Community sexual health providers’ views on immediate postpartum provision of intrauterine contraception

Cooper, Michelle; Boydell, Nicola; Heller, Rebecca; Cameron, Sharon

doi:10.1136/bmjsrh-2017-101905

Cited by 18 publications

(16 citation statements)

References 16 publications

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“…In addition to this 17% pregnancies were mistimed, and 8% of pregnancies were unwanted [ 27 ]. Increasing access to effective postpartum intrauterine contraceptive methods can reduce the risk of unintended pregnancy and short inter-birth intervals [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Fikadu

Nejaga

Belete

et al. 2021

Contracept Reprod Med

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Background Postpartum intrauterine device (PPIUCD) utilization remains very low in Ethiopia beside high levels of unmet need for postpartum family planning even if nongovernmental organizations efforts to promote its use. This study investigates immediate PPIUCD utilization and influencing factors. Methods Institution based cross-sectional study was conducted on public hospitals of Addis Ababa city. All public hospitals which have PPIUCD service were included and systematic random sampling technique was used to select 286 participants. Data were entered using Epi Data and exported to SPSS for analysis. Bivariate and multivariate logistic regression analysis was used to determine the effect of independent variables on immediate PPIUCD utilization. Variables which have P-value< 0.2 on bivariate analysis were candidate for multivariate analysis. Variables which have P-value ≤0.05 on multivariate analysis was considered as statistically significant. Results Utilization of immediate PPIUCD among participants who gave birth in Addis Ababa public hospitals was 26.6% (95%CI: 21.3, 31.8). Eighty one percent respondents occupation was housewife were (AOR = 0.19, 95%CI: 0.06, 0.67) less likely to utilize PPIUCD compared to those who have personal job. In the other hand respondents who have discuss about PPFP with their partner were 1.21times (AOR = 1.21, 95%CI: 1.14, 25.67) more likely to utilize PPIUCD compared to those who never discuss. Contrarily 81% of respondents who need partner approval were (AOR = 0.19, 95%CI: 0.05, 0.79) less likely to utilize PPIUCD compared to those who doesn’t need approval. Respondents who have been counseled about PPIUCD were 1.13 times (AOR = 1.13, 95%CI: 1.10, 2.21) more likely to utilize PPIUCD compared to those who were not counseled. Similarly respondents who have good knowledge about PPIUCD were 7.50 times (AOR = 7.50, 95%CI: 4.06, 9.31) more likely to utilize PPIUCD compared to those who have poor knowledge. Conclusion This study verifies that immediate PPIUCD utilization is high compared to other studies. Having a housewife occupation and necessity of partner approval to utilize PPIUCD have negative influences, whereas spousal discussion about PPIUCD, counseled during pregnancy and having good knowledge have positive influences on PPIUCD utilization. Therefor empowering women by the government and other organizations working on maternal health will advance immediate PPIUCD utilization.

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Section: Introductionmentioning

confidence: 99%

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Fikadu

Nejaga

Belete

et al. 2021

Contracept Reprod Med

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“…Such findings highlight the importance of engaging breastfeeding specialists in immediate postnatal contraception initiatives 42. A recent study assessing the views of 156 UK community sexual health providers found support for promotion and provision of thread checks for PPIUC but also reported challenges around staffing, knowledge and experience, and access to ultrasound 9. Referral pathways and funding for aftercare of immediate PPIUC were also highlighted as barriers.…”

Section: Resultsmentioning

confidence: 99%

Women’s and healthcare professionals’ views on immediate postnatal contraception provision: a literature review

Thwaites

Tran

Mann

2019

BMJ Sex Reprod Health

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ObjectivesProvision of immediate postnatal contraception, including long-acting reversible contraceptive (LARC) methods, is increasingly identified and endorsed as a key strategy for reducing unplanned and rapid repeat pregnancies. This literature review aims to evaluatethe views of women and healthcare professionals regarding the receipt, initiation or delivery of these services.MethodsDatabases (Embase, Medline, CINAHL, HMIC) were searched for relevant English language studies, from January2003 to December 2017. In addition, Evidence Search, Google Scholar and Scopus (citation search) were used to identify further literature. Other relevant websites were accessed for policies, guidance and supplementary grey literature.ResultsThere is clear guidance on how to deliver good-quality postnatal contraception to women, but the reality of service delivery in the UK does not currently meet these aspirations, and guidance on implementation is lacking. The available evidence on the provision of immediate postnatal contraception focuses more on clinical rather than patient-centred outcomes. Research on postnatal women’s views is limited to receptivity to LARC and contraception counselling rather than what influences their decision-making process at this time. Research on views of healthcare professionals highlights a range of key systemic barriers to implementation.ConclusionsWhile views of postnatal women and healthcare professionals are largely in support of immediate postnatal contraception provision, important challenges have been raised and present a need for national sharing of service commissioning and delivery models, resources and evaluation data. Provider attitudes and training needs across multidisciplinary groups also need to be assessed and addressed as collaborative working across a motivated, skilled and up-to-date network of healthcare professionals is viewed as key to successful service implementation.

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“…SRH clinicians and general practitioners have an important role in training and championing postpartum contraception services. 10 In addition, for women who have had a postpartum IUD insertion, the follow-up thread check can be managed in a community setting.…”

Section: Planning For Successful Provision In Maternity Servicesmentioning

confidence: 99%

Contraception after childbirth in the UK: beyond the COVID-19 pandemic

Cooper

Free

Cameron

2021

BMJ Sex Reprod Health

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Community sexual health providers’ views on immediate postpartum provision of intrauterine contraception

Cited by 18 publications

References 16 publications

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

Women’s and healthcare professionals’ views on immediate postnatal contraception provision: a literature review

Contraception after childbirth in the UK: beyond the COVID-19 pandemic

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