Effect of pregnancy intention on postpartum contraceptive use in Ethiopia: a national longitudinal study using propensity score methods

Postpartum modern contraceptive use remained suboptimal across the postpartum period, regardless of pregnancy intention. Women with intended pregnancies demonstrated higher odds of contraceptive uptake at six weeks, six months, and one year postpartum. Sexual and reproductive health services, particularly family planning access for all women, should be strengthened. Targeted strategies such as early identification and linkage to care are needed to address the specific contraceptive needs of those who have experienced unintended pregnancy.