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Review Article | | Peer-Reviewed

Acceptability of Immediate Postnatal Intrauterine Contraceptive in Ethiopia: Systematic Review and Meta-analysis

Bacha Merga Chuko*,  Fikru Assefa Kibrat,  Nebiyu Taye,  Girum Takele,  Geda Edea,  Zufela Sime
Published in Science Development (Volume 6, Issue 3)
Received: 2 July 2025     Accepted: 14 July 2025     Published: 30 July 2025
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Abstract

Introduction: An intrauterine contraceptive family planning is appropriate for females of all reproductive age groups for avoiding unplanned pregnancies. Immediate postpartum intra-uterine contraceptive device placement within 10 min after the removal of the placenta following vaginal delivery is a safe and effective technique. Immediate postpartum family planning facilities requirement to be underlined after the lady leaves the hospital. In spite of the recognized demand for post-delivery family planning, several mothers do not access and accept the services. The aim of this systematic review and meta-analysis was to assess the pooled acceptability of immediate postpartum intrauterine contraceptive in Ethiopia. Methods: Studies were thoroughly searched by using international databases from PubMed, Google Scholar, Cochrane Library, and Embase. The systemic review was carried out using the random effect method, and statistical analysis was conducted using STATA version 14 software for the window. The Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) guideline was used to reporting results. Results: This review comprised five observational cross-sectional studies in total. The pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive among mothers who delivered in Ethiopia was 20.12% (95% CI =18.49- 21.75). Conclusion: Evidence suggested that low the pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive. This highlights the need for targeted interfering to reduce to advance acceptability of immediate postpartum intrauterine contraceptive in the Ethiopian.

Published in Science Development (Volume 6, Issue 3)
DOI 10.11648/j.scidev.20250603.21
Page(s) 143-152
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group
Previous article
Keywords

