Clinical trial NCT03890705: Postpartum Family Planning Utilization and Associated Factors Among Women During First Year After Childbirth in Assiut
Official title: Postpartum Family Planning Utilization and Associated Factors Among Women During the First Year After Childbirth in Assiut District
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Contraception
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2019-03-26
Enrollment: 600
Sex: FEMALE
Minimum age (years): 15
Maximum age (years): 49
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Women aged (15-49) who had given birth during the past 12 months and attending the Primary health care units for child immunization at the age of 12 months

Brief summary: Postpartum family planning is defined as prevention of unintended pregnancy and closely spaced pregnancies during the first 12 months after the child birth postpartum contraceptive utilization is important because some women resume ovulation after 28 days postpartum inter-pregnancy intervals shorter than 18 to 24 months have been associated with an increased risk of fetal and maternal deaths ,35% of children younger than five deaths could be avoided if births spaced 36 months

Detailed description: According to Egyptian demographic health survey , unmet need for family planning increased from 11.6% in 2008 to be 12.6% in 2014, contraception prevalence rate decreased from 60% in 2008 to 59% in 2014.

In Assiut Contraception prevalence rate decreased form 47.4 in 2008 to 41.4 in 2014 Total fertility rate increased from 3 in 2008 to 3.5 children/woman in 2014, Assiut Total fertility rate was 4.2 children/woman in 2014 . projections for the year 2030 estimated that total fertility rate would decline to be 2.1 births/woman if Contraceptive prevalence rate could rise to be 74.4% .

Routine childhood immunization services include more than 500 million regular contacts annually, most women seek child immunization for their children so each immunization represents an opportunity to reach women with Postpartum family planning counselling so World Health Organization recommends Postpartum family planning as a critical healthcare component and World Contraception Day 26 September 2018, Met the theme"Postpartum family planning: essential for ensuring woman health and their babies" World Health Organization for family planning research agenda listed postpartum family planning utilization as a higher priority score with score 83.90

Eligibility criteria: Inclusion Criteria:

* Women aged (15-49)
* and had given birth during the past 12 months.

Exclusion Criteria:

* Women that had children older than 12 months
* Pregnant women
* Sexually inactive women as widow and divorced
* Women who had done abdominal hysterectomy

Primary outcomes:
measure: postpartum family planning utilization rate questionnaire
timeFrame: one year
Secondary outcomes:
measure: factors affecting postpartum family planning utilization questionnaire
timeFrame: one year
Other outcomes:
Locations:
city: Assiut
country: Egypt
facility: Assiut university
Study officials:
affiliation: Assiut University
name: maria tadros
role: PRINCIPAL_INVESTIGATOR
References:
citation: Jackson E, Glasier A. Return of ovulation and menses in postpartum nonlactating women: a systematic review. Obstet Gynecol. 2011 Mar;117(3):657-662. doi: 10.1097/AOG.0b013e31820ce18c.
citation: Ministry of Health and Population [Egypt], El-Zanaty and Associates [Egypt], and ICF International. 2015. Egypt Demographic and Health Survey 2014. Cairo, Egypt and Rockville, Maryland, USA: Ministry of Health and Population and ICF International.
citation: El-Masry R et al. Unmet need for family planning among women in rural Egypt International Journal of Community Medicine and Public Health. 2018 Apr;5(4):1252-1261
citation: Ali M, Seuc A, Rahimi A, Festin M, Temmerman M. A global research agenda for family planning: results of an exercise for setting research priorities. Bull World Health Organ. 2014 Feb 1;92(2):93-8. doi: 10.2471/BLT.13.122242. Epub 2013 Nov 4.