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A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries.
Pfitzer, Anne; Mackenzie, Devon; Blanchard, Holly; Hyjazi, Yolande; Kumar, Somesh; Lisanework Kassa, Serawit; Marinduque, Bernabe; Mateo, Marie Grace; Mukarugwiro, Beata; Ngabo, Fidele; Zaeem, Shabana; Zafar, Zonobia; Smith, Jeffrey Michael.
Afiliação
  • Pfitzer A; Jhpiego/MCHIP, Washington, DC, USA. Electronic address: Anne.Pfitzer@jhpiego.org.
  • Mackenzie D; Jhpiego/MCHIP, Washington, DC, USA.
  • Blanchard H; Jhpiego/MCHIP, Washington, DC, USA.
  • Hyjazi Y; Jhpiego, Conakry, Guinea.
  • Kumar S; Jhpiego, New Delhi, India.
  • Lisanework Kassa S; Jhpiego, Addis Ababa, Ethiopia.
  • Marinduque B; Jhpiego, Manila, Philippines.
  • Mateo MG; Jhpiego, Manila, Philippines.
  • Mukarugwiro B; Jhpiego, Kigali, Rwanda.
  • Ngabo F; Ministry of Health, Kigali, Rwanda.
  • Zaeem S; Jhpiego, Islamabad, Pakistan.
  • Zafar Z; Jhpiego, Islamabad, Pakistan.
  • Smith JM; Jhpiego, Baltimore, MD, USA.
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Período Pós-Parto / Serviços de Planejamento Familiar / Dispositivos Intrauterinos Limite: Adult / Female / Humans País/Região como assunto: Africa / America do sul / Asia / Paraguay Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Período Pós-Parto / Serviços de Planejamento Familiar / Dispositivos Intrauterinos Limite: Adult / Female / Humans País/Região como assunto: Africa / America do sul / Asia / Paraguay Idioma: En Revista: Int J Gynaecol Obstet Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos