A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries
Pfitzer, A.; Mackenzie, D.; Blanchard, H.; Hyjazi, Y.; Kumar, S.; Lisanework Kassa, S.; Marinduque, B.; Mateo, M.G.; Mukarugwiro, B.; Ngabo, F.; Zaeem, S.; Zafar, Z.; Smith, J.M.
International Journal of Gynaecology and Obstetrics the Official Organ of the International Federation of Gynaecology and Obstetrics 130(Suppl 2): S54-S61
2015
ISSN/ISBN: 1879-3479 PMID: 26115859 DOI: 10.1016/j.ijgo.2015.03.008Document Number: 636856
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.
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