Success Providing Postpartum Intrauterine Devices in Private-Sector Health Care Facilities in Nigeria: Factors Associated With Uptake

Abstract

41% of women delivering in the social franchise private facilities chose the postpartum IUD. Factors associated with acceptance included lower education, higher parity, and being single. Scale-up of postpartum IUD services in both public and private facilities has the potential to significantly increase use of long-acting reversible contraception in Nigeria.

Planning and implementation of a FIGO postpartum intrauterine device initiative in six countries

“…A major advantage of an IUD is that it can be inserted immediately after the placenta is delivered after normal or operative vaginal or abdominal delivery, or within 48 hours of delivery, providing immediate postpartum protection from unintended pregnancies. Postpartum IUD insertion (PPIUD) is advantageous because it does not interfere with breastfeeding and is associated with less discomfort, lower risk of perforation of the uterus (attributed to ease of insertion via an open cervix and the thick postpartum myometrium), and fewer adverse effects compared with interval IUD insertion …”

“…Postpartum IUD insertion (PPIUD) is advantageous because it does not interfere with breastfeeding and is associated with less discomfort, lower risk of perforation of the uterus (attributed to ease of insertion via an open cervix and the thick postpartum myometrium), and fewer adverse effects compared with interval IUD insertion. 8 The International Federation of Gynecology and Obstetrics (FIGO) is committed to addressing the high maternal mortality rates in lowresource countries and supporting women to make informed decisions about the contraceptive methods available.…”

Planificación e implementación en seis países de la iniciativa de la FIGO sobre la inserción de dispositivos intrauterinos posparto

“…Una importante ventaja del DIU es que se puede insertar inmediatamente después de la expulsión de la placenta tras el parto vaginal o por cesárea, normal o intervenido, o dentro de las 48 horas siguientes al parto, proporcionando a la mujer una protección inmediata frente a embarazos no deseados. Los DIU posparto (DIUPP) presentan ventajas porque no afectan a la lactancia materna y se asocian a menos molestias, menos riesgo de perforación del útero (gracias a la facilidad de inserción a través de un cuello uterino abierto y un miometrio posparto engrosado) y menos efectos adversos que los DIU que se insertan después de un intervalo de espera 8 .…”

Partenariat avec le secteur privé pour renforcer la fourniture de la contraception

“…Le franchisage social attire des groupes difficiles à joindre, y compris les jeunes femmes et les clients à faible revenu, et parvient également à atteindre de nouveaux clients (14). Les établissements privés franchisés qui offrent des services prénatals et d'accouchement peuvent également accroître l'utilisation de la planification familiale postnatale (15).…”