Assessement of Utilization and Satisfaction of the Immediate Postpartum Family Planning in the Teaching Hospital Sourô Sanou, Bobo-Dioulasso, Burkina Faso

Background: Immediate post-partum family planning (IPPFP) is a major component of childbirth care. In developed countries, contraceptive services are provided as an integral part of essential childbirth care. The study aimed to evaluate the use, follow-up and satisfaction of contraceptives used in the immediate postpartum period at the maternity ward of the Sourô Sanou University Hospital in Bobo-Dioulasso. Methods: A cross-sectional descriptive study was designed from September 1st to November 30, 2019. A total of 853 recent deliveries who had received counseling for a contraceptive method in the immediate postpartum period were included after their verbal, free and informed acceptance to participate in the study. Results: During the study period, 34.50% of the sample had received contraception in the immediate postpartum period. The average age of the women was 27.43 ± 6.39 years, with extremes of 13 and 45 years. The average parity was 2.60 ± 3.17; women in union represented 93.32% of the sample. A third of the women (34.3%) had undergone caesarean section. The most frequently adopted methods were implants (63.60%), followed by intrauterine devices (28.23%) and oral contraceptives with micro-dosed progestins (5.44%). According to 18.17% of women, they had adopted the method because the provider had suggested it to them; their adoption of a method was subsequent to the proposal made by the provider; however, almost two-thirds (65.54%) had not chosen any contraceptive method despite counselling. Among users, 13.26% reported side effects associated with the use of the chosen contraceptives. However, 80.29% of women were satisfied with the use of these contraceptive methods. Conclusion: Contraception in the immediate post-partum period is beneficial for the couple. It enables women to leave the maternity ward with a contraceptive method, and also helps to raise the level of contraceptive prevalence.