Breastfeeding, Fertility, and Family Planning

Labbok, Miriam H.

doi:10.3843/glowm.10397

Cited by 10 publications

(9 citation statements)

References 53 publications

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“…The prolactin hormone inhibits ovulation by reducing the release of the gonadotrophic hormone and resulted in post-partum amenorrhea and thereby lengthen the interval between births. On the other hand, a woman with a short duration of breastfeeding might experience short birth spacing as a result of a decreased level of prolactin concentration in the body [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Short birth spacing and its association with maternal educational status, contraceptive use, and duration of breastfeeding in Ethiopia. A systematic review and meta-analysis

et al. 2021

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Background Closely spaced birth increases the risk of adverse maternal and child health outcomes. In Ethiopia, the prevalence of short birth spacing was highly variable across studies. Besides, contraceptive use, educational status, and duration of breastfeeding were frequently mentioned factors affecting short birth spacing. Therefore, this meta-analysis aimed to estimate the pooled prevalence of short birth spacing and its association with contraceptive use, educational status, and duration of breastfeeding among reproductive-age women in Ethiopia. Methods International databases: Google Scholar, PubMed, CINAHL, Cochrane library, HINARI, and Global Health were searched systematically to identify articles reporting the prevalence of short birth spacing and its association with contraceptive use, educational status, and duration of breastfeeding among reproductive-age women in Ethiopia. The data were analyzed by STATA/SE version-14 statistical software. The random-effect model was used to estimate the pooled prevalence of short birth spacing and the log odds ratio was used to determine the association. Moreover, egger’s test and I-squared statistics were used to assess publication bias and heterogeneity respectively. Results After reviewing 511 research articles, a total of nine articles with 5,682 study participants were included in this meta-analysis. The pooled prevalence of short birth spacing in Ethiopia was 46.9% [95% CI: (34.7, 59.1)]. Significant heterogeneity was observed between studies (I2 = 98.4, p <0.001). Not using contraceptives [OR = 3.87, 95% CI: (2.29, 6.53)] and duration of breastfeeding < 24 months [OR = 16.9, 95%CI: (2.69, 106.47)] had a significant association with short birth spacing. Conclusions Although a minimum inter-pregnancy interval of two years was recommended by the World Health Organization (WHO), significant numbers of women still practiced short birth spacing in Ethiopia. Duration of breastfeeding and non-use of contraceptives were factors significantly associated with short birth spacing. So, efforts should be made to improve breastfeeding practice and contraceptive utilization among women in Ethiopia.

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Section: Discussionmentioning

confidence: 99%

Short birth spacing and its association with maternal educational status, contraceptive use, and duration of breastfeeding in Ethiopia. A systematic review and meta-analysis

et al. 2021

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“…It might be due to the fact that duration of breast feeding including exclusive breast feeding improves infant survival and lengthens the interval between pregnancies due to lactational amenorrhea (negative hormonal feedback). During breastfeeding, the receptors in the breast nipple will be stimulated, and this initiates a signal to the hypothalamus: a nerve center in the brain which in turn signals the pituitary gland thereby inhibits ovulation by reducing the release of gonadotrophic hormone needed for ovulation which results in post-partum amenorrhea [15].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of short interpregnancy interval and its associated factors among pregnant women in Debre Berhan town, Ethiopia

Mamo¹,

Dagnaw

Tadesse

et al. 2021

Preprint

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Background: Short inter-pregnancy interval is when the time elapsed between the dates of birth of the preceding child and the conception date of the current pregnancy is < 24 months. Despite its direct effects on the perinatal and maternal outcomes, there is a paucity of evidence on its prevalence and determinant factors, particularly in Ethiopia. Therefore, this study assessed the prevalence and associated factors of short inter-pregnancy interval among pregnant women in Debre Berhan town, Northern Ethiopia. Methods: A community based cross sectional study was conducted among a randomly selected 496 pregnant women in Debre Berhan town from February 9 to March 9, 2020. The data was collected by using interviewer administered questionnaire and analyzed using STATA (14.2) statistical software. To identify the predictors of short inter-pregnancy interval, multivariable binary logistic regression was fitted and findings are presented using adjusted odds ratio (AOR) with 95% confidence interval (CI). Result: The overall prevalence of short inter-pregnancy interval (<24 months) among pregnant women was 205 (40.9%). Being over 30 years of age at first birth (AOR=3.50; 95% CI: 2.12-6.01), non-use of modern contraceptive (AOR=2.51; 95% CI: 1.23-3.71), duration of breast feeding for less than 12 months (AOR= 2.62; 95% CI: 1.32-5.23), parity above four (AOR=0.31; 95% CI: 0.05-0.81), and unintended pregnancy (AOR= 5.42; 95% CI: 3.34-9.22) were independently associated factors with short inter-pregnancy interval. Conclusion: Despite the family planning and other public health intervention tried in the country, the prevalence of short inter-pregnancy interval in this study was high. Therefore, it implies that increasing contraceptive use and encouraging optimal breast feeding might help in the efforts made to avert the problem. Keywords: short inter-pregnancy interval, women, cross sectional, associated factors, Ethiopia

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“…Only 1.7% became pregnant during the first 6 months of amenorrhea, only 7% after 12 months, and 13% after 24 months. [65][66][67][68][69][70] Comparisons of follicular development and hormonal profiles are important to understanding lactational amenorrhea.…”

Section: Lactational Amenorrhea Methodsmentioning

confidence: 99%

Reproductive Function During Lactation

Lawrence

2011

Breastfeeding

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Breastfeeding, Fertility, and Family Planning

Cited by 10 publications

References 53 publications

Short birth spacing and its association with maternal educational status, contraceptive use, and duration of breastfeeding in Ethiopia. A systematic review and meta-analysis

Short birth spacing and its association with maternal educational status, contraceptive use, and duration of breastfeeding in Ethiopia. A systematic review and meta-analysis

Prevalence of short interpregnancy interval and its associated factors among pregnant women in Debre Berhan town, Ethiopia

Reproductive Function During Lactation

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