The effect of postnatal care on the postpartum contraceptive use in Ethiopia: a systematic review and meta-analysis

ABSTRACT

BACKGROUND: Effective postpartum contraception is crucial for maternal health and birth spacing. Postnatal care (PNC) visits represent a pivotal opportunity to encourage its use. Despite this, postpartum contraceptive uptake remains low in Ethiopia. Thus, this systematic review and meta-analysis seeks to evaluate the impact of postnatal visits on the utilization of postpartum contraception in Ethiopia. METHODS: A systematic review and meta-analysis of published studies were conducted. Articles were systematically searched across multiple databases, including PubMed, HINARI, Science Direct, Cochrane Library, ETH Library, and Google Scholar. Data were analyzed using STATA 14 software. Publication bias was assessed using funnel plots and Egger's test. A random-effects model was employed to estimate the pooled prevalence of postpartum contraceptive use in Ethiopia. RESULTS: The findings of the present systematic review and meta-analysis revealed that postnatal care visits significantly increase the utilization of postpartum contraception [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: Postpartum contraception is pivotal for maternal and child health. Postnatal care visits represent a crucial opportunity to promote its uptake. Healthcare providers can use these visits to educate women about contraceptive methods, discuss their advantages and potential risks, and help them choose the most suitable option for their needs.