Effectiveness and Cost-Effectiveness Of Postpartum IUD Insertion in Lima, Peru

Foreit, Karen G.; Foreit, James R.; Lagos, Gloria; Guzmán, Alfredo

doi:10.2307/2133378

Cited by 27 publications

(24 citation statements)

References 1 publication

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“…It is relevant to note that counseling before discharge was the key feature of the International Postpartum Program. However, the impact of that program depended to some extent on the availability of services, particularly IUDs, before discharge, as in the successful intervention reported by Foreit et al (1993) in Peru. None of the three RCTs on predischarge counseling described above appears to have had a service component, a circumstance that may have diluted the effect of the interventions.…”

Section: Postnatal Interventionsmentioning

confidence: 99%

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Cleland

Shah

Daniele

2015

Studies in Family Planning

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This article provides programmatic guidance and identifies future research priorities through a review of interventions to improve postpartum contraception. Thirty-five interventions in low- and middle-income countries were identified and classified according to timing and nature of administration: antenatal, postnatal, both ante- and postnatal, and integration with other services. With the exception of single, short antenatal interventions, the evidence of impact is positive but incomplete. A major gap in knowledge concerns demand for, and means of promoting, immediate postpartum family planning services in Asia and Africa. Counseling before discharge is likely to have an impact on subsequent contraceptive uptake. Integration of family planning into immunization and pediatric services is justified, but policy and program obstacles remain. A case for relaxing the strict conditions of the lactational amenorrhea method (LAM) is strong, but qualitative evidence on the perspectives of women on pregnancy risks is required. Despite the gaps in knowledge, the evidence provides useful guidance for strategies to promote postpartum family planning, in ways that take different contexts into account.

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Section: Postnatal Interventionsmentioning

confidence: 99%

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Cleland

Shah

Daniele

2015

Studies in Family Planning

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“…Current evidence shows a strong positive association between family planning counseling provided to women during the intrapartum period in a facility and postpartum contraceptive use. [20]. Family planning counseling in the postpartum period is also associated with higher postpartum contraceptive use [20-21].…”

Section: Introductionmentioning

confidence: 99%

“…[20]. Family planning counseling in the postpartum period is also associated with higher postpartum contraceptive use [20-21]. …”

Section: Introductionmentioning

confidence: 99%

Counseling During Maternal and Infant Health Visits and Postpartum Contraceptive Use in Uttar Pradesh, India

Rajan¹,

Speizer²,

Calhoun³

et al. 2016

International Perspectives on Sexual and Reproductive Health

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Context Postpartum family planning is a compelling concern of global significance due to its salience to unplanned pregnancies, and to maternal and infant health in developing countries. Yet, women face the highest level of unmet need for contraception in the year following a birth. A cost-effective way to inform women about their risk of becoming pregnant after the birth of a child is to integrate family planning counseling and services with maternal and infant health services. Methods We use recently collected survey data from 2733 women from six cities in Uttar Pradesh, India who had a recent birth (since 2011) to examine the role of exposure to family planning information at maternal and infant health visits on (1) any contraceptive use in the postpartum period, and (2) choice of modern method in the postpartum period. We use discrete-time event history multinomial logit models to examine the duration to contraceptive use, and choice of modern method, in the 12 months following the last birth since 2011. Results We find that receiving counseling in an institution at the time of delivery has the strongest influence on women’s subsequent uptake of modern contraception (female sterilization and IUD). Being visited by a CHW in the extended postpartum period was also strongly associated with subsequent uptake of modern contraception (IUD, condom and hormonal contraception). Conclusion Providing postpartum family planning counseling at key junctures during maternal health visits has the potential to increase uptake of modern contraceptive method in urban Uttar Pradesh.

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“…Two-thirds of these women do not want to become pregnant but are not using a contraceptive method; nearly 40 percent plan to use a method but have not done so.Other surveys have shown that, among women attending hospitals and clinics in Africa and Latin America, between 50 and 96 percent report that they plan to use a method in the first year after delivery, and among women who either have just had a delivery at a hospital or are visiting a health center in the first six months after delivery, the combined proportion of those who are already using a method and those who report wishing they were using one is consistently more than 50 percent. If offered a method in the first year (and particularly in the first few months) after delivery, many women will choose to begin using it (see, for example, Brambila et al 2002;Medina et al 2001;Quiterio et al 2007;Rivero-Fuentes et al 2007;Solís et al 2007; andWarren et al 2008a and.Offering contraceptives in the immediate postpartum period leads to higher contraceptive rates at six months postpartum (Foreit et al 1993) and is more cost-effective than providing them after the six-week postdelivery period (Foreit et al 1993;Khan 2003). In areas of high HIV prevalence, providing contraceptives and advice to prevent the transmission of HIV from mother to child is also critical to postpartum care; preventing unintended pregnancies for HIV-infected women is more cost-effective than using nevirapine as a means to avoid HIV transmission during pregnancy or childbirth (Reynolds and Wilcher 2006).…”

mentioning

confidence: 99%

“…Offering contraceptives in the immediate postpartum period leads to higher contraceptive rates at six months postpartum (Foreit et al 1993) and is more cost-effective than providing them after the six-week postdelivery period (Foreit et al 1993;Khan 2003). In areas of high HIV prevalence, providing contraceptives and advice to prevent the transmission of HIV from mother to child is also critical to postpartum care; preventing unintended pregnancies for HIV-infected women is more cost-effective than using nevirapine as a means to avoid HIV transmission during pregnancy or childbirth (Reynolds and Wilcher 2006).…”

mentioning

confidence: 99%

Meeting the Family Planning Needs of Postpartum Women

Vernon

2009

Studies in Family Planning

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Effectiveness and Cost-Effectiveness Of Postpartum IUD Insertion in Lima, Peru

Cited by 27 publications

References 1 publication

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Interventions to Improve Postpartum Family Planning in Low‐ and Middle‐Income Countries: Program Implications and Research Priorities

Counseling During Maternal and Infant Health Visits and Postpartum Contraceptive Use in Uttar Pradesh, India

Meeting the Family Planning Needs of Postpartum Women

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