TY - JOUR
T1 - A facility birth can be the time to start family planning
T2 - Postpartum intrauterine device experiences from six countries
AU - Pfitzer, Anne
AU - MacKenzie, Devon
AU - Blanchard, Holly
AU - Hyjazi, Yolande
AU - Kumar, Somesh
AU - Lisanework Kassa, Serawit
AU - Marinduque, Bernabe
AU - Mateo, Marie Grace
AU - Mukarugwiro, Beata
AU - Ngabo, Fidele
AU - Zaeem, Shabana
AU - Zafar, Zonobia
AU - Smith, Jeffrey Michael
N1 - Publisher Copyright:
© 2015 Published by Elsevier Ireland Ltd. on behalf of International Federation of Gynecology and Obstetrics.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Initiation of family planning at the time of birth is opportune, since few women in low-resource settings who give birth in a facility return for further care. Postpartum family planning (PPFP) and postpartum intrauterine device (PPIUD) services were integrated into maternal care in six low- and middle-income countries, applying an insertion technique developed in Paraguay. Facilities with high delivery volume were selected to integrate PPFP/PPIUD services into routine care. Effective PPFP/PPIUD integration requires training and mentoring those providers assisting women at the time of birth. Ongoing monitoring generated data for advocacy. The percentages of PPIUD acceptors ranged from 2.3% of women counseled in Pakistan to 5.8% in the Philippines. Rates of complications among women returning for follow-up were low. Expulsion rates were 3.7% in Pakistan, 3.6% in Ethiopia, and 1.7% in Guinea and the Philippines. Infection rates did not exceed 1.3%, and three countries recorded no cases. Offering PPFP/PPIUD at birth improves access to contraception.
AB - Initiation of family planning at the time of birth is opportune, since few women in low-resource settings who give birth in a facility return for further care. Postpartum family planning (PPFP) and postpartum intrauterine device (PPIUD) services were integrated into maternal care in six low- and middle-income countries, applying an insertion technique developed in Paraguay. Facilities with high delivery volume were selected to integrate PPFP/PPIUD services into routine care. Effective PPFP/PPIUD integration requires training and mentoring those providers assisting women at the time of birth. Ongoing monitoring generated data for advocacy. The percentages of PPIUD acceptors ranged from 2.3% of women counseled in Pakistan to 5.8% in the Philippines. Rates of complications among women returning for follow-up were low. Expulsion rates were 3.7% in Pakistan, 3.6% in Ethiopia, and 1.7% in Guinea and the Philippines. Infection rates did not exceed 1.3%, and three countries recorded no cases. Offering PPFP/PPIUD at birth improves access to contraception.
KW - Intrauterine device
KW - Postpartum care
KW - Postpartum family planning
KW - Prenatal care
KW - Program implementation
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U2 - 10.1016/j.ijgo.2015.03.008
DO - 10.1016/j.ijgo.2015.03.008
M3 - Article
C2 - 26115859
AN - SCOPUS:84937459505
SN - 0020-7292
VL - 130
SP - S54-S61
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - S2
ER -