Acceptability, Immediate Postnatal, Intrauterine Contraceptive Device, Ethiopia

1. Introduction
Family planning refers to the capability of individuals or couples to choose when to have children, determine their ideal of springs, and manage the timing and intervals between delivery. This is a vital intervention that can save the lives of moms and their babies
[1]
Post-delivery family planning (PPFP) purposes to avert unintended gestations and gestations that occur besides soon after delivery during the first year following delivery
[2, 3]
.
Postpartum family planning (PPFP) purposes to avert unintended gestations and gestations that occur also soon after delivery during the first year following delivery
[4]
. The immediate postpartum phase offers numerous advantages aimed at the insertion of intrauterine contraceptive devices (IUCDs), as a significant number of females are confirmed not to be pregnant, and several express a desire to prevent brief intervals between pregnancies
[5]
. The IUCD is a long-lasting revocable contraceptive that is a minor device implanted into the uterus to avoid pregnancy
[2, 3]
.
The copper-bearing intra-uterine contraceptive device, commonly recognized as IUCD, it is a minor, elastic plastic frame comprising twisted copper impregnated with barium sulfate and implanted in the uterus by a skilled healthcare worker after suitable screening
[4]
.
The immediate placement of an intrauterine contraceptive device after childbirth is a very real family planning option which is affordable, dependable, not hormonal, changeable, and long-lasting. It can be started during the postpartum phase and does not adversely affect breastfeeding
[5]
. IPPIUCD can encourage the health of moms and babies by avoiding economic, psychological, obstetric, and additional health-associated complications linked with carefully set apart pregnancies
[5, 6]
. According to the report of WHO (World Health Organization) in 2017 guesses, 214 million females of reproductive age in emerging countries who need to prevent pregnancy are not using a contemporary contraceptive. The use of modern contraceptives prevented an estimated 308 million unintended pregnancies
[7]
. IPPIUD use varies widely in lower-income countries (2%-46%)
[8]
. Ethiopian mini-demographic survey also reported that only 2% of IUCD was used
[3]
.
Global population growth is accelerated by women who birth to children without spacing because the absence of family planning in the post-partum period decreases birth interval and increases the chance of having more children. Quick people progress is likely to decrease per capita income growth and happiness, which have a tendency to rise poverty. It traps individuals, communities, and even entire countries in poverty
[9]
.
In Sub-Saharan African nations, there was a great unmet requirement for long-acting and permanent devices of family planning throughout the immediate post-delivery period. Furthermore, in growing countries, female who once return to home after child gave do not return for even a repetitive postnatal care, leaving sideways contraception
[10]
.
The magnitude of acceptance of IPPIUCD was reported to be 12.24% in Pakistan
[11]
, 12.7% in India
[12]
, and 9.6% in Uganda
[13]
. However, in Ethiopia, the magnitude of acceptance of IPPIUCD ranges from 12.4% to 35.6%
[14, 15]
.
The findings of the previous study showed that planning pregnancy, educational status, having ANC (Antenatal care) follow-up, ever hearing about postpartum IUCD, planning to have another child by spacing, partner support for IPPIUCD insertion, having good knowledge about IPPIUCD and birth intervals, and counseling from a healthcare provider about a postnatal intrauterine contraceptive method were factors that related through acceptance and usage of immediate postnatal intrauterine contraceptive
[16-19]
.
Female and couples who need safe and effective guard counter to pregnancy would advantage from access to extra contraceptive choosing, including long acting reversible contraceptive like IPPIUCD. IPPIUCD are suitable for users and effectively stop pregnancy. Despite these advantages, IPPIUCD remains a relatively minor, and occasionally lost
[8, 20]
.
Seventy-eight percent of female who had tried to dismiss an unplanned pregnancy described that they had not been taking contraception when the pregnancy previous tried to terminate
[21, 22]
. Terminating pregnancy by itself has impacts on the future pregnancy
[22]
. Letdown to offer postnatal contraception can subsidize to the incidence of unplanned pregnancies since greatest of the females often do not reappearance for post-delivery care
[23]
. The commencement and facility of contraceptive approaches during the postnatal period precaution the women from unintentional pregnancy beforehand they recommence sexual activity or reappearance to productiveness
[24, 25]
.
Long-lasting rescindable contraceptive like IUCD is the most effective contraceptive; they offer a variety of possible assistances that involve a decrease in mother morbidity too mortality, reduced newborn and infant mortality, reducing unsafe abortion from unintended pregnancies, and empowering women and enhancing education
[7]
.
Different Family planning guideline and training was developed and given to improve the acceptance and usage of long-lasting family planning including IPPIUCD. Despite implementation of different guidelines and improving services the receiving and usage of IPPIUCD was low in Ethiopia
[3, 20]
.
A institutional based cross-sectional research conducted amongst 392 moms who delivered at community health services in Hawassa city; Ethiopia indicated that acceptance of immediate postnatal intrauterine contraceptive method was 16.3%
[18]
. As the results of the study done amongst mom who delivered at public hospitals of Gamo Zone, Southern Ethiopia displayed that the acceptance of immediate postnatal intrauterine contraceptive method was 35.6%
