Introduction: Post-abortion contraceptive services are crucial for preventing repeat unintended pregnancies, unsafe abortions, and associated health risks. The immediate post-abortion period before discharge offers a critical window to provide family planning when client motivation is highest. In Ethiopia, where low contraceptive use contributes significantly to unintended pregnancies and induced abortion, this study aimed to assess the uptake of post-abortion family planning and its associated factors among women receiving abortion care at Adama Hospital Medical College, Adama, Ethiopia, in 2024.

Method: A cross-sectional study was conducted at Adama Hospital Medical College from August to October 2024, enrolling 162 women who received abortion care via convenience sampling. Structured questionnaires were used, with data analyzed in Epi Info 7 and SPSS 25. Logistic regression identified factors linked to post-abortion family planning uptake. Ethical clearance was granted by the hospital’s research ethics committee.

Results: The uptake of post-abortion family planning among women receiving abortion care was 70.7% (95% CI: 64.1-77.2). Multivariable analysis revealed that higher gravidity (AOR = 2.31; 95% CI: 1.09-7.49), lack of intention to conceive within the next five years (AOR = 2.02; 95% CI: 1.37-8.68), previous use of family planning methods (AOR = 3.43; 95% CI: 2.51-10.78), and receiving counseling on post-abortion family planning (AOR = 2.84; 95% CI: 2.10-8.92) were significant predictors of post-abortion family planning uptake.