Mruts K B, Tessema G A, Gebremedhin A T, Scott J, Pereira G
Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia; School of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia; School of Public Health, University of Adelaide, Adelaide, South Australia, Australia.
Public Health. 2022 May;206:46-56. doi: 10.1016/j.puhe.2022.02.017. Epub 2022 Mar 30.
Family planning counselling at different contact points of maternal health services has been recommended for increasing the uptake of modern contraceptive methods. However, studies from sub-Saharan Africa (SSA) demonstrated inconsistent findings. The aim of this systematic review was to synthesise the available current evidence for the association between family planning counselling and postpartum modern contraceptive uptake in SSA.
This is a systematic review of the SSA literature.
On 11 February 2021, we searched six electronic databases for studies published in English. We included quantitative observational and interventional studies that assessed the effects of family planning counselling on contraceptive uptake among women who gave birth in the first 12 months. We used Joanna Briggs Institute critical appraisal tools to evaluate study quality. The protocol for this systematic review was registered in PROSPERO (CRD42021234785).
Twenty-seven studies with 26,814 participants comprising 18 observational and nine interventional studies were included. Family planning counselling during antenatal care, delivery, postnatal care, and antenatal and postnatal care was associated with postpartum contraceptive uptake. Moreover, the newly implemented family planning counselling interventions improved postpartum modern contraceptive uptake.
Overall, the evidence suggests that family planning counselling during the different maternal health service delivery points enhances contraceptive uptake among postpartum women. SSA countries should promote and strengthen family planning counselling integrated with maternal health services, which will play a significant role in combating unintended and closely spaced pregnancies.
为提高现代避孕方法的使用率，建议在孕产妇保健服务的不同接触点提供计划生育咨询。然而，撒哈拉以南非洲（SSA）的研究结果并不一致。本系统评价的目的是综合当前关于SSA地区计划生育咨询与产后现代避孕方法使用率之间关联的现有证据。
这是一项对SSA地区文献的系统评价。
2021年2月11日，我们在六个电子数据库中检索了以英文发表的研究。我们纳入了定量观察性和干预性研究，这些研究评估了计划生育咨询对在产后12个月内分娩的妇女避孕方法使用率的影响。我们使用乔安娜·布里格斯研究所的批判性评价工具来评估研究质量。本系统评价的方案已在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42021234785）中注册。
纳入了27项研究，共26814名参与者，其中包括18项观察性研究和9项干预性研究。产前护理、分娩、产后护理以及产前和产后护理期间的计划生育咨询与产后避孕方法的使用率相关。此外，新实施的计划生育咨询干预措施提高了产后现代避孕方法的使用率。
总体而言，证据表明在孕产妇保健服务的不同提供点进行计划生育咨询可提高产后妇女的避孕方法使用率。SSA国家应推广和加强与孕产妇保健服务相结合的计划生育咨询，这将在减少意外怀孕和缩短生育间隔方面发挥重要作用。
