Abstract:
Background;- The extended postpartum period is a one-year time after giving birth during
which women must have safe birth intervals. Many women’s are unaware that they are at risk for
pregnancy during this time. As a result, many postpartum women did not begin using any form
of contraception methods. As a result, there is a higher chance of an undesired pregnancy that
leads mothers to pregnancy related complication. It is vital to have clear understanding of
postpartum family planning services utilization and associated factors to achieve the desired
health outcome for mother, neonate and children of the country.
Objective; The aim of the study was to assess modern contraceptive use and associated factors
among women’s within the extended postpartum period in Gomma, district, Jimma zone,
Oromia, Ethiopia,2022.
Method: Institutional based Quantitative cross sectional study design was conducted among 347
women within the extended postpartum period from May10 – June 20/2022. The study subject
was selected by using systematic random sampling technique. Data was collected by using a
structured and pretested interviewer administered questionnaire and the data was entered to Epi data version 4.6 and exported to SPSS version 25.0. Both bivariate and multivariate logistic
regression model were performed to identify factors associated with outcome variable.
Significance of association was decided by using the 95% Confidence level of AOR at p-value of
<0.05.
Result: Out of 347 sampled postpartum women, 337 of them responded with the response rate of
97.1%. The magnitude of postpartum contraceptive utilization was 30% (95% CI: 25.5-34.7).
birth interval of ≤ 2 yrs (AOR =0.47, 95% CI: 0.19,0.90) was statistically negatively associated
with modern PPFP use and Resumption of menses (AOR=4.34, 95% CI: 2.99-8.95), discussion
with husband (AOR = 3.75, 95% CI: 1.76-7.97), ANC follow up (AOR=2.42,CI: 1.76-7.97),
PNC follow up (AOR= 3.39, 95% CI: 1.73-6.68) and counseling during their child immunization
(AOR=6.95, 95% CI:3.42-14.09) was statistically positively associated with postpartum modern
contraceptive utilization among women within the extended postpartum period.
Conclusion: The magnitude of postpartum modern contraceptive use during the extended
postpartum period was low 30% (95% CI: 25.5- 34.7). Birth interval of ≤ 2 yrs, Resumption of
menses, discussion with husband, ANC follow up, PNC follow up and counseling during their
child immunization was statistically associated with postpartum contraceptive utilization among
women within the extended postpartum period. Policy makers, program managers and health
care providers need to focus on counseling and integration of postpartum family planning service
and maternal and child health care service multiple contacts with health care professionals.
