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Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia
BACKGROUND: The extended postpartum period is a one-year follow-up period after giving birth, and it is critical for women to prevent unintended pregnancy and reduce the risk of maternal and child mortality by ensuring safe birth intervals. Many women, however, are unaware that they are at risk for...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8285232/ https://www.ncbi.nlm.nih.gov/pubmed/34285556 http://dx.doi.org/10.2147/IJGM.S317649 |
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author | Getaneh, Mekonnen Jara, Dube Alle, Atsede Arora, Amit Tsegaye, Tesfa Birlew Birhanu, Molla Yigzaw |
author_facet | Getaneh, Mekonnen Jara, Dube Alle, Atsede Arora, Amit Tsegaye, Tesfa Birlew Birhanu, Molla Yigzaw |
author_sort | Getaneh, Mekonnen |
collection | PubMed |
description | BACKGROUND: The extended postpartum period is a one-year follow-up period after giving birth, and it is critical for women to prevent unintended pregnancy and reduce the risk of maternal and child mortality by ensuring safe birth intervals. Many women, however, are unaware that they are at risk for pregnancy throughout this period. Hence, the aim of this study was to assess the utilization and associated factors of modern contraceptives during extended postpartum family planning (EPPP) in northwest Ethiopia. METHODS: A community-based cross-sectional study design was conducted using 630 samples from October 01 to October 30, 2020, in northwest Ethiopia. The study participants were drawn through a multistage sampling technique and data were collected using structured questionnaires via interview. The collected data were entered into EpiData version 4.2 and exported into SPSS version 25.0 for management and further analysis. A bivariable logistic regression model was used to identify variables having an association with the outcome variable. In bivariable analysis, variables having P ≤ 0.25 were selected and entered into multivariable logistic regression analysis. Finally, in multivariable analysis, variables having P ≤ 0.05 with a 95% CI were declared as significantly associated with the outcome variable. RESULTS: About 60.6% of women were using modern contraceptive during extended postpartum period. Mothers to partner discussion (AOR= 7.6, 95% CI: 4.20–14.05), secondary educational status (AOR= 3.8, 95% CI: 1.36–10.93), college and above educational status (AOR= 7, 95% CI: 1.92–25.57), menstrual resumption (AOR= 9.2, 95% CI: 5.66–15.12), sex resumed (AOR=8.5, 95% CI: 2.19–33.58), fertility desire (AOR= 3.9, 95% CI: 1.99–6.15), linkage to FP during child immunization (AOR= 2.7, 95% CI: 1.67–4.50), and FP counseling during pregnancy (AOR=2, 95% CI: 1.25–3.34) were significantly associated with outcome variable. CONCLUSION: Associating factors were identified as partner discussion, education, menstrual resumption, fertility desire, sexual resumption, FP counseling, and FP during child immunization. Improving mothers’ education and informing couples about the dangers of becoming pregnant before menstruation are critical. |
format | Online Article Text |
id | pubmed-8285232 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-82852322021-07-19 Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia Getaneh, Mekonnen Jara, Dube Alle, Atsede Arora, Amit Tsegaye, Tesfa Birlew Birhanu, Molla Yigzaw Int J Gen Med Original Research BACKGROUND: The extended postpartum period is a one-year follow-up period after giving birth, and it is critical for women to prevent unintended pregnancy and reduce the risk of maternal and child mortality by ensuring safe birth intervals. Many women, however, are unaware that they are at risk for pregnancy throughout this period. Hence, the aim of this study was to assess the utilization and associated factors of modern contraceptives during extended postpartum family planning (EPPP) in northwest Ethiopia. METHODS: A community-based cross-sectional study design was conducted using 630 samples from October 01 to October 30, 2020, in northwest Ethiopia. The study participants were drawn through a multistage sampling technique and data were collected using structured questionnaires via interview. The collected data were entered into EpiData version 4.2 and exported into SPSS version 25.0 for management and further analysis. A bivariable logistic regression model was used to identify variables having an association with the outcome variable. In bivariable analysis, variables having P ≤ 0.25 were selected and entered into multivariable logistic regression analysis. Finally, in multivariable analysis, variables having P ≤ 0.05 with a 95% CI were declared as significantly associated with the outcome variable. RESULTS: About 60.6% of women were using modern contraceptive during extended postpartum period. Mothers to partner discussion (AOR= 7.6, 95% CI: 4.20–14.05), secondary educational status (AOR= 3.8, 95% CI: 1.36–10.93), college and above educational status (AOR= 7, 95% CI: 1.92–25.57), menstrual resumption (AOR= 9.2, 95% CI: 5.66–15.12), sex resumed (AOR=8.5, 95% CI: 2.19–33.58), fertility desire (AOR= 3.9, 95% CI: 1.99–6.15), linkage to FP during child immunization (AOR= 2.7, 95% CI: 1.67–4.50), and FP counseling during pregnancy (AOR=2, 95% CI: 1.25–3.34) were significantly associated with outcome variable. CONCLUSION: Associating factors were identified as partner discussion, education, menstrual resumption, fertility desire, sexual resumption, FP counseling, and FP during child immunization. Improving mothers’ education and informing couples about the dangers of becoming pregnant before menstruation are critical. Dove 2021-07-12 /pmc/articles/PMC8285232/ /pubmed/34285556 http://dx.doi.org/10.2147/IJGM.S317649 Text en © 2021 Getaneh et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Getaneh, Mekonnen Jara, Dube Alle, Atsede Arora, Amit Tsegaye, Tesfa Birlew Birhanu, Molla Yigzaw Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia |
title | Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia |
title_full | Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia |
title_fullStr | Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia |
title_full_unstemmed | Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia |
title_short | Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia |
title_sort | modern contraceptive use and associated factors during extended postpartum period among women who gave birth in the last 12 months at northwest ethiopia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8285232/ https://www.ncbi.nlm.nih.gov/pubmed/34285556 http://dx.doi.org/10.2147/IJGM.S317649 |
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