[15]
.
A institutional based Cross-Sectional investigate amongst mothers delivered at government Health Facilities of Sidama Zone, South Ethiopia showed that acceptance of immediate postnatal intrauterine contraceptive method was 38%
[26]
. A study conducted among 429 womenfolk who delivered at Bale Zone health facilities, in Southeast Ethiopia showed that acceptance of immediate post-delivery intrauterine contraceptive method in 12.4%
[14]
. According to the results study done amongst pregnant females appearing antenatal clinics in Ambo Town community health institutes, in Ethiopia showed that purpose to use immediate post-delivery intrauterine contraceptive method was 34.9%
[27]
.
Even though inadequate primary studies were conducted to assess pooled prevalence acceptability of immediate postpartum intrauterine contraceptive in Ethiopia, findings revealed that there was a great inconsistency and variation. Therefore, this systematic review and meta-analysis intended to evaluate the pooled prevalence acceptability of immediate postpartum intrauterine contraceptive among mothers delivered in Ethiopia. In fact, evidence associated with acceptability of immediate postpartum intrauterine contraceptive is limited, it is important to shape various postpartum intrauterine contraceptive related programs and policy. Consequently, this study will offer relevant information for future researchers, policymakers, clinicians, and concerned stakeholders which are required for designing strategies in to improve immediate postpartum intrauterine contraceptive. Additionally, the findings of this study might help to achieve the sustainable development goal of reducing neonatal and maternal morbidity and mortality related to childbirth. Furthermore, the evidence generated from this review can also be used as an input for future researchers who intend to make further inquiry on the topic which is allied to immediate postpartum intrauterine contraceptive method.
2. Methods
2.1. Study Design and Setting
Among Ethiopian women who delivered birth, the pooled acceptability of immediate postnatal intrauterine contraceptive method and relevant influences were evaluated using this comprehensive review and meta-analysis. Ethiopia, a noncoastal nation in Horn of Africa, is home to gueess 121 million people. It boarded north by Eritrea to, by northeast by Djibouti, by Somalia to the east, by Kenya to the south, by South Sudan to the west, and by Sudan to the northwest
[28]
.
2.2. Reporting
The protocol was designed based on Standard Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) guidelines
[29]
. But it was excluded from the prospective registration of systematic reviews and meta-analyses (PROSPERO), due to the study's limitations.
2.3. Search Strategies
Several databases, with PubMed, Embassy, Science Direct, Cochrane Library, African Journals Online, Google Scholar, and Web of Science, were used to carry out a thorough find of research. Studies were initially extensively searched using the complete title.
Figure 1. Flow chart figure showing assortment of researches involved in the systematic review and meta-analysis via PRISMA checklist, 2025.
(“acceptability of immediate postpartum intrauterine contraceptive among mothers who gave birth in Ethiopia:”) and keywords (“Acceptability of immediate postpartum intrauterine contraceptive,” “moms who delivered “in Ethiopia”). After linking these keywords, the find terms were made up using the Boolean Operators "OR" and "AND," either individually or in combination. Additionally, reference lists of all the studies that were included were taken into consideration in order to find more missing studies. The period of the literature search was May 21-June 10, 2025 (Figure 1).
2.4. Population
The population of the study, exposure, and result of statement were similarly used in this review; population: (mothers who delivered) in Ethiopia; exposure: and outcome: acceptability of immediate postnatal intrauterine contraceptive among mothers delivered.
2.5. Eligibility Criteria
Inclusion Criteria: -The PICO approach, which mainly comprises condition, context, and population (CoCoPop) questions for prevalence studies, was employed by the authors to determine the inclusion and exclusion criteria for this systematic review and meta-analysis.
Study area: Research done in Ethiopia.
Study design: Every observational research that report either the percentage or prevalence or acceptability of immediate postnatal intrauterine contraceptive. For the sake of clarity and ease of understanding, studies on the acceptability of immediate postpartum intrauterine contraceptives that were published in English were included.
Publication condition: published researches.
Time: There was no time restriction on the publication date, and all Ethiopian research was covered.
Exclusion Criteria: -Researches with a diverse outcome of interest that couldn’t support for the pooled guesstimate were removed.
2.6. Data Extraction
Four authors (BM, GT, NT, FA, and ZS) were disjointedly extracted the data from the included researches by means of a piloted data extraction Microsoft Excel spreadsheet. The spreadsheet comprises the first author’s name, publication year, study year, study design, study setting, study setup, sample size and the proportion of acceptability of immediate postnatal intrauterine contraceptive among mothers who delivered. When there was any difference between the reviewers observed the differences were resolved through discussion and reassessment of each researches.
2.7. Data Quality Assessment
Table 1. General characteristics of the included cross-sectional studies for the systematic review and meta-analysis of acceptability of immediate postnatal intrauterine contraceptive among women who gave birth in Ethiopia.

