The promotion of intrauterine contraception in low- and middle-income countries: a narrative review

Cleland, John G.F.; Ali, Moazzam; Beňová, Lenka; Daniele, Marina

doi:10.1016/j.contraception.2017.03.009

Cited by 53 publications

(51 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…37 Although LARC interventions that offer both methods typically result in a ratio of about three implant insertions for each IUD insertion, a sizable minority of women will chose the IUD when met with enthusiastic staff and high-quality counseling. 9 Additional elements of successful LARC interventions highlighted by PSI and MSI include careful coordination of the timing of demand-creation activities and service delivery; provision of removal services; and activities designed to reach poor or underserved women, such as mobile outreach and the provision of free or subsidized services. In line with our findings on the antecedents to LARC adoption shown above, these programs predominantly reached new users.…”

Section: Discussionmentioning

confidence: 99%

“…This analysis is based on data from Demographic and Health Surveys (DHSs), health facility surveys and telephone interviews with key international family planning stakeholders, as well as findings from recently published literature reviews on enablers and barriers to IUD uptake in low-and middle-income countries. 9,10 Unless otherwise stated, our IUD analyses refer to copper devices and our implant analyses refer to the generic method (including levonorgestrel-and etonogestrel-based implants) rather than to specific brands.…”

Section: Methodsmentioning

confidence: 99%

“…Many placed equal emphasis on the IUD and the implant, but some were dedicated to one or the other. 9 The objective of this article is to review key components of LARC uptake in Sub-Saharan Africa with the aim of guiding policies and programs. We assess trends in access to the IUD and implant, including method knowledge and availability at facilities; examine trends in use, source of supply, discontinuation and characteristics of users; and discuss the prospects for expanding method choice by increasing the availability of LARCs in national programs and the policy implications of our results.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?

Beňová¹,

Cleland²,

Daniele³

et al. 2017

International Perspectives on Sexual and Reproductive Health

View full text Add to dashboard Cite

The objective of this article is to review key components of LARC uptake in Sub-Saharan Africa with the aim of guiding policies and programs. We assess trends in access to the IUD and implant, including method knowledge and availability at facilities; examine trends in use, source of supply, discontinuation and characteristics of users; and discuss the prospects for expanding method choice by increasing the availability of LARCs in national programs and the policy implications of our results.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?

Beňová¹,

Cleland²,

Daniele³

et al. 2017

International Perspectives on Sexual and Reproductive Health

View full text Add to dashboard Cite

show abstract

“…Intrauterine device (IUD) is considered one of the most acceptable and effective contraceptive methods used. It is widely accepted and used in Egypt at a large scale than any other type of contraception with many advantages over the other types of contraceptive methods including long acting hormonal methods [1] [2].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Post-Placental IUD Insertion during Cesarean Section at a Tertiary Care Hospital in Egypt

Elsokary¹,

Elkhyat²,

Elshwaikh³

2020

OJOG

View full text Add to dashboard Cite

Objectives: To evaluate the efficacy of post placental IUD insertion during cesarean section. Background: IUD could be applied to the female after delivery of placenta during cesarean section, it had many advantages as the female is under anesthesia so no extra manipulation needed, decrease pain, and also the female at the period of delivery had high motive for family planning. Post placental IUD insertion also had many disengages like bleeding and displacement. Material and methods: A randomized controlled study was conducted at tertiary care hospital (Tanta University Hospital) in the period from Jan, 1, 2017 to May 31 2019. Two groups of patients were selected; each group included 60 patients with desire of birth control. The group I was subjected to post-placental intrauterine device (IUD) insertion during cesarean section and group II was subjected to interval IUD insertion (3 months after cesarean delivery). The type of IUD used was cupper-T IUD, both groups were assessed as regard to time of cesarean section (CS), amount of postoperative bleeding, postoperative pain, occurrence of infection, any displacement of IUDs, failure of contraception and patients' satisfaction. Results: The demographic data were comparable in both groups. The duration of cesarean surgery was slightly prolonged in the study group. The infection, puerperal bleeding, and displacement of IUDs were not significantly different in both groups. The discontinuation rate after 12 months was 13.72% in study group compared to 16.66% in the control group. The satisfaction rates in both groups were 90.20%, 91.67% in study and control groups respectively. The expulsion rates were 3.92% and 0.00% in the study and control groups respectively. Pregnancy on top of IUD was 1.96% in study group and 4.17% in control group with p value = 0.949. Conclusion: Post-placental IUD insertion is found to be safe, easily applied during cesarean section with slight prolongation of cesarean section duration. Post-placental IUD insertion

