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BACKGROUND

The World Health Organization indicates that despite advancements, the rates of maternal and neonatal mortality and morbidity during the postpartum period continue to be alarmingly high. Furthermore, untapped opportunities to enhance maternal health and promote effective newborn care, including family planning services, have not been fully leveraged. Earlier meta-analyses and systematic reviews have addressed this subject; however, a thorough evidence synthesis has not been provided. Therefore, the objective of this study was to compile the existing systematic reviews (SRs) concerning postpartum family planning uptake among postpartum women in Ethiopia.

METHOD

This review used an umbrella review method, incorporating numerous systematic reviews. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Meta-analysis of Observational Studies guideline (MOOSE). A comprehensive literature review was conducted across prominent four electronic databases (including MEDLINE/PubMed, Cochrane, Web of Science and Science Direct) from June 15, to July 15, 2024. This review encompassed investigations carried out within the uptake of family planning among post-partum women and its determinants in Ethiopia were the primary outcome. A set of inclusion criteria was established to identify all pertinent systematic reviews, including studies, with no restrictions on data collection and publication year. The quality of the methods was evaluated using the Assessment of Multiple Systematic Reviews tool, (AMSTAR) tool. Statistical analysis was conducted using STATA version 17 software, and the 95% confidence interval was utilized to establish statistical significance. I-squared statistics were employed to evaluate the heterogeneity of the studies by using a random-effects meta-analysis model.

RESULTS

The umbrella review includes five studies with a total of 44,276 postpartum women. The pooled prevalence of postpartum family planning utilization was 36.41% (95% CI: 24.78, 48.03). Family planning counseling (AOR: 4.12, 95% CI: 2.89, 4.71), couple discussion (AOR: 3.06, 95% CI: 1.42, 5.60), and postnatal follow-up (AOR: 3.48, 95% CI: 2.60, 4.83) were significantly associated with postpartum family planning uptake.

CONCLUSION

The study results indicate that the adoption of postpartum family planning in Ethiopia requires focused intervention. This can be achieved by identifying and enhancing community frameworks to involve men in reproductive health initiatives and by providing comprehensive family planning information and services during postnatal care. Addressing the aforementioned factors is crucial to mitigate the risks associated with unintended pregnancies and to manage the swift increase in population.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024568435, PROSPERO (CRD42024568435).

BACKGROUND

METHOD

RESULTS

CONCLUSION

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024568435, PROSPERO (CRD42024568435).

背景

世界卫生组织指出，尽管取得了进展，但产后孕产妇和新生儿的死亡率及发病率仍然高得惊人。此外，包括计划生育服务在内的改善孕产妇健康和促进有效新生儿护理的潜在机会尚未得到充分利用。早期的荟萃分析和系统评价已涉及该主题；然而，尚未提供全面的证据综合分析。因此，本研究的目的是汇编关于埃塞俄比亚产后妇女产后计划生育采用情况的现有系统评价。

方法

本评价采用伞状评价方法，纳入了多项系统评价。我们遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南以及观察性研究的荟萃分析指南（MOOSE）。于2024年6月15日至7月15日对四个著名的电子数据库（包括MEDLINE/PubMed、Cochrane、科学引文索引和Science Direct）进行了全面的文献综述。本评价涵盖了埃塞俄比亚产后妇女计划生育采用情况及其决定因素的相关调查，主要结果是产后妇女计划生育的采用情况。制定了一套纳入标准以识别所有相关的系统评价，包括研究，对数据收集和出版年份没有限制。使用多重系统评价评估工具（AMSTAR）评估方法的质量。使用STATA 17版软件进行统计分析，并利用95%置信区间确定统计学显著性。采用I²统计量通过随机效应荟萃分析模型评估研究的异质性。

结果

伞状评价包括五项研究，共有44276名产后妇女。产后计划生育利用的合并患病率为36.41%（95%置信区间：24.78，48.03）。计划生育咨询（比值比：4.12，95%置信区间：2.89，4.71）、夫妻讨论（比值比：3.06，95%置信区间：1.42，5.60）和产后随访（比值比：3.48，95%置信区间：2.60，4.83）与产后计划生育的采用显著相关。