Sirage Nurye, Desalegn Zewuditu, Wako Wako Golicha, Yimer Ali, Bizuneh Fassikaw Kebede, Feleke Sefineh Fenta, Yesuf Adem, Beyene Belda Negesa
School of Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
Department of Nursing, Bule Hora University Teaching Hospital, Bule Hora, Ethiopia.
Front Glob Womens Health. 2024 Dec 9;5:1323024. doi: 10.3389/fgwh.2024.1323024. eCollection 2024.
Contraception use remains low in Ethiopia, particularly within the first year after childbirth. While some women might have medical conditions that limit their contraceptive options, the primary obstacle to wider family planning adoption is not a specific health problem. Instead, it is the lack of equitable access to high-quality family planning services. This barrier significantly hinders women's ability to make informed decisions about their reproductive health. This study examines postpartum family planning utilization and its associated factors among postpartum mothers in the Bule Hora District.
We conducted a community-based cross-sectional study. A multistage sampling technique was employed to recruit a total of 630 women who had given birth. To collect the data, structured, standardized, and pretested questionnaires were used, and the collected data were coded and entered into Epi-data version 4.6. The data were analyzed using SPSS version 25. Both bivariable and multivariable logistic regressions were used to identify factors associated with postpartum family planning utilization.
The study found that 71.3% of women utilized postpartum family planning. Significant associations were found between postpartum family planning utilization and various factors, including counseling on family planning during pregnancy [adjusted odds ratio (AOR) = 1.79, 95% confidence interval (CI) 1.61-2.82], delivery (AOR = 2.62, 95% CI 1.56-4.38), and the postpartum period (AOR = 2.71, 95% CI 1.75-4.21). Women who resumed sexual activity after birth (AOR = 1.92, 95% CI 1.25-2.96), and who had at least four antenatal care visits (AOR = 3.09, 95% CI 1.61-5.92) were also more likely to use postpartum family planning. Women with grand multiparity were 69% less likely to use family planning methods than primiparous women (AOR = 0.31, 95% CI 0.13-0.73).
Postpartum family planning use in this study was higher than the national average. Factors such as parity; counseling during the pregnancy, delivery, and postpartum periods; and early resumption of sexual activity were linked to increased contraceptive use. These findings suggest that enhanced counseling during antenatal, delivery, and postnatal care could significantly increase contraceptive use.
埃塞俄比亚的避孕措施使用率仍然很低，尤其是在产后第一年。虽然一些女性可能存在限制其避孕选择的健康问题，但更广泛采用计划生育的主要障碍并非特定的健康问题。相反，是缺乏获得高质量计划生育服务的公平机会。这一障碍严重阻碍了女性对其生殖健康做出明智决策的能力。本研究调查了布勒霍拉地区产后母亲的产后计划生育利用情况及其相关因素。
我们开展了一项基于社区的横断面研究。采用多阶段抽样技术共招募了630名已生育的女性。为收集数据，使用了结构化、标准化且经过预测试的问卷，收集到的数据进行编码后录入Epi - data 4.6版本。数据使用SPSS 25版本进行分析。双变量和多变量逻辑回归均用于确定与产后计划生育利用相关的因素。
研究发现71.3%的女性使用了产后计划生育。产后计划生育利用与多种因素之间存在显著关联，包括孕期的计划生育咨询[调整优势比（AOR）= 1.79，95%置信区间（CI）1.61 - 2.82]、分娩（AOR = 2.62，95% CI 1.56 - 4.38）以及产后阶段（AOR = 2.71，95% CI 1.75 - 4.21）。产后恢复性生活的女性（AOR = 1.92，95% CI 1.25 - 2.96）以及至少进行过四次产前检查的女性（AOR = 3.09，95% CI 1.61 - 5.92）也更有可能使用产后计划生育。多产女性使用计划生育方法的可能性比初产女性低69%（AOR = 0.31，95% CI 0.13 - 0.73）。
本研究中产后计划生育的使用率高于全国平均水平。诸如胎次、孕期、分娩期和产后阶段的咨询以及早期恢复性生活等因素与避孕措施使用的增加有关。这些发现表明，加强产前、分娩和产后护理期间的咨询可显著提高避孕措施的使用。
