A facility birth can be the time to start family planning: Postpartum intrauterine device experiences from six countries

Publish Date: June 2015
Author: Anne Pfitzer, Devon Mackenzie, Holly Blanchard, Yolande Hyjazi, Somesh Kumar, Serawit Lisanework Kassa, Bernabe Marinduque, Marie GraceMateo, Beata Mukarugwiro, Fidele Ngabo, Shabana Zaeem, Zonobia Zafar, Jeffrey Michael Smith

This MCHIP co-authored article—published in the International Journal of Gynecology and Obstetrics—examines how 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.

Facilities—in Ethiopia, Guinea, India, Pakistan, Philippines and Rwanda—with high delivery volume were selected to integrate PPFP/PPIUD services into routine care. 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.

To read the open access article, click here.