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首页> 外文期刊>International Journal of Reproductive Medicine >Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis
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Postpartum Contraceptive Use and Its Determinants in Ethiopia: A Systematic Review and Meta-analysis

机译：产后避孕药和埃塞俄比亚的决定因素：系统审查和荟萃分析

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Background. Postpartum contraceptive use is defined as the avoidance of short spaced pregnancies and unintended pregnancy through the first 12 months after delivery. In Ethiopia, different studies have been conducted to assess the prevalence of postpartum contraceptive use and associated factors. The findings of these studies were inconsistent and characterized by great variability. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence of postpartum contraceptive use and determinants in Ethiopia using the accessible studies. Methods. The articles were identified through electronic search of reputable databases (MEDLINE through PubMed, EMBASE, HINARI, Science Direct, and Cochrane Library) and the hand search of reference listed in previous prevalence studies to retrieve more. 18 articles are included based on a comprehensive list of inclusion and exclusion criteria. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 14 statistical software was used to analyze the data. The Cochrane Q and I2 test were used to assess the heterogeneity between the studies. A random effects model was calculated to estimate the pooled prevalence of postpartum contraceptive use. Moreover, the determinants for family planning use were reviewed. Results. The pooled prevalence of family planning use among mothers during the postpartum period in Ethiopia was 48.11% (95% CI: 36.96, 59.27). Besides, subgroup analysis revealed that the highest family planning use prevalence among postpartum mothers was observed in Addis Ababa, 65.41 (95% CI: 48.71, 82.11). Resumed sexual activity: 7.91 (95% CI: 4.62, 13.55), antenatal care: 4.98 (95% CI: 2.34, 10.21), secondary school and above level of maternal education: 3.53 (95% CI: 1.67, 7.45), postnatal care: 3.16 (95% CI: 1.7, 5.88), menses resumption: 3.12 (95% CI: 1.52, 6.39), and ≥6 months of postpartum period: 2.78 (95% CI: 1.97, 3.93) have shown a positive association with the use of family planning among mothers in the postpartum epoch. Conclusions. In this study, family planning use among mothers of the postpartum period in Ethiopia was significantly low compared to the existing global commendation on postpartum contraceptive use. Resumed sexual activity, antenatal care, secondary and above level of maternal education, postnatal care, menses resumption, and postpartum?period≥6?months were found to be significantly associated with postpartum contraceptive use.
机译：背景。产后避孕药被定义为避免短暂的间隔妊娠和交付后的前12个月的妊娠。在埃塞俄比亚，已经进行了不同的研究以评估产后避孕药的患病率和相关因素。这些研究的结果不一致，其特点是巨大的变化。因此，这种系统审查和荟萃分析的目的是估算埃塞俄比亚在埃塞俄比亚的产后避孕药使用和决定因素的融合率。方法。通过电子搜索信誉良好的数据库（通过Pubmed，Embase，Hinari，Science和Cochrane图书馆）的电子搜索来确定文章，并在先前的流行研究中列出了参考的手中搜索，以检索更多。根据综合列表和排除标准列表，包括18篇文章。两位作者使用标准化的数据提取格式独立提取所有必要的数据。 Stata 14统计软件用于分析数据。 Cochrane Q和I2测试用于评估研究之间的异质性。计算随机效果模型，以估计产后避孕药的汇总率。此外，审查了计划生育使用的决定因素。结果。在埃塞俄比亚产后期间母亲在母亲期间使用的家庭计划使用的流行率为48.11％（95％CI：36.96,59.27）。此外，亚组分析显示，在亚的斯亚贝巴，65.41（95％CI：48.71,82.11）中观察到产后母亲之间的最高家庭计划使用患病率。恢复性活动：7.91（95％CI：4.62,13.55），产前护理：4.98（95％CI：2.34,10.21），中学及高于孕产妇教育：3.53（95％CI：1.67,7.45），后期护理：3.16（95％CI：1.7,5.88），Mense恢复：3.12（95％CI：1.52,6.39），≥6个月的产后时期：2.78（95％CI：1.97,3.93）已经显示出积极的协会随着母亲在产后时代的使用计划。结论。在这项研究中，与埃塞俄比亚产后时期的母亲的计划生育比较低，与现有的产后避孕药使用的全球值得明显低。恢复性活动，产前护理，中等和高于母体教育，后护理，月经恢复和产后？周期≥6？几个月被发现与产后避孕药有显着相关。

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