{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T12:24:51Z","timestamp":1784031891988,"version":"3.55.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Contracept Reprod Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Maternal mortality tragedy is the issue of both developed and developing countries, especially sub-Saharan Africa including Ethiopia, which is due to poor quality of maternal health care services. Therefore family planning especially the use of Postpartum intrauterine contraceptive devices can tackle unintended pregnancy and maternal death. However,the intention to use PPIUCD and the use of IUCD in general is not well practiced in Ethiopia according to evidences of the literatures. For this reason, many mothers are exposed to unintended pregnancy and pregnancy related complications. The main purpose of the study was to assess the intention to use Post-partum intra uterine contraceptive devices and its associated factors among pregnant women attending Antenatal Clinics in Ambo Town Public Health Institutions, Ethiopia, 2018.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A facility-based cross-sectional study design was conducted from March \u2013 April 2018 to assess the intention of pregnant women about Postpartum intrauterine contraceptive devices and associated factors in 422 pregnant women. Study subjects were selected using systematic random sampling. Data were collected by\u00a0structured questionnaire, entered into a computer using Epi-info 3.5.4 statistical program, and exported to SPSS version 20 for analysis. A Logistic regression model was used to predict the intention of pregnant women about Postpartum intrauterine contraceptive devices\u00a0and associated factors. Lastly, a significant statistical association was tested using 95% confidence interval (CI) and <jats:italic>p<\/jats:italic> value (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The response rate was 417 (98.3%) and this study showed that 145(34.9%) of pregnant women intended to use Postpartum intrauterine contraceptive device. Age of pregnant women [AOR\u2009=\u20098.348(CI: 3.602\u201319.347], educational level [AOR\u2009=\u20093.249(1.057\u20139.985)], occupational status [AOR\u2009=\u20094.101(CI: 1.788\u20139.405)], monthly income [AOR\u2009=\u20093.175(CI: 1.423\u20137.082)] and knowledge [A0R\u2009=\u20095.408(2.994\u20139.767)] have shown significant associations with intention to use Postpartum intrauterine contraceptive devices.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The study found that 34.9% women intended to use PPIUCD. Maternal age, maternal educational level, occupational status, monthly income and knowledge were significantly associated with pregnant women intention to use PPIUCD.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40834-021-00152-x","type":"journal-article","created":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T23:06:26Z","timestamp":1617231986000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Assessment of intention to use postpartum intrauterine contraceptive device and associated factors among pregnant women attending antenatal clinics in ambo town public health institutions, Ethiopia, 2018"],"prefix":"10.1186","volume":"6","author":[{"given":"Gurmessa","family":"Daba","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9682-7234","authenticated-orcid":false,"given":"Jembere Tesfaye","family":"Deressa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Workinesh","family":"Sinishaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,1]]},"reference":[{"key":"152_CR1","unstructured":"Fact sheet iwstpbfucf. copper intrauterine devices (IUCD). SEPTEMBER 2008."},{"key":"152_CR2","unstructured":"Guidance WUTSaP. TCu380A intrauterine contraceptive device (IUD) 2016."},{"issue":"Suppl2","key":"152_CR3","doi-asserted-by":"publisher","first-page":"S54","DOI":"10.1016\/j.ijgo.2015.03.008","volume":"130","author":"AMD Pfitzer","year":"2015","unstructured":"Pfitzer AMD, Blanchard H, Hyjazi Y, Kumar S, LisaneworkKassa S. A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries. Int J Gynaecol Obstet. 2015;130(Suppl2):S54\u201361.","journal-title":"Int J Gynaecol Obstet"},{"key":"152_CR4","unstructured":"Singh S, Darroch JE. Adding it up: costs and benefits of contraceptive services--estimates for 2012. New York:\u00a0Guttmacher Institute;\u00a02012."},{"key":"152_CR5","doi-asserted-by":"crossref","unstructured":"Lopez LM BA, Hubacher D, Stuart G, Van Vliet HA. Immediate postpartum insertion of intrauterine device for contraception. 2015.","DOI":"10.1002\/14651858.CD003036.pub3"},{"key":"152_CR6","unstructured":"CHIPMM. Program learning for postpartum intrauterine contraceptive device (PPIUCD) integration with maternal health services: programmatic experience from multiple countries. Washington:\u00a0Maternal and Child Heath Integrated Program;\u00a02012."},{"key":"152_CR7","unstructured":"FEDERAL DEMOCRATIC REPLIC of Ethiopia MoH. Post Partum Intrauterine Contraceptive Device (PPIUCD) Participant\u201fs Handout. 2013."},{"key":"152_CR8","unstructured":"ACQUIRE Project EH. The postpartum intrauterine device handbook. 2008."},{"key":"152_CR9","unstructured":"Stella B NJ, Bolanle A, Ilene S. . Ideation and intention to use contraceptives in Kenya and Nigeria. 