Acceptability and Factors Associated with Immediate Postpartum Intrauterine Contraceptive Device Use Among Women Who Gave Birth at Government Hospitals of Gamo Zone, Southern Ethiopia, 2019

Abstract

Background: An intrauterine contraceptive device is suitable for women of all reproductive age groups for preventing unwanted pregnancies. Immediate postpartum family planning (PPFP) services need to be emphasized when the woman leaves the hospital. Despite the accepted demand for PPFP, many women do not access the services. Therefore, this study aimed to assess acceptability and factors associated with immediate postpartum intrauterine contraceptive device use among women who gave birth at government hospitals of Gamo Zone, Southern Ethiopia. Methods: A cross-sectional study was conducted from March 1 to 30, 2019 with 452 participants studied using systematic random sampling technique. Data was collected using a pretested interviewer-administered questionnaire from March 1 to 30, 2019. The data were coded, cleaned and entered into Epi-data manager version 4.2.2.1 and exported to SPSS version 23 for advanced analysis. Binary logistic regression was performed to identify associated factors of immediate PPIUCD acceptability. Results: This study revealed that about 161 (35.6%) in 95% CI (31.0, 39.6) of the study participants accepted immediate PPIUCD. Multiparty (AOR = 2.33, 95% CI, (1.29, 4.20)), completed antenatal follow up (AOR = 3.65, 95% CI, (2.22, 5.99)), counselling (AOR= 8.38, 95% CI, (4.85, 14.48)) and prior discussion (AOR=2.57, 95% CI, (1.51, 4.36)) were statistically significant. Conclusion and Recommendation:Even though 58% of the mothers were counselled about PPIUCD during the important cascade of pregnancy and 53% of the mothers completed antenatal service, efforts need to improve antenatal care services and integrate counselling services through the whole cascade of pregnancy.

Use of postpartum intrauterine contraceptive device among women in northern Uganda: A cross‐sectional study

“…However, the association between PPIUCD use and maternal age requires cautious interpretation as the women were undersampled, hence the conclusion should be limited. Relatedly, we found women with at least three children (multiparty) are more likely to use PPIUCD, which is consistent with the findings of previous studies conducted in Rwanda, 19,20 Ethiopia, 21,22 Nigeria 16 and elsewhere 23 . Both findings might be explained by a need to limit the number of children among women.…”

“…Relatedly, we found women with at least three children (multiparty) are more likely to use PPIUCD, which is consistent with the findings of previous studies conducted in Rwanda, 19,20 Ethiopia, 21,22 Nigeria 16 and elsewhere. 23 Both findings might be explained by a need to limit the number of children among women.…”

Correlates of post-partum intra-uterine copper-T devices (PPIUCD) acceptance and retention: an observational study from North India

“…The most common reasons for PPIUCD acceptance that emerged in our study align with the existing literature [ 16 , 24 , 31 – 33 ]. Immediate postpartum period is the appropriate time to begin contraception as women are highly motivated and not known to be pregnant.…”

“…There is no need for additional hospital visits for insertion, which also has the advantage of being convenient for both women and health care providers. We observed that the most common reasons for declining PPIUCD were resistance from the family members, notably the husband, insufficient knowledge about PPIUCD, preference for other less invasive methods of contraception, and fear of side effects, similar to other studies [ 16 , 24 , 31 – 33 ]. Nigam A et al have also pinpointed ineffective counseling as a crucial factor for refusal [ 34 ].…”

Correlates of Post-Partum Intra-Uterine Copper-T Devices (PPIUCD) Acceptability and Retention: An Observational Study from North India.

“…[30] The most common reasons for PPIUCD acceptance that emerged in our study align with the existing literature. [16,24,[31][32][33] Immediate postpartum period is the appropriate time to begin contraception as women are highly motivated and not known to be pregnant at this time. There is no need for additional hospital visits for insertion, which also has the advantage of being convenient for both women and health care providers.…”