International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2015
A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries.
СтатьяНазвание и аннотация: Перевод в очереди
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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
Аннотация
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.