Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Author "Abebe Mesfin(Prof)"

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    Assessment of Knowledge, Attitude and Practice of Immediate Postpartum Intra Uterine Contraceptive Device and Associated Factors among Postpartum Women at Selected Governmental Hospitals in Addis Abeba, Ethiopia , 2019.
    (Addis Ababa University, 2019-12) Mohammed, Seid; Abebe Mesfin(Prof); Fantahun Addishiwot(MSN)
    Background: Maternal mortality is the issue of developing countries, especially sub-Saharan Africa including Ethiopia. This is known due to poor quality of maternal health care services. So, family planning especially the practice of PPIUCD can challenge unintended pregnancy and maternal related complication. Up to 40% of these problems are estimated to be preventable by accessing postpartum family planning service. However, use of IUCD in general is 2% in Ethiopia.Due to this reason many women are exposed to unintended pregnancy and maternalrelated complications. Objective: Assessing Knowledge, Attitude and practice of Postpartum Intra uterine contraceptive device and Associated Factors among Postpartum Women Selected at Government Hospitals in Addis Ababa, Ethiopia, 2019. Methods: Facility based cross sectional study was carried out on 286 postpartum women in selected government hospitals of Addis Ababa from August-September 30, 2019. Ethical clearance letter was obtained from AAU, School of Nursing and Midwifery and Addis Ababa heath bureau IRB office. Study participants were selected by simple random sampling based on their proportional distribution of sample size to each hospital. An interviewer administered questionnaire was used to collect data. The data was coded and entered into Epi data version 4.2 and the analysis was carried out by using SPSS version 20.Bivariate and multivariate analysis with 95 % CI was employed. Variables found to have a P-value<0.2 in the binary logistic regression were entered into multivariate analysis and association was declared at P value<0.05 Results: out of two hundred eighty-six respondents one hundred thirty-eight (48.3%),one hundred eighty-two (63.6%) and seventy-six (26.6%) postpartum women were knowledgeable, had favorable attitudes and practice about PPIUCD respectively. Postpartum women who had college and above educational background were more likely to have favorable attitude and knowledge of PPIUCD with AOR= 2.302[1.141-4.64] and AOR=22.99[4.465-118.411] respectively. Moreover, experience of discussion with partner about Fp, level of know ledgeand PPIUCD counseling in pregnancy were some of the factors associated with PPIUCD. Conclusion and Recommendations: Thisstudy provided that postpartum women were relatively favorable attitude but their knowledgeand practice on PPIUCD is low.This calls for a strong and continued effort from the health care providers and other stakeholders to increase postpartum women’s knowledge and practice of PPIUCD service through education, increase service accessibility, and counseling for PPIUCD during ANC.