ArticleBMC pregnancy and childbirth2018
Association between skilled maternal healthcare and postpartum contraceptive use in Ethiopia.
Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 30 citations in OpenAlex.
- Associations between integrated family planning, maternal and newborn health, and immunization services and adoption of postpartum family planning and immunization services in Ethiopia.BMC public health · 2025Article
- Immediate postpartum modern family planning utilization and associated factors among postpartum women in Gurage Zone, Southern Ethiopia 2022: community-based cross-sectional study.Frontiers in global women's health · 2025Article
- Who actualizes postpartum contraceptive intentions? A trajectory cluster analysis.Reproductive health · 2024Article
- Modern contraceptive utilization and associated factors among postpartum women in Kena Woreda, Konso Zone, South Ethiopian Regional State, Ethiopia, 2023: mixed type community based cross-sectional study design.Contraception and reproductive medicine · 2024Article
- Exploring Upward and Downward Provider Biases in Family Planning: The Case of Parity.Global health, science and practice · 2023Article
- Article
- Factors associated with utilization of modern postpartum family planing methods during the extended postpartum period among mothers who gave birth in the last 12 months at Injibara town, Northwest, Ethiopia: a cross-sectional study.Contraception and reproductive medicine · 2022Article
- Factors associated with non-use of modern contraceptives among sexually active women in Ethiopia: a multi-level mixed effect analysis of 2016 Ethiopian Demographic and Health Survey.Archives of public health = Archives belges de sante publique · 2022Article
- The impact of having a dedicated obstetrics and gynecology resident to provide contraceptive counseling on immediate postpartum family planning uptake: a "pre-post" study.Reproductive health · 2022Observational
- Discharge instructions given to women following delivery by cesarean section in Sub-Saharan Africa: A scoping review.PLOS global public health · 2022Article
- Review
- Mapping evidence on postpartum modern family planning service uptake among women in Ethiopia: A scoping review.Frontiers in global women's health · 2022Article
- Individual and facility-level factors associated with women's receipt of immediate postpartum family planning counseling in Ethiopia: results from national surveys of women and health facilities.BMC pregnancy and childbirth · 2021Article
- Modern Contraceptive Use and Associated Factors During Extended Postpartum Period Among Women Who Gave Birth in the Last 12 Months at Northwest Ethiopia.International journal of general medicine · 2021Article
- Fear of infertility limits contraceptive usage among first-time mothers in Ghana: A cross-sectional study.SAGE open medicine · 2021Article
- Modern contraceptive use and factors associated with use among postpartum women in Ethiopia; further analysis of the 2016 Ethiopia demographic and health survey data.BMC public health · 2020Article
- Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach.International journal of environmental research and public health · 2020Article
- Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis.International journal of reproductive medicine · 2020Review
- Article
- Effect of integrating maternal health services and family planning services on postpartum family planning behavior in Ethiopia: results from a longitudinal survey.BMC public health · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundThe postpartum period provides an important opportunity to address unmet need for contraception and reduce short birth intervals. This study aims to assess the association between skilled maternal healthcare and postpartum contraceptive use in Ethiopia.
methodsData for this analysis come from the 2011 to 2016 Ethiopian Demographic and Health Surveys (EDHS) and include nearly 5000 married women of reproductive age with a recent birth. Multivariate logistic regression was conducted to investigate the relationship between skilled maternal healthcare and postpartum contraceptive use.
resultsBetween rounds of the 2011 and 2016 EDHS, the postpartum contraceptive prevalence increased from 15 to 23% and delivery in public facilities, use of skilled birth assistance, and skilled antenatal care also grew. In both survey rounds, educated women had approximately twice the odds of postpartum contraceptive use, compared with non-educated women, while an initially significant relationship between wealth and postpartum contraceptive use diminished in significance by 2016. Women with a desire to limit future pregnancy had five to six times the odds of postpartum contraceptive use in both survey rounds, and women in 2016 - unlike those in 2011 - with a desire to delay pregnancy were significantly more likely to use contraception (adjusted odds ratio (AOR) = 4.38, 95% CI: 1.46-13.18) compared to women who wanted another child soon. In 2011, no statistically significant associations were found between any maternal healthcare and postpartum contraceptive use. In contrast, in 2016, postpartum contraceptive use was significantly associated with an institutional delivery (AOR = 1.71, 95% confidence interval (CI): 1.12-2.62) and skilled antenatal care (AOR = 2.41, 95% CI: 1.41-4.10). No significant relationship was observed in either survey round between postpartum contraceptive use and skilled delivery or postnatal care.
conclusionsA comparison of postpartum women in the 2011 and 2016 EDHS reveals increased use of both contraception and skilled maternal healthcare services and improved likelihood of contraceptive use among women with an institutional delivery or antenatal care, perhaps as a result of increased attention to postpartum family planning integration. Additionally, results suggest postpartum women are now using contraception to space future pregnancies, with the potential to help women achieve more optimal birth intervals.
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