Utilization and its factors of post abortion modern contraceptive in Ethiopia: a systematic review and meta-analysis

Abstract

Plain language summary Post abortion family planning utilization is a woman utilizes at least one of the modern contraceptive methods within 6 weeks of post abortion. Providing post-abortion care service is a widely accepted strategy to reduce maternal morbidity and mortality. Linkage between abortion care and family planning can help in preventing unwanted pregnancies and thus induced abortion may be prevented. Post abortion women are a clear need for family planning. Even if a woman wants to have a child immediately, WHO guidelines recommend; "after a miscarriage or induced abortion, the recommended minimum interval to next pregnancy is at least 6 months in order to reduce risks of adverse maternal and perinatal outcomes".. Since the main strategy of providing post abortion family planning is for promoting, preventing and treating maternal and neonatal health, identifying the utilization and its factor of post abortion contraceptive is crucial. Therefore we tried to review post abortion contraceptive utilization and its factors in Ethiopia. We reviewed 1221 records and 11 studies were fulfill the inclusion criteria and taken in the meta-analysis with 4336 participants. The pooled prevalence of post abortion contraceptive in Ethiopia was 74.56% (95% CI (73.31%, 75.81%)). Marital status, education, Counsel, previously exposed and age were significantly associated factors. As per the finding investing on women education and counseling is needed.

Keywords

• Post abortion
• Utilization
• Modern contraception
• Systematic review
• Meta-analysis
• Ethiopia