Authors

Year of publication

BI’s critical appraisal questions

Overall quality score (100%)

Include ed

Q1

Q2

Q3

Q4

Q5

Q6

Q7

Q8

Q9

Mesfin Gebremedhin. et al

2022

Y

Y

Y

Y

Y

N

Y

Y

Y

88.89%

√

Yemisrach Shiferaw et al

2024

Y

Y

Y

Y

Y

Y

Y

Y

Y

100%

√

Gurmessa Daba et al

2020

Y

Y

Y

N

Y

N

Y

Y

Y

77.78%

√

Siham Abdullah et al

2024

Y

Y

Y

Y

Y

Y

Y

Y

Y

100%

√

Husen Zakir Abasime et al

2024

Y

Y

Y

Y

Y

Y

Y

Y

Y

100%

√
Using a uniform data appraisal set-up adapted from the Newcastle-Ottawa Scale (NOS), we had done a critical appraisal of the investigation evidence to assess the methodological quality of a study and determine the degree to which a study has addressed the likelihood of bias in its design, and analysis. evaluated the worthiness of all salvaged studies by means of the Joanna Briggs Institute (JBI) quality appraisal checklist
[30]
. In conclusion, studies that score 50% and beyond, quality calculation checklist criteria were measured as high quality. Consequently, involved studies were incorporated based on the quality valuation criteria with the consequences ranging from 77.8 to 100% (Table 1). Y: Yes, N: No, U: Unclear, Q: Question. The total score is calculated by counting the number of Y’s in each row evaluated by using Q1: Was the sample frame suitable to address the goal population? Q2: Were study participants sampled properly? /Are the patients at a like point in the progression of their condition/illness? Q3: Was the sample size satisfactory? Q4: Were the study subjects and the setting defined in detail? /Are confounding factors identified and strategies to deal with them definite? Q5: Was the data analysis conducted with enough coverage of the identified sample? /Are outcomes evaluated using objective criteria? Q6: Were valid methods used for the identification of the condition? Q7: Was the condition assessed in a standard, reliable way for all participants? Q8: Was there suitable statistical analysis? /Were outcomes measured constantly? Q9: Was the response rate satisfactory, and if not, was the low response rate managed appropriately? Then quality appraisal of encompassed studies assessed by three authors (BM, FA and NT) individualistically and slightly inconsistency was set by other authors (ZS).
2.8. Measurement of the Outcome of Interest
The main outcome of this systematic review and meta-analysis the acceptability of immediate postnatal intrauterine contraceptive among mothers who delivered in Ethiopia and estimated pooled prevalence with 95% confidence intervals (CIs).
2.9. Statistical Methods and Analysis
The take out data from Microsoft Excel spreadsheet were imported to STATA™ 14 statistical software for analysis. To calculate pooled estimation of overall acceptability of immediate postpartum intrauterine contraceptive Meta Analyst software was used. The percentage of whole difference among studies that is attributable to heterogeneity rather than chance is described by the I2 statistic, which we calculated to evaluate the degree of study heterogeneity. A score of 30% to 60% on the I2 statistic may showed moderate heterogeneity, a price of 50% to 90% may indicated substantial heterogeneity, and a worth of 75% to 100% may indicated significant heterogeneity
[31]
. Therefore, a random effects model was used to guess the pooled acceptability of immediate postnatal intrauterine contraceptive and 95% CIs were constructed from the included studies.
2.10. Subgroup Analyses and Heterogeneity
To identify possible causes of heterogeneity among involved studies, subgroup examines based on geographic regions.
Publication bias and heterogeneity: The asymmetrically distributed inverted funnel plot of this study showed that publication bias (Figure 3). The total heterogeneity of acceptability of immediate postpartum intrauterine contraceptive included was І2 = 96.9%, with P < 0.001 by using of the random effect model to adjust observed inconsistency. A funnel plot directed that asymmetrical distribution and the Egger test worth was 0.011. But different studies suggest that Egger's regression or symmetry of funnel plots should be used whenever there are more than 10 studies included in a meta-analysis. So trim-and-fill analysis should not be necessary (Figure 3).
3. Results
A total of 567 published researches were included after a searching of studies through various worldwide databases. The found studies were screened using the Mendeley reference manager, and 123 duplicate studies were eliminated and 367 articles excluded by different title and abstract. From the residual 77 articles met for full text review, 72 articles were excluded based on the predetermined criteria (full text conducted outside of Ethiopia, outcome not well-defined). Finally, an overall of 5 primary studies were suitable and included in this systematic review and meta-analysis (Figure 1).
3.1. Characteristics of Selected Studies
As defined below (Table 2), all of these studies were published between 2020 and 2024. In the current systematic review and met analysis, 2207 moms who delivered were participated in estimating the pooled of acceptability of immediate postpartum intrauterine contraceptive among mothers who gave birth in Ethiopia. All study designs which included in this study were cross-sectional study. The prevalence of acceptability of immediate postnatal intrauterine contraceptive among mothers who gave birth were ranged from 10.9% to 35.61%. Five geographical regions including the nation’s capital city of Addis Ababa were included in this meta-analysis; two studies included in this study were from the Oromia region
[27, 32]
, two studies were from southern nation national people regional
[18, 15]
and one study from Addis Ababa city
[27]
.
Table 2. Summary of characteristics of included studies.

