A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries.
Int J Gynaecol Obstet
; 130 Suppl 2: S54-61, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-26115859
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aceitação pelo Paciente de Cuidados de Saúde
/
Período Pós-Parto
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Serviços de Planejamento Familiar
/
Dispositivos Intrauterinos
Limite:
Adult
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Female
/
Humans
País/Região como assunto:
Africa
/
America do sul
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Asia
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Paraguay
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2015
Tipo de documento:
Article
País de publicação:
Estados Unidos