2015."},{"key":"152_CR10","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1186\/1472-6874-14-109","volume":"14","author":"M Meskele","year":"2014","unstructured":"Meskele M. Factors affecting women\u2019s intention to use long acting and permanent contraceptive methods in Wolaita zone, southern Ethiopia: a cross-sectional study. BMC Womens Health. 2014;14:109.","journal-title":"BMC Womens Health"},{"key":"152_CR11","unstructured":"Ethiopia. COSTED IMPLEMENTATION PLAN FOR FAMILY PLANNING 2015\/16\u20132020 2016."},{"key":"152_CR12","unstructured":"Tekelab T, Sufa A, Wirtu D. Factors affecting intention to use long acting and permanent contraceptive methods among married women of reproductive age groups in Western Ethiopia: a community based cross sectional study. MedSci. 2015;4:158."},{"key":"152_CR13","doi-asserted-by":"crossref","unstructured":"Abajobir AA. Intention to use long-acting and permanent family planning methods among married 15\u201349 years women in Debremarkos Town, Northwest Ethiopia. Fam Med MedSci. 2014;3:145.","DOI":"10.4172\/2327-4972.1000145"},{"key":"152_CR14","unstructured":"Okech TC, Wawire NW, Mburu TK. Contraceptive Use among women of reproductive Age in Kenya\u2019s city slums. Int J Bus SocSci1. 2011b;2."},{"issue":"4","key":"152_CR15","first-page":"122","volume":"3","author":"A Idowu","year":"2015","unstructured":"Idowu A, Deji SA, Ogunlaja O, Olajide SO. Determinants of intention to use post partum family planning among women attending immunization clinic of a tertiary hospital in Nigeria. Am J Public Health Res. 2015;3(4):122\u20137.","journal-title":"Am J Public Health Res"},{"key":"152_CR16","unstructured":"The Millennium Development Goals Report, New York 2015. www.un.org\/millenniumgoals."},{"key":"152_CR17","unstructured":"EDHS. .Central Statistical Agency, Addis Ababa, Ethiopia, ICF Rockvile, Maryland, USA, July 2016."},{"key":"152_CR18","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1111\/j.1466-7657.2006.00492.x","volume":"53","author":"AT Beekle","year":"2006","unstructured":"Beekle AT, McCabe C. Awareness and determinants of family planning practice in Jimma, Ethiopia. Int Nurs Rev. 2006;53:269\u201376.","journal-title":"Int Nurs Rev"},{"key":"152_CR19","doi-asserted-by":"crossref","unstructured":"Gebremariam A. Intention to use long acting and permanent contraceptive methods and factors affecting it among married women in Adigrat town, Tigray, Northern Ethiopia. Reprod Health. 2014.","DOI":"10.1186\/1742-4755-11-24"},{"key":"152_CR20","doi-asserted-by":"crossref","unstructured":"Alemayehu M, Belachew T, Tilahun T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC Pregnancy Childbirth. 2012;12:6.","DOI":"10.1186\/1471-2393-12-6"},{"key":"152_CR21","unstructured":"Jalang\u2019o R. Determinants of contraceptive use among postpartum women in Kisii Level Hospital, Kisii County.nairobi kenya 2015."},{"key":"152_CR22","unstructured":"Pathfinder international technical briefApril 2016 expanding contraceptive options for postpartum women in ethiopia: introducing the postpartum iud. Expanding Contraceptive Options for Postpartum Women in Ethiopia: Introducing the Postpartum IUD pathfinder international, 2016. https:\/\/www.k4health.org."},{"key":"152_CR23","first-page":"54","volume":"10","author":"M Fantabun","year":"2006","unstructured":"Fantabun M. Comparative study of the characteristics of family planning service users and non-users in North West Ethiopia. Afr J Reproductive Health. 2006;10:54\u20137.","journal-title":"Afr J Reproductive Health"}],"container-title":["Contraception and Reproductive Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40834-021-00152-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40834-021-00152-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40834-021-00152-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,31]],"date-time":"2021-03-31T23:14:06Z","timestamp":1617232446000},"score":1,"resource":{"primary":{"URL":"https:\/\/contraceptionmedicine.biomedcentral.com\/articles\/10.1186\/s40834-021-00152-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,1]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["152"],"URL":"https:\/\/doi.org\/10.1186\/s40834-021-00152-x","relation":{},"ISSN":["2055-7426"],"issn-type":[{"value":"2055-7426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,1]]},"assertion":[{"value":"8 November 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval was obtained from Research Ethical Committee of Nursing and Midwifery Department, College of Health Sciences; Addis Ababa University. Written Permission was sought from the responsible body of the study setting and informed consent was obtained from each participant (pregnant women) after explained nature, purpose and procedures of the study. Each study participants was informed about the purpose, methods of collection, anticipated benefit and risk of study. Privacy and confidentiality of the data provided was strictly maintained. Participants were assured that their participation was voluntary and they have every right to withdraw or refuse to give information at any time in the study without compromising the service they get from the facility.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"10"}}