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

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Abstract

INTRODUCTION:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.

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