Uptake of postpartum modern family planning and its associated factors among postpartum women in Ethiopia: A systematic review and meta-analysis

Azimeraw Tesfu,Fentahun Beyene,Fikadu Sendeku,Kihinetu Wudineh,Getnet Azeze

doi:10.1016/j.heliyon.2021.e08712

Azimeraw Tesfu, Fentahun Beyene + Show 3 more

Open Access

https://doi.org/10.1016/j.heliyon.2021.e08712

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Journal: Heliyon	Publication Date: Jan 1, 2022
Citations: 4	License type: cc-by

Affiliation: Bahir Dar University, Woldia University

Abstract

ObjectiveThis study aimed to estimate the pooled prevalence and factors associated with postpartum modern contraceptive use in Ethiopia. DesignSystematic Reviews and Meta-Analysis. MethodPubMed, MEDLINE, EMBASE, Hinari, Google Scholar, direct Google search, African Journal Online (AJOL), an online repository, and gray kinds of literature were used for searching. This meta-analysis included eighteen cross-sectional studies. The quality appraisal criterion of the Joanna Briggs Institute (JBI) was employed to critically appraise papers. The I2 statistics were used to test heterogeneity and subgroup analysis was computed with the evidence of heterogeneity. The Egger test with funnel plot was used to investigate publication bias. The “generate” command in STATA was used to calculate the logarithm and standard error of the odds ratio (OR) for each included study. Then odds ratio (OR) with a 95% confidence interval (CI) was presented. ResultEighteen studies were included in the systematic review and meta-analysis. The pooled prevalence of modern postpartum family planning utilization among postnatal women in Ethiopia was 45.44% (95%CI: 31.47, 59.42).Prenatal family planning counseling (AOR = 3.80; 95%CI: 2.70, 5.34), postnatal care utilization (AOR = 3.07; 95%CI: 1.39, 6.77), spouse communication on family planning (AOR = 1.86; 95%CI:1.36,2.54), resumption of menses (AOR = 4.20; 95%CI: 2.95, 5.99), and resumption of sexual activity (AOR = 3.98; 95%CI: 2.34, 6.79) were associated factors to uptake modern postpartum family planning among postnatal women. ConclusionThe pooled prevalence of postpartum modern contraceptive use was low. The most common factors significantly associated with postpartum modern contraceptive use were prenatal family planning counseling, postnatal care utilization, spouse communication on family planning, resumption of menses, and resumption of sexual activity were the commonest factors significantly associated with postpartum modern contraceptive use.

Highlights

Planning (FP) is an important component of prenatal care, postpartum care, and the first year after delivery
This systematic review and meta-analysis were aimed at estimating the overall pooled prevalence of postpartum modern contraceptive (PPMC) use in Ethiopia
If mothers begin using it as soon as feasible after delivery, it can reduce maternal and child mortality [44]. The finding of this meta-analysis showed that the overall pooled prevalence of postpartum modern contraception (PPMC) use in Ethiopia among postpartum women was 45.44% (95%confidence interval (CI): 31.47, 59.42)

Summary

Introduction

Planning (FP) is an important component of prenatal care, postpartum care, and the first year after delivery. The term "postpartum family planning" (PPFP) refers to the beginning of family planning services within the first 12 months after childbirth in order to avoid closely spaced and unplanned pregnancies [1, 2]. Postpartum women can experience amenorrhea, or the lack of menses, for variable durations of time, and their fertility can recover before menses restart. Pregnancy can happen within 45 days following giving birth for women who are not breastfeeding [3]. Using family planning (FP) during the first year after giving birth has the potential to prevent at least some of these unwanted births significantly [4]

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Conclusion