Cofactors of earlier uptake of modern postpartum family planning methods in Kenya

Datos Bibliográficos

ID19592379
AutoresNancy Ngumbau (0000-0003-4176-5950, Kenyatta National Hospital, autor de correspondencia), Damaris Kimonge (0009-0001-7157-2650, Kenyatta National Hospital, autor de correspondencia), Julia C Dettinger (0000-0002-9130-2666, University of Washington, autor de correspondencia), Felix Abuna (Kenyatta National Hospital, autor de correspondencia), Ben Odhiambo (0000-0002-9802-1648, Kenyatta National Hospital, autor de correspondencia), Laurén Gómez (0000-0003-2731-0781, University of Washington, autor de correspondencia), Anjuli D Wagner (0000-0002-5851-1220, University of Washington, autor de correspondencia), Mary M Marwa (0000-0002-8767-1282, Kenyatta National Hospital, autor de correspondencia), Salphine Watoyi (0000-0002-9085-1663, Kenyatta National Hospital, autor de correspondencia), Emmaculate Nzove, Emmaculate M Nzove (0009-0001-1259-4884, Kenyatta National Hospital, autor de correspondencia), Jillian Pintye (0000-0003-1255-7191, Neurobehavioral Systems, autor de correspondencia), Jared M Baeten (0000-0001-8242-8438, University of Washington, autor de correspondencia), John Kinuthia (0000-0001-6571-8927, Kenyatta National Hospital, autor de correspondencia), Grace John‐Stewart (0000-0002-4301-1573, University of Washington, autor de correspondencia), Cyrus Mugo (0000-0001-7516-2168, Kenyatta National Hospital, autor de correspondencia)
EditoresMark C Wheldon Mark C Wheldon
Año2025
Volumen5
Número6
Páginase0004353
Fecha de publicación2025-06-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004353
PMID40478852
OpenAlexW4411086729
IdiomaEN
Referencias citadas34

There are limited data on uptake of postpartum family planning (FP), particularly in high HIV prevalence settings. We assessed the timing of modern postpartum FP initiation and the cofactors of earlier uptake using longitudinal data from a clinical trial conducted in Kenya to assess two models of PrEP delivery among pregnant and postpartum women (NCT#03070600). Time to uptake of modern postpartum FP was estimated using survival analysis methods, and Cox proportional hazard models were used to determine cofactors of earlier uptake of modern postpartum FP. Among 4,191 women, median age was 24 years, 17% were aged 15–19 years, 88% were in a steady relationship, 50% intended to be pregnant and 75% were multigravida. The median time to resumption of sex was 8 weeks postpartum versus 24 weeks for uptake of postpartum FP. At 6 weeks postpartum, 42% of women had resumed sex, versus 12% who took up FP; at 14 weeks, 79% versus 38%; at 6 months, 88% versus 59%; and at 9 months, 91% versus 80%, respectively. Injectables and implants were the most common FP methods. Approximately 3.3% of all women became pregnant during the 9-month postpartum period. Being older and having ≤4children was associated with earlier uptake of modern postpartum FP. Women with lower education, primigravida, low social support, history of miscarriage/stillbirth, without a partner at enrolment, not residing with their partners, not receiving financial support from their partner and whose youngest child at enrolment was

Environmental health · Family planning · Gynecology · Hazard ratio · Miscarriage · Obstetrics · Population · Postpartum period · Pregnancy · Proportional hazards model · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Internal Medicine