show abstract

“…To our knowledge and own literature search, there are five main types of IUD, which are commonly used in women worldwide [13]. Beside the ones we chose, there are other IUDs available on the market, but in terms of structure and material, these are not dissimilar to the ones selected for testing in our study (Novo T is made of copper, silver, polyethylene with barium sulfate, and iron oxid (coloring of the threads); Mona Lisa is made of copper and two nylon threads; Gold Luna is made of gold, copper, and polyethylene with barium sulfate; Minerva is made of polyethylene with barium sulfate and a reservoir containing levonorgestrel and silicone, with Iron oxide used as coloring agent; the Chinese ring is made of stainless steel).…”

Section: Methodsmentioning

confidence: 99%

Safety of intrauterine devices in MRI

et al. 2018

View full text Add to dashboard Cite

ObjectivesThe paucity of safety information on intrauterine devices (IUD) for magnetic resonance imaging (MRI) examinations is clinically relevant. The aim of this study is to evaluate the MRI safety of clinically used IUDs composed of copper/gold and stainless steel at 1.5T and 3.0T.Materials and methodsWe assessed and compared the displacement force, torque effects, presence of imaging artifacts and heating of IUDs composed of copper/gold (western IUDs) and stainless steel (China) on 1.5 and 3.0T MRI systems.ResultsGold/Copper IUDs can show small deflection angles of 7° ± 7° in the worst-case field gradient of 40T/m (equivalent to magnetic force of 0.5 mN), while the stainless steel IUD experienced significant magnetic force and deflection (Force > 7.5 N; deflection angle 90° ± 1°). Manual rotation and suspension method show no torque effects on gold/copper IUDs but high torque effects were observed by manual rotation on the stainless steel IUD. Heating measurements showed a temperature increase (rescaled to a wbSAR of 4 W/kg) of 1.4°C at 1.5T / 3.4°C at 3.0 T (stainless steel IUD), 3.2°C at 1.5 T / 3.8°C at 3 T (copper/gold IUD), 3.3°C at 1.5 T / 4.8°C at 3 T (copper 1), 3.8°C at 1.5 T / 4.8°C at 3 T (copper 2). The visible imaging artifacts of the copper and gold IUDs at 3 T MRI reach a diameter of 4 mm ± 1 mm, while the stainless steel IUD resulted in artifacts measuring 200mm ± 10 mm when using gradient echo pulse sequences.ConclusionsStandard IUDs (copper/gold) can be considered as conditional for MR safety at 1.5 T and 3.0 T, demonstrating at wbSAR up to 4W/kg and a magnetic field gradient of up to 40T/m with minimal imaging artifacts. The stainless steel IUD, however, induces unacceptable artifacts and is potentially harmful to patients during MRI due to high magnetic dislocation forces and torque (MR unsafe).

show abstract

The promotion of intrauterine contraception in low- and middle-income countries: a narrative review

Cited by 53 publications

References 36 publications

Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?

Expanding Method Choice in Africa with Long-Acting Methods: IUDs, Implants or Both?

Evaluation of Post-Placental IUD Insertion during Cesarean Section at a Tertiary Care Hospital in Egypt

Safety of intrauterine devices in MRI

Contact Info

Product

Resources

About