Atnafu Endalkachew, Geda Biftu, Oljira Lemessa, Atnafe Genanaw, Tamiru Dawit, Birhanu Abdi, Tiruye Getahun, Kibret Haregeweyn, Debella Adera
Jugol General Hospital, Harari Reginal State, Harar, Ethiopia.
Department of Nursing, College of Health and Medical Sciences, Madda Walabu University, Bale-Robe, Ethiopia.
Obstet Gynecol Int. 2022 Jan 12;2022:4050844. doi: 10.1155/2022/4050844. eCollection 2022.
Annually, around 121 million unintended pregnancies occur in the world and more than 73 million encountered abortion. Ethiopia is also losing 19.6% of mothers due to unsafe abortion. Despite that postabortion contraceptive service is a climactic entry point for the prevention of unwanted pregnancy and associated deaths, the service magnitude and determinants immediately before discharge are not characterized well in Ethiopia. Hence, this study aimed to assess the magnitude of postabortion contraceptive utilization and associated factors among women receiving abortion care service before being discharged from health facilities in Harar, Eastern Ethiopia.
A facility-based cross-sectional study was conducted among 390 women receiving abortion care services. At discharge, data about contraceptive acceptance and related maternal characteristics were collected. A binary logistic regression model was used to assess the association between independent and dependent variables (postabortion contraceptive utilization). Analysis was done with SPSS 22. Statistical significance was considered at < 0.05.
The overall prevalence of postabortion contraceptive utilization was 81.5% (95% CI: 77.9, 85.4). Being unmarried (AOR, 0.05; 95% CI (0.02, 0.16)), having no history of previous abortion (AOR, 0.11; 95% CI (0.04, 0.34)), being multigravida (AOR 8.1; 95% CI (2.20, 13.40), lacking desire to have an additional child (AOR, 6.3; 95% CI (2.65, 15.34), and history of family planning use (AOR, 17.20; 95% CI (6.5, 38.60)) were determinants of postabortion contraceptive utilization before being discharged from the health facilities.
Postabortion contraceptive utilization in Harar health facilities still needs improvement as per the WHO and national recommendations. Therefore, the family planning provision strategies should be convincing and friendly, especially for unmarried mothers, and those who had no history of abortion should be counseled in friendly and systematically convincing schemes for enabling them to take the service before discharge from the health facility.
全球每年约有1.21亿意外怀孕，其中超过7300万例选择堕胎。埃塞俄比亚也有19.6%的母亲因不安全堕胎而死亡。尽管堕胎后避孕服务是预防意外怀孕及相关死亡的关键切入点，但在埃塞俄比亚，该服务的规模以及出院前的影响因素尚未得到充分描述。因此，本研究旨在评估埃塞俄比亚东部哈勒尔地区接受堕胎护理服务的妇女在出院前使用堕胎后避孕措施的情况及其相关因素。
对390名接受堕胎护理服务的妇女进行了一项基于机构的横断面研究。在出院时，收集了有关避孕措施接受情况及相关产妇特征的数据。采用二元逻辑回归模型评估自变量和因变量（堕胎后避孕措施的使用）之间的关联。使用SPSS 22进行分析。当P<0.05时认为具有统计学意义。
堕胎后避孕措施的总体使用率为81.5%（95%置信区间：77.9，85.4）。未婚（比值比，0.05；95%置信区间（0.02，0.16））、无既往堕胎史（比值比，0.11；95%置信区间（0.04，0.34））、多产（比值比8.1；95%置信区间（2.20，13.40））、不希望再生育（比值比，6.3；95%置信区间（2.65，15.34））以及计划生育使用史（比值比，17.20；95%置信区间（6.5，38.60））是妇女在出院前使用堕胎后避孕措施的决定因素。
根据世界卫生组织和国家的建议，哈勒尔地区医疗机构的堕胎后避孕措施使用率仍需提高。因此，计划生育提供策略应具有说服力且友好，特别是对于未婚母亲，对于那些无堕胎史的人，应通过友好且系统的说服方案为其提供咨询，使她们能够在出院前接受该服务。
