Affiliation:
1. Department of Obstetrics & Gynaecology University of Ghana Medical School, College of Health Sciences, University of Ghana Accra Ghana
2. Ghana Field Epidemiology and Laboratory Training Programme University of Ghana, School of Public Health Accra Ghana
Abstract
AbstractObjectiveTo compare the effect of one provider to one client counseling and one provider to a group client counseling on the uptake of postpartum contraception.MethodsThis was a hospital‐based prospective cohort study among women attending a postpartum clinic at Korle‐Bu Teaching Hospital and Greater Accra Regional Hospital. Postpartum mothers were recruited daily from April 1, 2017 to November 28, 2017. Mothers from this cohort that used a contraceptive method within a year postpartum were determined at 3, 6, 9, and 12 months after recruitment. A P value of less than 0.05 was considered statistically significant for all analyses.ResultsOf 982 women surveyed, contraceptive uptake among women who received one‐to‐one counseling was 306/600 (51.0%) and that for women who received group counseling was 48/382 (12.6%) (P < 0.001). Factors associated with contraceptive uptake during postpartum period were: one‐to‐one counseling (adjusted odds ratio [aOR] 7.05, 95% confidence interval [CI] 4.94–10.07), mothers' age (aOR 0.95, 95% CI 0.91–0.98), being single (aOR 0.54, 95% CI 0.35–0.85), cohabiting (aOR 0.39, 95% CI 0.22–0.69), and previous use of contraception (aOR 1.55, 95% CI 1.12–2.15).ConclusionOne‐to‐one counseling was associated with a significantly greater uptake of contraception during the postpartum period compared with group counseling. Other factors associated with uptake were age, marital status, and history of contraceptive use.
Subject
Obstetrics and Gynecology,General Medicine