Authors

Year of publication

Year of study

study area

Region

study setting

study design

sample

cases

Mesfin Gebremedhin. et al

2022

2019

Government Hospitals of Gamo Zone

southern nation national people regional

IB

CS

452

161

Yemisrach Shiferaw et al

2023

2020

public health facilities in Hawassa city

southern nation national people regional

IB

CS

392

65

Gurmessa Daba et al

2020

2018

ambo town public health institutions

Oromia

IB

CS

417

145

Siham Abdullah et al

2023

2021

Public hospitals in Addis Ababa

Addis Ababa

IB

CS

412

45

Husen Zakir Abasime et al

2024

2024

Hospitals of North Shoa Zone

Oromia

IB

CS

534

95
3.2. Acceptability of Immediate Postnatal Intrauterine Contraceptive
The overall pooled magnitude acceptability of immediate postnatal intrauterine contraceptive among mothers who gave birth in Ethiopia was found to be 20.12% (95% CI =18.49- 21.75) (Figure 2). Study`s heterogeneity was examined by using the I2 test, and the outcomes disclosed that there was no a significant degree of variation between the studies (I2 =96.9%, P value < 0.001) (Figure 2).
Figure 2. Overall pooled estimates of acceptability of immediate postnatal intrauterine contraceptive among mothers who gave birth in Ethiopia, 2025.
3.3. Publication Bias and Heterogeneity
The I2 (variation in ES attributable to heterogeneity) test of the outcome showed the presence of high heterogeneity with I2 = 96.9%, at p < 0.001. The studies included in the review were evaluated for publication bias among the researches. The graph output of the funnel plot indicated asymmetrical distribution of the studies through visual inspection. the Egger test value was 0.011. But different studies suggest that Egger's regression or symmetry of funnel plots should be used whenever there are more than 10 studies combined in a meta-analysis. So trim-and-fill analysis should not be necessary (Figure 3).
Figure 3. Funnel plot shows the study’s publication bias, 2025.
3.4. Subgroup Analysis
Based on the geographical location of the regions, the subgroup analyses were done and their results were revealed that southern nation national people had the highest pooled estimation prevalence of acceptability of immediate postpartum intrauterine contraceptive at 24.39% (95% CI: 21.16-27.22), followed by the Oromia region at 23.48% (95% CI: 20.83-26.12), the Addis Ababa city at 10.92% (95% CI: 7.91-13.93) (See figure 4).
Figure 4. Sub-group analysis of region which included study in meta-analysis on acceptability of immediate postpartum intrauterine contraceptive in Ethiopia, 2025.
4. Discussion
This systematic review and meta-analysis mapped out the assessment of pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive among who delivered in Ethiopia. The review highlighted on the distribution, design, quality and characteristics of the studies. The review comprised five studies from different regions of Ethiopia which all studies’ analysis used primary data. All of the comprised studies were facility-based studies.
The pooled prevalence of acceptability of immediate postpartum intrauterine contraceptive in Ethiopia was 20.12% with (95% CI =18.49-21.75). This was in line with the systematic review done in Ethiopia (20%)
[33]
. Nevertheless, the result of this study finding was higher than the primary study of done at public health facilities in Hawassa city, Ethiopia (16.3%)
[18]
, at Public Hospitals in Addis Ababa (11%)
[34] 
and at Hospitals of North Shoa Zone, Ethiopia (17.8%)
[32]
.
The results of pooled of acceptability of immediate postnatal intrauterine contraceptive was lower than primary study conducted at Government Hospitals of Gamo Zone, Southern Ethiopia (35.6%)
[15]
. The observed disparity could be caused by a variety of variables. One noteworthy aspect is that certain studies represent post-term pregnancies, which may have contributed to the claimed prevalence rates. Additionally, variations in the reported prevalence of acceptance of immediate postpartum intrauterine contraception use may be caused by differences in sample characteristics and methodology between research.
The results of the subgroup analysis by area showed that the capital city of Addis Ababa, Ethiopia, had the lowest prevalence of acceptability of immediate postnatal intrauterine contraception, while the southern country national people regional state had the greatest. This discrepancy could result from variations in the quality and accessibility of long-acting family planning services, like intrauterine contraceptive devices, in the research location.
5. Limitation
Acceptability of immediate postnatal intrauterine contraceptive had no clear standard explanation and this confronted the insertion of the articles. Furthermore, it is not widely researched in the nation, which led to the findings of a small number of published publications. However, it was challenging to match the variables from several research for the Meta-Analysis because the variables were not consistently examined across the investigations. The danger of bias may have also understated the prevalence and acceptability of rapid postpartum intrauterine contraception, despite our best efforts to reduce it. Additionally, we are unable to analyze unpublished studies from the nation's universities, which could lead to relatively few lost.
6. Conclusion
In summary, this review highlights that acceptability of immediate postpartum intrauterine contraceptive was a low. Thus, the government needs to develop strategies to increase Immediate Post-Partum Intrauterine Contraceptive acceptability.
Abbreviations

