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Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study

While the importance of knowledge about contraceptives in improving their utilization and thereby reducing the risk of unintended pregnancies is well documented, there are limited studies documented about the Lactational Amenorrhea Method (LAM). Thus, understanding the knowledge of postpartum mother...

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Autores principales: Eticha, Tadesse Gure, Girma, Sagni, Mamo, Galana, Asefa, Fekede, Birhanu, Abdi, Taye, Bedasa, Alemu, Addisu, Niguse, Kabtamu, Gedefaw, Abel, Genet, Tinsae, Amenu, Demesew, Mekuria, Thomas, Tura, Abera Kenay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492808/
https://www.ncbi.nlm.nih.gov/pubmed/37689818
http://dx.doi.org/10.1038/s41598-023-42196-w
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author Eticha, Tadesse Gure
Girma, Sagni
Mamo, Galana
Asefa, Fekede
Birhanu, Abdi
Taye, Bedasa
Alemu, Addisu
Niguse, Kabtamu
Gedefaw, Abel
Genet, Tinsae
Amenu, Demesew
Mekuria, Thomas
Tura, Abera Kenay
author_facet Eticha, Tadesse Gure
Girma, Sagni
Mamo, Galana
Asefa, Fekede
Birhanu, Abdi
Taye, Bedasa
Alemu, Addisu
Niguse, Kabtamu
Gedefaw, Abel
Genet, Tinsae
Amenu, Demesew
Mekuria, Thomas
Tura, Abera Kenay
author_sort Eticha, Tadesse Gure
collection PubMed
description While the importance of knowledge about contraceptives in improving their utilization and thereby reducing the risk of unintended pregnancies is well documented, there are limited studies documented about the Lactational Amenorrhea Method (LAM). Thus, understanding the knowledge of postpartum mothers about LAM is essential for designing tailored interventions. This study assessed the level of knowledge about LAM and its associated factors among postpartum mothers in Ethiopia. A facility-based cross-sectional study was conducted among 3148 randomly selected postpartum participants. The study utilized multistage sampling approach in hospitals located across five regions and one city administration in Ethiopia. Data were collected using face-to-face interviews at discharge. A participant was categorized as having knowledge of LAM if she correctly answered the three LAM criteria: amenorrhea, the first 6 months, and exclusive breast feeding. A binary logistic regression model was used to identify factors associated with knowledge of LAM. Variables with p < 0.25 in the binary logistic regression were included in the multiple logistic regression. Then, associations were described using the adjusted odds ratio (AOR) along with the 95% confidence interval (CI), and statistical significance was declared at p < 0.05. Only four in 10 participants (40.6%; 95% CI 38.9–42.3) had knowledge of LAM. Participants who attended college or above educational level (AOR = 2.1, 95% CI 1.5–2.8), those with parity of two (AOR = 2.3; 95% CI 1.6–3.6) or more than two (AOR = 2.4; 95% CI 1.5–4.0), those who expressed a desire for further fertility (AOR = 1.3; 95% CI 1.1–1.5), individuals who received counselling on LAM (AOR = 3.0; 95% CI 2.6–3.7), and those who gave birth in hospital (AOR = 2.6; 95% CI 1.4–2.6) had higher odds of knowledge about LAM, compared to their counter parts. In contrary, participants resided far away from health facilities had 30% lower odd of knowledge about LAM compared to those resided near the health facilities (AOR = 0.70; 95% CI 0.6–0.8). The proportion of participants who had knowledge of LAM was low. Strengthening counseling about LAM during antenatal care and delivery with due attention to women with limited access to health facilities should be considered for increasing their level of knowledge on LAM.
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spelling pubmed-104928082023-09-11 Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study Eticha, Tadesse Gure Girma, Sagni Mamo, Galana Asefa, Fekede Birhanu, Abdi Taye, Bedasa Alemu, Addisu Niguse, Kabtamu Gedefaw, Abel Genet, Tinsae Amenu, Demesew Mekuria, Thomas Tura, Abera Kenay Sci Rep Article While the importance of knowledge about contraceptives in improving their utilization and thereby reducing the risk of unintended pregnancies is well documented, there are limited studies documented about the Lactational Amenorrhea Method (LAM). Thus, understanding the knowledge of postpartum mothers about LAM is essential for designing tailored interventions. This study assessed the level of knowledge about LAM and its associated factors among postpartum mothers in Ethiopia. A facility-based cross-sectional study was conducted among 3148 randomly selected postpartum participants. The study utilized multistage sampling approach in hospitals located across five regions and one city administration in Ethiopia. Data were collected using face-to-face interviews at discharge. A participant was categorized as having knowledge of LAM if she correctly answered the three LAM criteria: amenorrhea, the first 6 months, and exclusive breast feeding. A binary logistic regression model was used to identify factors associated with knowledge of LAM. Variables with p < 0.25 in the binary logistic regression were included in the multiple logistic regression. Then, associations were described using the adjusted odds ratio (AOR) along with the 95% confidence interval (CI), and statistical significance was declared at p < 0.05. Only four in 10 participants (40.6%; 95% CI 38.9–42.3) had knowledge of LAM. Participants who attended college or above educational level (AOR = 2.1, 95% CI 1.5–2.8), those with parity of two (AOR = 2.3; 95% CI 1.6–3.6) or more than two (AOR = 2.4; 95% CI 1.5–4.0), those who expressed a desire for further fertility (AOR = 1.3; 95% CI 1.1–1.5), individuals who received counselling on LAM (AOR = 3.0; 95% CI 2.6–3.7), and those who gave birth in hospital (AOR = 2.6; 95% CI 1.4–2.6) had higher odds of knowledge about LAM, compared to their counter parts. In contrary, participants resided far away from health facilities had 30% lower odd of knowledge about LAM compared to those resided near the health facilities (AOR = 0.70; 95% CI 0.6–0.8). The proportion of participants who had knowledge of LAM was low. Strengthening counseling about LAM during antenatal care and delivery with due attention to women with limited access to health facilities should be considered for increasing their level of knowledge on LAM. Nature Publishing Group UK 2023-09-09 /pmc/articles/PMC10492808/ /pubmed/37689818 http://dx.doi.org/10.1038/s41598-023-42196-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Eticha, Tadesse Gure
Girma, Sagni
Mamo, Galana
Asefa, Fekede
Birhanu, Abdi
Taye, Bedasa
Alemu, Addisu
Niguse, Kabtamu
Gedefaw, Abel
Genet, Tinsae
Amenu, Demesew
Mekuria, Thomas
Tura, Abera Kenay
Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study
title Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study
title_full Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study
title_fullStr Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study
title_full_unstemmed Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study
title_short Knowledge of lactation amenorrhea method among postpartum women in Ethiopia: a facility-based cross-sectional study
title_sort knowledge of lactation amenorrhea method among postpartum women in ethiopia: a facility-based cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492808/
https://www.ncbi.nlm.nih.gov/pubmed/37689818
http://dx.doi.org/10.1038/s41598-023-42196-w
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