Single Center Experience on Implementation of the Postpartum Intrauterine Device (PPIUD) in Sri Lanka: A Retrospective Study.

Abstract

Objectives to study the institutionalization of PPIUD services at Teaching Hospital, Mahamodara, Galle (THMG) and to study the feasibility, challenges and barriers for implementation.Results Total of 46,815 deliveries had occurred in the facility during the study period. Out of that 23,117 (49.4%) women had been counseled and 5775 (25.0%) of them were primigravida and 892 (3.9%) were teenage mothers. Total of 14,051 (60.8%) women were interviewed, but only 772 (5.5%) women consented for PPIUD. Consent withdrawal was seen in 29 (3.8 %) cases. A total of 409 community health staff were trained for counseling and follow up. PPIUD uptake was 470 (3.4%) which is comparable to national figures. Follow up data at one year was available from 199 women and spontaneous expulsion had occurred in eight (6.7%) cases with no cases of perforation or failure in terms of pregnancy. This short report gives the impression that PPIUD can be successfully implemented in resource limited settings and this also provides a feedback for the policy makers to take the necessary actions to improve the uptake of this cost effective, safe PPFP method. A routine PPIUD service has been successfully established within a tertiary care maternity setting in Sri Lanka.

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

“…This is higher than the national report of Ethiopian mini DHS 2019 which is 2% [22]. Similarly this result is higher than a study done in Sri Lanka 3.4% [11].…”

“…Because of unmet need, unintended pregnancy is common in postpartum period [9,10]. Beside this closely spaced pregnancies are expected to have adverse maternal, perinatal and infant outcomes [11,12].…”

A systematic review and meta-analysis of immediate postpartal intrauterine contraceptive device use in Ethiopia

“…IPPIUCD placed in the uterus after 10 min of placental expulsion; is very safe, effective, and efficient method of overcoming women's desire for long-acting but reversible method of family planning [ 3 , 4 ]. In addition to post placental insertion IPPIUCD can also be placed within 48 h and after 4 weeks of delivery [ 3 , 5 , 6 , 7 ].…”