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Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia.

Quality of family planning counseling among women attending prenatal care at a hospital in Addis Ababa, Ethiopia.
Author Information (click to view)

Teshome A, Birara M, Rominski SD,


Teshome A, Birara M, Rominski SD, (click to view)

Teshome A, Birara M, Rominski SD,

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International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2017 02 07() doi 10.1002/ijgo.12110
Abstract
OBJECTIVE
To assess the quality of family planning counseling among women attending a prenatal clinic in Addis Ababa, Ethiopia.

METHODS
In a descriptive cross-sectional study conducted between February and April, 2015, at the prenatal care clinic of Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, pregnant women in their third trimester were interviewed about their experience of family planning counseling. Data were collected via a questionnaire. Logistic regression was used to assess predictors of satisfaction with the counseling service.

RESULTS
During the study period, 400 women were interviewed. Only 139 women (34.8%) were counseled about family planning. Among those counseled, 126 (90.6%) decided to use a contraceptive method after delivery and 46 (36.7%) decided to use an injectable contraceptive. Women were more likely to report high satisfaction when their provider asked about their partner’s attitude toward contraceptive methods (adjusted odds ratio [AOR], 6.6; P<0.001), and when asked about their concerns and worries regarding family planning methods (AOR, 5.1; P<0.001). CONCLUSION
Very few women were counseled about contraception during prenatal care. Asking about a partner’s attitude toward contraceptives and discussing women’s fears or worries about contraceptives should be considered during family planning counseling to improve satisfaction and quality of care. This article is protected by copyright. All rights reserved.

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