Mesfin Yesgat Yibeltal, Gultie Ketema Tekilemariam, Abebe Dessalegn Samuel, Wallelign Bayabil Abraham, Argaw Enyew Muche, Habte Dagnaw Eyaya
Department of Midwifery, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
PLoS One. 2022 Mar 16;17(3):e0265163. doi: 10.1371/journal.pone.0265163. eCollection 2022.
Post-partum family planning is a novel strategy to reduce maternal and neonatal mortality by preventing unwanted pregnancy and unsafe abortion. However, little was done on community-based design to assess modern contraceptive use during an extended postpartum period in southern Ethiopia. Therefore, this study aimed to assess modern contraceptive use during extended postpartum period and factors associated among women who gave birth in the previous twelve months in southern Ethiopia.
A community-based cross-sectional study was conducted among 416 women in Arba Minch town. A systematic random sampling technique was employed to select the enrolled women. Data were collected using a structured and pretested questionnaire. The data were entered into Epi-Data version 4.6 then exported to statically package of social science (SPSS) version 25 for data analysis.
Among enrolled postpartum women, 64.7% were used modern contraceptives for the last 12 months. Women were more likely to use a modern contraceptive during the extended period of postpartum if they resumed sexual intercourse (AOR:7.4 [4.08, 13.23]), received post-partum family planning counseling (AOR: 3.2 [1.95, 5.28]), and if they resumed menses (AOR: 5.3 [3.12, 9.15]) than the counterpart. Being young age women (AOR: 3.2 [1.05, 9.82]) compared to age above 35 years and married (AOR:3.2 [1.17-10.28]) compared to currently unmarried were significantly associated factors for modern contraceptive use during the extended period of postpartum.
The level of modern contraceptive utilization during the extended postpartum period was satisfactory. Therefore, in light of this finding, there is a need to improve the strengthening and scale-up antenatal and postnatal counseling of contraceptive use during the extended postpartum period, advice on preceding the return of menses, and give better attention for older age and unmarried women education on family planning.
产后计划生育是一项通过预防意外怀孕和不安全堕胎来降低孕产妇和新生儿死亡率的新策略。然而，在埃塞俄比亚南部，基于社区设计来评估延长产后时期现代避孕方法使用情况的工作做得很少。因此，本研究旨在评估埃塞俄比亚南部过去十二个月内分娩的妇女在延长产后时期现代避孕方法的使用情况及其相关因素。
在阿巴明奇镇对416名妇女进行了一项基于社区的横断面研究。采用系统随机抽样技术选取登记妇女。使用结构化且经过预测试的问卷收集数据。数据录入Epi-Data 4.6版本，然后导出到社会科学统计软件包（SPSS）25版本进行数据分析。
在登记的产后妇女中，64.7%在过去12个月使用了现代避孕方法。与未恢复性交、未接受产后计划生育咨询、未恢复月经的妇女相比，恢复性交（调整后比值比[AOR]：7.4[4.08, 13.23]）、接受产后计划生育咨询（AOR：3.2[1.95, 5.28]）以及恢复月经（AOR：5.3[3.12, 9.15]）的妇女在延长产后时期更有可能使用现代避孕方法。与35岁以上妇女相比，年轻妇女（AOR：3.2[1.05, 9.82]）以及与目前未婚妇女相比，已婚妇女（AOR：3.2[1.17 - 10.28]）是延长产后时期现代避孕方法使用的显著相关因素。
延长产后时期现代避孕方法的使用水平令人满意。因此，鉴于这一发现，有必要加强和扩大产后延长时期避孕使用的产前和产后咨询，就月经恢复前的情况提供建议，并更好地关注老年和未婚妇女的计划生育教育。
