The Effect of Postnatal Care on the Postpartum Contraceptive Use in Ethiopia: A Systematic Review and Meta-analysis
DOI:
https://doi.org/10.69614/ejrh.v16i3.792Keywords:
Postnatal care, Postpartum contraceptive, Systematic review, Meta-analysis, Ethiopia.Abstract
Background: The use of contraception after childbirth is a critical step in ensuring healthy spacing between births and reducing maternal and infant mortality. However, it is often observed that the use of postpartum contraception is low. In this context, postnatal care (PNC) visits are an important opportunity to promote postpartum contraceptive use. Therefore, this review aims to examine the effect of postnatal visits on utilization of postpartum contraceptive.
Methods: A systematic review and meta-analysis of published studies were conducted. Pub Med, HINARI, ScienceDirect, Cochrane Library, ETH Library, and Google Scholar were used to search all articles. STATA 14 software was used for analysis. To assess publication bias, funnel plots and Egger's tests were utilized. A random effect model was employed to determine the pooled prevalence
Results: The finding of the present systematic review and meta-analysis indicated that having postnatal care visits increases the utilization of postpartum contraceptive [pooled effect size 2.92 (95% CI, 2.21, 3.881)]. Postnatal care can provide critical information and support to women during the postpartum period, including information about family planning and contraceptive options.
Conclusion: The utilization of postpartum contraception is a critical aspect of maternal and child health. Postnatal care visits provide an opportunity to promote postpartum contraception. During these visits, healthcare providers can provide information on the available contraceptive methods, counsel women on the benefits and risks of each method, and assist in the selection of a suitable method.
PROSPERO Registration: CRD42020156574.
Key words: postnatal care, postpartum contraceptives, systematic review, meta-analysis, Ethiopia.
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