于个人层面的生殖健康促进和这一问题的政策制定都可能是有用的。