ANC

Antenatal Care

FP

Family Planning

IUCD

Intrauterine Contraceptive Device

IPPIUCD

Immediate Post-partum Intrauterine Contraceptive

PPFP

Postpartum Family Planning
Acknowledgments
The authors of the primary research included in this systematic review and meta-analysis have our sincere gratitude.
Author Contributions
Bacha Merga Chuko: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review, Formal Analysis, & editing.
Fikru Assefa Kibrat: Conceptualization, Data curation, Formal Analysis, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review, Formal Analysis, & editing.
Zufela Sime: Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review, Formal Analysis, & editing.
Girum Takele: Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review, Formal Analysis, & editing.
Geda Edea: Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review, Formal Analysis, & editing.
Nebiyu Taye: Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing - original draft, Writing - review, Formal Analysis, & editing.
Funding
The author(s) declare that no financial support was received for the study, authorship, and/or publication of this article.
Ethical Approval and Consent to Participate
Not relevant because this study did not use primary data, which requires ethical approval and participant permission.
Data Availability Statement
The original aids obtainable in the study were included in the articles/Supplementary Material; further studies can be directed to the corresponding author.
Conflict of Interest
The authors declare no conflicts of interest.
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    Chuko, B. M., Kibrat, F. A., Taye, N., Takele, G., Edea, G., et al. (2025). Acceptability of Immediate Postnatal Intrauterine Contraceptive in Ethiopia: Systematic Review and Meta-analysis. Science Development, 6(3), 143-152. https://doi.org/10.11648/j.scidev.20250603.21

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    Chuko, B. M.; Kibrat, F. A.; Taye, N.; Takele, G.; Edea, G., et al. Acceptability of Immediate Postnatal Intrauterine Contraceptive in Ethiopia: Systematic Review and Meta-analysis. Sci. Dev. 2025, 6(3), 143-152. doi: 10.11648/j.scidev.20250603.21

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    AMA Style

    Chuko BM, Kibrat FA, Taye N, Takele G, Edea G, et al. Acceptability of Immediate Postnatal Intrauterine Contraceptive in Ethiopia: Systematic Review and Meta-analysis. Sci Dev. 2025;6(3):143-152. doi: 10.11648/j.scidev.20250603.21

