Utilization of post abortal contraceptive use and associated factors among women who came for abortion service at Debre Berhan Hospital, Debre Berhan, Ethiopia March 2019: Institution based cross sectional study
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Abstract
Background: Post abortion family planning (PAFP) is the initiation and use of family planning methods immediately after, and within 48 hours of an abortion, before fertility returns. In most women fertility returns on average about two weeks after an abortion; however, ovulation can occur as early as 11 days post-abortion.
Objective: To assess utilization of post abortal contraceptive use and associated factors among women who came for abortion service at Debre Berhan Referral Hospital, Debre Berhan, Ethiopia March 2019.
Methodology: Institutional based cross sectional study design was conducted using hospital data obtained from Gynecology ward in Debre Berhan Referral Hospital, Debre Berhan, Ethiopia, from March 1 -10, 2019. A systematic random sampling technique was used from the abortion register log book. Data was cleaned manually, coded and entered into Epi-data version 3.1 then exported to and analyzed by SPSS version 21 software. Multivariate analysis with AOR, 95% CI and p-value< 0.05 were used to identify variables which have significant association.
Result: The finding of the current study showed that among 371 study subjects 170(45.8%) utilized post abortal family planning. There was a significant association between utility of post abortal family planning and post abortion family planning counseling [AOR: 19.245, 95% CI: (10.199, 36.313), p-value= 0.001] and women who were primiparous had 5 times more likely to utilize post abortal family planning as compared to the women who were nullyparous [AOR: 5.314, 95%CI (1.089, 24.210), p value=0.001].
Conclusion and Recommendation: From a total of 371 study subjects 45.8% have utilize contraceptive after abortion service received. This study also showed that parity and counseling’s of family planning were statistically significant associated with utilization of post abortal family planning. We recommend Debre Berhan hospital to scale up activities on post abortal care to increase the number of clients who post abortal family planning.
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Copyright (c) 2019 Muche A, et al.
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World Health Organization (WHO). Post-abortion family planning: a practical guide for program managers. Geneva: WHO; 1997; Ref.: http://bit.ly/2RpdbuF
Cunningham G, Leveno KJ, Bloom SL, Spong CY, Dashe JS, et al. Williams Obstetrics. 24th edition. New York. McGraw-Hill. 2014; 350-370. Ref.: http://bit.ly/2KW2IFY
Thorp JM Jr, Hartmann KE, Shadigian E. Long-Term Physical and Psychological Health Consequences of Induced Abortion. A Review of the Evidence the Linacre Quarterly. 2005; 72: 9: 1-27. Ref.: http://bit.ly/2IsEe5F
Curtis C, Huber D, Moss-Knight T. Postabortion Family Planning: Addressing the Cycle of Repeat Unintended Pregnancy and Abortion. IpS Reproductive Health. 2010; 36: 44-48. Ref.: http://bit.ly/2x6VgzM
Thapa S, Rani A, Mishra C. Knowledge, attitude and belief about contraception in post-partum and post abortal women in a tertiary care center. IJRCOG. 2014; 3: 533-539. Ref.: http://bit.ly/2IqR6sW
Merhawi G, Agumasie S, Tofik U, Gezahegn T. Unsafe abortion and associated factors among reproductive aged women in Sub-Saharan Africa: a protocol for a systematic review and meta-analysis. Open access. 2018; 1-5. Ref.: http://bit.ly/2RprfEk
Fact sheet, abortion in Africa, Guttmacher Institute. 2018: 1-4.
Erko EK, Abera M, Admassu B. Safe Abortion Care, Utilization of Post Abortion Contraception and associated Factors, Jimma Ethiopia. J Women's Health Care. 2016; 5: 1-12. Ref.: http://bit.ly/2IQBwpq
Dibaba Y, Dijkerman S, Fetters T, Moore A, Gebreselassie H, et al. A decade of progress providing safe abortion services in Ethiopia: results of national assessments in 2008 and 2014. BMC Pregnancy and Childbirth. 2017; 17: 1-12. Ref.: http://bit.ly/2FmNS7G
Kokeb L, Admassu E, Kassa H, Seyoum T. Utilization of Post Abortion Contraceptive and Associated Factors among Women who came for Abortion Service: a Hospital Based Cross Sectional Study. J Fam Med Dis Prev. 2015; 1: 1-4. Ref.: http://bit.ly/2Y01Un3
Seyoum D, Gebeyehu A, Gizaw Z. Assessment of Post Abortion Contraceptive Intention and Associated Factors among Abortion Clients in Gondar Town, North West Ethiopia. Universal Journal of Public Health. 2014; 2: 215-225. Ref.: http://bit.ly/31E8JNv
Shrestha A, Sharma P. Post Abortion Choice and Acceptance of Contraception Patan, Nepal. NJOG. 2013; 8: 1 - 4. Ref.: http://bit.ly/2ZBlQNE
Hagos G, Tura G, Kahsay G, Haile K, Grum T, et al. Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: a cross sectional Study. BMC women Health. 2018; 18: 83. Ref.: http://bit.ly/2IU33Gy
Azmat S, Hameed W, Ishaque M, Mustafa G, Ahmed A. Post-abortion care family planning use in Pakistan. Pak J Public Health. 2012; 2: 4-9. Ref.: http://bit.ly/2IXkBBo
Makenzius M, Faxelid E, Gemzell-Danielsson K, Odero TMA, Klingberg-Allvin M, et al. Contraceptive uptake in post abortion care Secondary outcomes from a randomized controlled trial, Kisumu, Kenya. PLoS One. 2018; 13: e0201214. Ref.: http://bit.ly/2Y9MdcU
Abamecha A, Shiferaw A, Kassaye A. Assessment of Post Abortion Contraceptive Intention and Associated Factors among Abortion Clients In Gambella Health Facilities, Gambella Town, South West Ethiopia. Int J Med Sci Clini Inventions. 2016; 3: 2061-2070. Ref.: http://bit.ly/2WXmx28