Predictors of post-partum family planning uptake in Webuye Hospital, western Kenya.

Henry O Owuor,Patrick M Chege,Jeremiah Laktabai

doi:10.4102/phcfm.v10i1.1567

Henry O Owuor, Patrick M Chege + Show 1 more

Open Access

https://doi.org/10.4102/phcfm.v10i1.1567

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Abstract

BackgroundA short inter-pregnancy interval increases the risk for maternal and neonatal deaths in addition to other pregnancy complications including: preterm delivery, low birth weight, anaemia and premature rupture of membranes. However, only one half of Kenyan women, who have no desire to conceive immediately after birth, are using contraception one year after delivery.AimThe aim of this study was to determine the predictors of uptake of post-partum family planning (PPFP).SettingThe study was conducted among post-partum women accompanying their children for their first measles vaccination at Webuye County Hospital (WCH), in western Kenya.MethodsThis was a cross-sectional study involving 259 randomly sampled post-partum women, accompanying their children for their first measles vaccination. A structured, interviewer-administered questionnaire was used to collect data. Logistic regression was used to identify correlates of PPFP uptake.ResultsThe uptake of PPFP among women at 9 months post-partum at WCH was found to be 78.4% ± 5.0%. The odds of PPFP uptake among women living with their sexual partners was 88.2% less than among those not living with their partners with the true population effect between 97% and 51% (OR = 0.118; 95% CI: 0.028–0.494; p = 0.003).ConclusionsNot living with her sexual partner in the same house is the key predictor of a woman’s PPFP uptake in WCH. This study recommends that any programme aimed at improving post-partum contraceptive use in WCH should target women who live with their partners in the same house.

Highlights

Spaced pregnancies within the first year in the post-partum period are the riskiest for mother and baby, resulting in increased risks for adverse outcomes such as preterm deliveries, low birth weight and small for gestational age.[1]
The risk of child mortality is highest for very short birth-to-pregnancy intervals (
The uptake of post-partum family planning (PPFP) among women at 9 months post-partum at Webuye Hospital is 78.4% ± 5.0%, and 33.8% ± 6.5% of these women are on long-acting reversible contraceptives (LARCs)

Summary

Introduction

Spaced pregnancies within the first year in the post-partum period are the riskiest for mother and baby, resulting in increased risks for adverse outcomes such as preterm deliveries, low birth weight and small for gestational age.[1] Other risks associated with short inter-pregnancy intervals include neonatal death, maternal death, anaemia and premature rupture of membranes.[1,2] The risk of child mortality is highest for very short birth-to-pregnancy intervals (

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