PMID- 32787387 OWN - NLM STAT- MEDLINE DCOM- 20211207 LR - 20211214 IS - 2078-6204 (Electronic) IS - 2078-6190 (Print) IS - 2078-6190 (Linking) VI - 62 IP - 1 DP - 2020 Aug 13 TI - Comparison of postpartum family planning uptake between primiparous and multiparous women in Webuye County Hospital, Kenya. PG - e1-e5 LID - 10.4102/safp.v62i1.5093 [doi] LID - 5093 AB - BACKGROUND: Postpartum family planning (PPFP) is associated with health, social and economic benefits to a woman and her family. Its uptake, particularly of the more effective, long-acting reversible contraceptives (LARCs), is low. The role of parity in PPFP uptake is inconclusive. The aim of this study was to compare the uptake of PPFP and LARCs between primiparous and multiparous women accompanying their children for the first measles vaccine, which is at 9 months after delivery, in Webuye County Hospital, Kenya. METHODS: This was a cross-sectional study. Study participants were recruited using a systematic random sampling method and data were collected using a pretested, structured, interviewer-administered questionnaire. The collected data were analysed using an independent t-test to compare PPFP uptake between primiparous and multiparous women, whereas chi-square tests (for categorical data) and independent t-tests (for numerical data) were used to compare the various socio-demographic characteristics and occurrence of various predictors of PPFP uptake between the two groups of postpartum women. Factors that were significantly different between the two groups were controlled for using logistic regression. RESULTS: There was a significant difference on PPFP uptake (22.0%; 95% CI: 11.8-32.3; p 0.001), but none on LARC use (OR = 0.88; 95% CI: 0.46-1.66) between the two groups of women. The unadjusted and adjusted OR for the effect of parity on FP uptake was 3.48 (95% CI: 1.88-6.42) and 2.32 (95% CI: 1.15-4.67), respectively. CONCLUSION: There is a significant difference in the uptake of PPFP, but not LARCs, between primiparous women and multiparous women accompanying their children for the 9-month measles vaccine in Webuye County Hospital. Primiparous women are less likely to initiate the use of PPFP compared to their multiparous counterparts. FAU - Owuor, Henry O AU - Owuor HO AD - Department of Family Medicine, School of Medicine, Moi University, Eldoret. owuorkembo@gmail.com. LA - eng PT - Journal Article DEP - 20200813 PL - South Africa TA - S Afr Fam Pract (2004) JT - South African family practice : official journal of the South African Academy of Family Practice/Primary Care JID - 9701104 SB - IM MH - Child MH - Cross-Sectional Studies MH - *Family Planning Services MH - Female MH - *Hospitals, County MH - Humans MH - Kenya MH - Parity MH - Postpartum Period MH - Pregnancy PMC - PMC8378052 OTO - NOTNLM OT - Family planning OT - multiparity OT - postpartum family planning OT - primiparity OT - reproductive health OT - rural medicine COIS- The author has declared that no competing interests exist. EDAT- 2020/08/14 06:00 MHDA- 2021/12/15 06:00 PMCR- 2020/08/13 CRDT- 2020/08/14 06:00 PHST- 2020/01/28 00:00 [received] PHST- 2020/04/08 00:00 [accepted] PHST- 2020/02/22 00:00 [revised] PHST- 2020/08/14 06:00 [entrez] PHST- 2020/08/14 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2020/08/13 00:00 [pmc-release] AID - SAFP-62-5093 [pii] AID - 10.4102/safp.v62i1.5093 [doi] PST - epublish SO - S Afr Fam Pract (2004). 2020 Aug 13;62(1):e1-e5. doi: 10.4102/safp.v62i1.5093.