Assessment of Women Intention to Use Postpartum Intra uterine Contraceptive Device and Associated Factors in St. Paul Hospital Millennium Medical College

Abstract

<p><strong>Background</strong>: Postpartum period is one of the critical times when both woman and newborn need a special and integrated package of health services as morbidity and mortality rates are quite high during this period and also the women are vulnerable to unintended pregnancy So, family planning especially the use of PPIUCD can tackle unintended pregnancy and maternal death. However, evidence about intention to use PPIUCD is limited in Ethiopia.</p> <p><strong>Objectives: </strong>This study aimed to assess women intention to use PPIUCD and associated factor in St. Paul’s hospital millennium medical college.</p> <p><strong>Method: </strong>A facility-based cross-sectional study was conducted among 425 women who got labor and delivery services at St Paul’s Hospital Millennium Medical College (SPHMMC) during study period. Study participants were recruited using systematic random sampling technique. The main outcome variable was intention to use PPIUCD. Data on the outcome variable and explanatory variables were collected using a pre-tested structured questionnaire by trained midwives. After entering data to EpiData 4.6, it was exported to SPSS 23 for analysis. Descriptive statistics, chi-square test of association and logistic regression were employed to characterize variables, evaluate association, and identify factors associated with intention to use PPIUCD.</p> <p><strong>Result:</strong> The percentage of women who intended to use PPIUCD were 60.2%. The most common reasons for rejection were fear of complications (35.5%), satisfaction with other methods (17.5%), and desire of more child (15.1%). Mothers who had good knowledge about IUCD and positive attitude towards IUCD were 236 (55.5%) and 151 (35.5%), respectively. The odds of intention to use PPIUCD were 2.3 times higher in women who had good knowledge about IUCD than poor knowledge (AOR=2.3, 95% CI: 1.1-4.6, p-value=0.23). Similarly, the odds of intention to use PPIUCD were 1.8 times higher in women who had positive attitude towards IUCD than negative attitude (AOR=1.8, 95% CI: 1.2-2.8, p-value=0.008).</p> <strong>Conclusion:</strong> The intention to use PPIUCD was higher compared to previous studies of Ethiopia. Knowledge and attitude were found as determinant factors of intention to use PPIUCD. As a result, we recommend awareness creation by providing adequate family planning counselling during antenatal and labor service provision and health education to community using mass media. Moreover, research on this involving the rural community should also be conducted.