Assessment of Contraceptive Need and Practice of Women in the Extended Postpartum Period in Addis Ababa, Ethiopia [8G]

    loading  Checking for direct PDF access through Ovid



Family planning is one of the most cost effective and high yield interventions to improve health outcomes in reproductive, maternal and child health. ACCESS-family planning defines the extended postpartum period as one full year post-birth. During this extended postpartum period, 95% of women in low- and middle-income countries want to avoid pregnancy within 2 years, but 70% are not using contraception. So this study is intended to identify the needs and practices of contraception among women in the extended postpartum period.


Institution based cross sectional study conducted using structured questionnaire, analysed with Epi-Info 7 and SPSS 21. Data categorized and summarized with descriptive statistics, bivariate and multivariate logistic regression model used to identify important determinants.


A total of 833 mothers were interviewed. Mean age at their last delivery was 27.3 +/- 4.5 years. Median number of pregnancy was two with a minimum of one and maximum of seven. Regarding reproductive intention, 45.0% of mothers want to space the next pregnancy for more than 2 years. From 92.6% of mothers who wanted to use family planning, 70.9% use modern methods giving contraceptive prevalence rate of 65.7%. Less than half ever heard about lactational amenorrhea and less than 25% knew how to use it.


Reproductive intention, resumption of menses and sexual intercourse, knowledge, discussion with partner, post-partum visit and counseling were associated with post-partum family planning practice. Government, policy makers and Health care providers should work on Improving the knowledge on long term family planning methods and lactational amenorrhea.

Related Topics

    loading  Loading Related Articles