Abstract

BackgroundAlthough promoting postabortion family planning is very important and effective strategy to avert unwanted pregnancy, less attention was given to it in Ethiopia. Thus, this study aimed to assess contraceptive use and factors which are affecting it among women after abortion in Bahir Dar town.MethodsFacility based cross-sectional study was conducted in Bahir Dar town. The data was collected using structured interviewer administered questionnaire from women who obtain the abortion services. Bivariable and multivariable logistic regression was used to evaluate the association that demographic factor and reproductive characteristics have with postabortion contracetive use. Findings with p-value of < 0.05 at 95% CI were considered as statistically significant.ResultsA total of 400 women who received abortion service were participated in this study. The proportion of postabortion contraceptive use is 78.5%. Single women are 7.2 times more likely use contraceptive after abortion as compared to their counterpart. Contraceptive use is 2 times higher among women who have previous history of abortion as compared to their counterpart. Women who used contraceptive previously and who used contraception for index pregnancy are 4.73 and 2.64 times more likely to use contraceptive after abortion as compared to their counterpart respectively.ConclusionPostabortion contraceptive use is associated with age, marital status, having previous history of abortion, previous contraceptive use and using contraception for index pregnancy. Greater emphasis should be given on providing postabortion contraceptive counselling to increase utilization of postabortion contraceptive use.

Highlights

  • Promoting postabortion family planning is very important and effective strategy to avert unwanted pregnancy, less attention was given to it in Ethiopia

  • Study design and setting We performed a facility-based cross-sectional study was conducted in health facilities providing Postabortion service in Bahir Dar Town

  • Considering only women who received abortion care from public facility where there is shortage contraception supplies in study conducted in two of the region and failing to integrate post abortion family planning service within post abortion care in dessie might be the reason for this discripancy the finding of the study performed in turkey is comparable indicating 78% of women use at least one contraceptive method after abortion [15]

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Summary

Introduction

Promoting postabortion family planning is very important and effective strategy to avert unwanted pregnancy, less attention was given to it in Ethiopia. Voluntary family planning counseling and services should be offered immediately after abortion at the site of care to reduce unintended pregnancies and repeat abortions and to Globally, it is estimated that there are 80 million of women experience unintended pregnancy. A Of these about 44 million of them have induced abortion [4] and of these women 22 million of them are undergoing unsafe abortion; which is the reason for death of 47, 000 women [5]. Women who have an induced abortion have had a previous abortion most of the time [6], yet many of these women do not have access to effective contraceptives and are not offered immediate post abortion family planning services, even though women who receive abortion care are at risk of pregnancy immediately after the procedure [3].

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