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  • @article{10.11648/j.scidev.20250603.21,
  author = {Bacha Merga Chuko and Fikru Assefa Kibrat and Nebiyu Taye and Girum Takele and Geda Edea and Zufela Sime},
  title = {Acceptability of Immediate Postnatal Intrauterine Contraceptive in Ethiopia: Systematic Review and Meta-analysis
},
  journal = {Science Development},
  volume = {6},
  number = {3},
  pages = {143-152},
  doi = {10.11648/j.scidev.20250603.21},
  url = {https://doi.org/10.11648/j.scidev.20250603.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.scidev.20250603.21},
  abstract = {Introduction: An intrauterine contraceptive family planning is appropriate for females of all reproductive age groups for avoiding unplanned pregnancies. Immediate postpartum intra-uterine contraceptive device placement within 10 min after the removal of the placenta following vaginal delivery is a safe and effective technique. Immediate postpartum family planning facilities requirement to be underlined after the lady leaves the hospital. In spite of the recognized demand for post-delivery family planning, several mothers do not access and accept the services. The aim of this systematic review and meta-analysis was to assess the pooled acceptability of immediate postpartum intrauterine contraceptive in Ethiopia. Methods: Studies were thoroughly searched by using international databases from PubMed, Google Scholar, Cochrane Library, and Embase. The systemic review was carried out using the random effect method, and statistical analysis was conducted using STATA version 14 software for the window. The Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) guideline was used to reporting results. Results: This review comprised five observational cross-sectional studies in total. The pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive among mothers who delivered in Ethiopia was 20.12% (95% CI =18.49- 21.75). Conclusion: Evidence suggested that low the pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive. This highlights the need for targeted interfering to reduce to advance acceptability of immediate postpartum intrauterine contraceptive in the Ethiopian.},
 year = {2025}
}

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  • TY  - JOUR
T1  - Acceptability of Immediate Postnatal Intrauterine Contraceptive in Ethiopia: Systematic Review and Meta-analysis

AU  - Bacha Merga Chuko
AU  - Fikru Assefa Kibrat
AU  - Nebiyu Taye
AU  - Girum Takele
AU  - Geda Edea
AU  - Zufela Sime
Y1  - 2025/07/30
PY  - 2025
N1  - https://doi.org/10.11648/j.scidev.20250603.21
DO  - 10.11648/j.scidev.20250603.21
T2  - Science Development
JF  - Science Development
JO  - Science Development
SP  - 143
EP  - 152
PB  - Science Publishing Group
SN  - 2994-7154
UR  - https://doi.org/10.11648/j.scidev.20250603.21
AB  - Introduction: An intrauterine contraceptive family planning is appropriate for females of all reproductive age groups for avoiding unplanned pregnancies. Immediate postpartum intra-uterine contraceptive device placement within 10 min after the removal of the placenta following vaginal delivery is a safe and effective technique. Immediate postpartum family planning facilities requirement to be underlined after the lady leaves the hospital. In spite of the recognized demand for post-delivery family planning, several mothers do not access and accept the services. The aim of this systematic review and meta-analysis was to assess the pooled acceptability of immediate postpartum intrauterine contraceptive in Ethiopia. Methods: Studies were thoroughly searched by using international databases from PubMed, Google Scholar, Cochrane Library, and Embase. The systemic review was carried out using the random effect method, and statistical analysis was conducted using STATA version 14 software for the window. The Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) guideline was used to reporting results. Results: This review comprised five observational cross-sectional studies in total. The pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive among mothers who delivered in Ethiopia was 20.12% (95% CI =18.49- 21.75). Conclusion: Evidence suggested that low the pooled prevalence of acceptability of immediate postnatal intrauterine contraceptive. This highlights the need for targeted interfering to reduce to advance acceptability of immediate postpartum intrauterine contraceptive in the Ethiopian.
VL  - 6
IS  - 3
ER  -

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    1. 1. Introduction
    2. 2. Methods
    3. 3. Results
    4. 4. Discussion
    5. 5. Limitation
    6. 6. Conclusion
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