Reproductive Health (Nov 2021)

Postpartum intrauterine contraceptive device use and its associated factors in Ethiopia: systematic review and meta-analysis

  • Bekalu Getnet Kassa,
  • Alemu Degu Ayele,
  • Habtamu Gebrehana Belay,
  • Adanech Getie Tefera,
  • Gebrehiwot Ayalew Tiruneh,
  • Netsanet Temesgen Ayenew,
  • Gedefaye Nibret Mihiretie,
  • Lebeza Alemu Tenaw,
  • Abenezer Melkie Semahegn,
  • Mulugeta Dilie Worku

DOI
https://doi.org/10.1186/s12978-021-01273-x
Journal volume & issue
Vol. 18, no. 1
pp. 1 – 12

Abstract

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Plain language summary Family planning (FP) is widely recognised as a life-saving and health-improving intervention for women and children. An IUCD is a small, “T-shaped” intrauterine contraceptive device inserted into a woman’s uterus. It is also referred to as an IUD, a loop, or a coil. Post-partum IUCD is an intrauterine contraceptive device inserted during the post-partum period. Although several primary studies have been conducted in various regions of Ethiopia, there is no nationally representative evidence on the PPIUCD utilisation and the pooled effects of its determinants in Ethiopia. In this review, some of the factors associated with the post-partum intrauterine contraceptive device were pooled quantitatively, and some were not because of inconsistent classification (grouping) of the exposures concerning the outcome (post-partum intrauterine contraceptive device). This systematic review and meta-analysis used the following electronic database; PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature to search the primary articles. A total of 12 primary studies assessing the utilisation of postpartum intrauterine contraceptive device (PPIUCD) were included based on study eligibility criteria. And also, in this study we found that the pooled prevalence of post-partum intrauterine contraceptive device among women in Ethiopia was 21.63%. Occupation, educational status, good knowledge, husband support, age, counselling, antenatal care follow-up, and awareness about IUCD were factors that affect the use of post-partum intrauterine contraceptive devices. This systematic review and meta-analysis report that utilisation of post-partum intrauterine contraceptive device was significantly low. Therefore, scaling up women’s educational status, and ANC use has paramount importance in increasing post-partum IUD use, which further improves maternal and child health in general. Beside this health professional also should be give health education and promotion about the importance of PPIUCD.

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