scholarly journals Long Acting Reversible Contraception utilization and associated factors among women in extended postpartum period Hossana Town, Southern Ethiopia: cross sectional study

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women. Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: the utilization of LARC among postpartum women was found to be high in this study. Increase women’s access to realistic information on LARC, mainly on IUCD, both at community and health institution level need to be emphasized to enhance its uptake.

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women.Methods: Facility based cross sectional study was conducted among 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: Less than one fifth (18.1%) of participants intend to give birth within 2 years. The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using was fear of side effect and false information. Previous use of LARC n (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: Despite their lesser intention to give birth within 2 years, the utilization of LARC among postpartum women was found to be low in this study. Provision of health education and expanding access should be emphasized to enhance its utilization.


2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women.Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: The utilization of LARC among postpartum women was found to be higher than other studies in Ethiopia. Provision of effective contraceptive counseling during Antenatal, delivery and postnatal care services with emphasis on LARC/Postpartum Intra-Uterine Device is important.


2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women. Methods: Facility based cross sectional study was conducted from July 23-Aug 25, 2018. Systematic random sampling technique was employed to recruit a total of 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using LARC was fear of side effect and false information. Previous use of LARC (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: The utilization of LARC among postpartum women was found to be higher than other studies in Ethiopia. Increase women’s access to realistic information on LARC, mainly on IUCD need to be emphasized to enhance its uptake.


2018 ◽  
Vol 18 (2) ◽  
pp. 289-294
Author(s):  
Thalita Rodrigues Christovam Pereira ◽  
Elissa Hanayama Dottori ◽  
Flávia Maciel de Aguiar Fernandes Mendonça ◽  
Ana Carolina Sartorato Beleza

Abstract Objectives: (i) to evaluate female sexual function in remote postpartum period within Brazilian women and (ii) to compare female sexual dysfunction in relation to the mode of delivery. Methods: in this cross-sectional study, two groups of remote postpartum women, who underwent vaginal delivery (n=30) and cesarean (n=48), were studied. The sexual function of participants was assessed through an online Brazilian version of FSFI between 45 and 180 days after delivery. Data were analyzed by descriptive and inferential statistics using Fisher exact test, and Student t test. Results: based on the data of 78 women who completed the online questionnaire, 78% (n=61) showed sexual dysfunction on remote postpartum period being that the FSFI mean score for vaginal postpartum was 22.17 and for cesarean postpartum, 21.12 (p=0.443). Conclusions: the majority of remote postpartum women showed sexual dysfunction. There was no significant difference found on female sexual function between modes of delivery.


2020 ◽  
Vol 5 (2) ◽  

Background: Addressing family planning in the postpartum period is crucial for better maternal, neonatal and child survival because tenable women to achieve healthy interval between births. Many women do not realize that they are at a risk for pregnancy during this period. Thus, the objective of this study was to assess the utilization of postpartum family planning services among postpartum women and associated factors in Hawassa, Ethiopia. Methods: A community based cross-sectional study was conducted among 381 women in Hawassa City from April to May 2018 in Hawassa City. Study subjects were selected by systematic random sampling technique. Structured questionnaire was used to collect the data through interview. Data analyzed by SPSS 20. Multi-variable logistic regression was used and significance declared at p-value ≤ 0.05. Results: The prevalence of contraceptive utilization was found to be 147 (38.6%) among women in the postpartum period. The majority of current contraceptive users were injectable (35.4%).The odds of postpartum family planning utilization was statistically significantly associated with received FP education after delivery at immunization service [AOR=4.11; 95% CI ; 2.143,7.864 ], mothers’ discussion with husband on family planning issue [AOR=9.7; 95% CI;4.15, 22.6], Family planning problem [AOR=0.5;95% CI; 0.28,0.89 ], 0-6 month of postnatal period [AOR=0.23; 95% CI;0.124, 0.430] and 1-4 number of pregnancy [AOR=0.05; 95% CI; 0.0124, 0.170] History of abortion [AOR=0.23; 95% CI;0.124, 0.430] . Conclusion: Postpartum family planning use is still low. Consequently, this finding implies the need to get better with those factors to enhance the uptake of postpartum modern contraceptive through well-organized family planning education and follow up for the reproductive age women.


2010 ◽  
Vol 40 (2) ◽  
pp. 111-113 ◽  
Author(s):  
Moges Tadesse ◽  
Takele Tadesse

Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year.


Sign in / Sign up

Export Citation Format

Share Document