Abstract
BackgroundPostpartum long-acting reversible contraceptive is important to prevent unintended and closed spaced pregnancy following the first 12 months of childbirth. Few data were available on postpartum long-acting reversible contraceptive use in Ethiopia. So, this study aimed to assess the long-acting reversible contraception use and associated factors among women who gave birth in the last 12 months.MethodsA community-based cross-sectional study was conducted from October 1st to November 2019. Systematic random sampling was applied to recruit a total of 416 study participants. Data were collected using a structured questionnaire. Data were entered using Epidata 4.6 and exported to SPSS version 25 for analysis. P-value < 0.05 with 95% confidence interval (CI) used to declare statistical significance.ResultIn this study, long acting contraceptive utilization among women in the extended postpartum period was 22.6%. Maternal age ≤ 24 years (AOR = 3.7, 95% CI: 1.5, 8.9), being married (AOR =3.5 95% CI: (1.17–10.28)), menses resumption (AOR = 4.9 95% CI: (2.92, 8.20)), sexual intercourse resumption (AOR = 7.1 95% CI: (4.03, 12.56)) and received postpartum family planning counseling (AOR = 3.2 95% (1.95, 5.28)) were the factors associated with Long-acting reversible contraception use.ConclusionThis finding showed postpartum women’s long-acting reversible contraceptive use during the extended postpartum period was low. The factors significantly associated with extended postpartum modern contraceptive use were women’s age, being married, menses resumption, sexual intercourse resumption, and got postnatal family planning counseling. Strengthening Antenatal and postnatal counseling of postpartum family planning would improve long-acting reversible contraception use.
Highlights
Postpartum long-acting reversible contraceptive is important to prevent unintended and closed spaced pregnancy following the first 12 months of childbirth
Maternal age ≤ 24 years (AOR = 3.7, 95% confidence interval (CI): 1.5, 8.9), being married (AOR = 3.5(1.17–10.28)) menses resumption (AOR = 4.9 95% CI: (2.92, 8.20)), sexual intercourse resumption (AOR = 7.1 95% CI: (4.03, 12.56)) times more likely to use postpartuim long-acting reversible contraceptive (LARC) compered to their counterpart
This study showed that postpartum women age less than 24 years were 3.7 times more likely to use LARC compared with women age 35 years and more
Summary
Postpartum long-acting reversible contraceptive is important to prevent unintended and closed spaced pregnancy following the first 12 months of childbirth. This study aimed to assess the long-acting reversible contraception use and associated factors among women who gave birth in the last 12 months. The long-acting reversible contraceptive (LARC) is a highly effective modern contraceptive method that includes an intrauterine contraceptive device (IUCD) and implants, which prevent unintended and closely spaced pregnancy [1]. Extended postpartum period LARC use refers to the initiation of IUCD or implants during the first 12 months of childbirth. About 80 million unintended pregnancies occur during the postpartum period due to lower use of family planning [2]. LARC use reduces maternal and neonatal mortality and morbidity by preventing unintended pregnancy and unsafe abortion [4]. Planning slowing the population growth, which aids the women to possess good income potential, dedicates enough for each child, resulting in reductions in poverty [7, 8]
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