PMID- 26115859 OWN - NLM STAT- MEDLINE DCOM- 20160325 LR - 20220318 IS - 1879-3479 (Electronic) IS - 0020-7292 (Linking) VI - 130 Suppl 2 DP - 2015 Jun TI - A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries. PG - S54-61 LID - S0020-7292(15)00137-X [pii] LID - 10.1016/j.ijgo.2015.03.008 [doi] AB - Initiation of family planning at the time of birth is opportune, since few women in low-resource settings who give birth in a facility return for further care. Postpartum family planning (PPFP) and postpartum intrauterine device (PPIUD) services were integrated into maternal care in six low- and middle-income countries, applying an insertion technique developed in Paraguay. Facilities with high delivery volume were selected to integrate PPFP/PPIUD services into routine care. Effective PPFP/PPIUD integration requires training and mentoring those providers assisting women at the time of birth. Ongoing monitoring generated data for advocacy. The percentages of PPIUD acceptors ranged from 2.3% of women counseled in Pakistan to 5.8% in the Philippines. Rates of complications among women returning for follow-up were low. Expulsion rates were 3.7% in Pakistan, 3.6% in Ethiopia, and 1.7% in Guinea and the Philippines. Infection rates did not exceed 1.3%, and three countries recorded no cases. Offering PPFP/PPIUD at birth improves access to contraception. CI - Copyright (c) 2015. Published by Elsevier Ireland Ltd. FAU - Pfitzer, Anne AU - Pfitzer A AD - Jhpiego/MCHIP, Washington, DC, USA. Electronic address: Anne.Pfitzer@jhpiego.org. FAU - Mackenzie, Devon AU - Mackenzie D AD - Jhpiego/MCHIP, Washington, DC, USA. FAU - Blanchard, Holly AU - Blanchard H AD - Jhpiego/MCHIP, Washington, DC, USA. FAU - Hyjazi, Yolande AU - Hyjazi Y AD - Jhpiego, Conakry, Guinea. FAU - Kumar, Somesh AU - Kumar S AD - Jhpiego, New Delhi, India. FAU - Lisanework Kassa, Serawit AU - Lisanework Kassa S AD - Jhpiego, Addis Ababa, Ethiopia. FAU - Marinduque, Bernabe AU - Marinduque B AD - Jhpiego, Manila, Philippines. FAU - Mateo, Marie Grace AU - Mateo MG AD - Jhpiego, Manila, Philippines. FAU - Mukarugwiro, Beata AU - Mukarugwiro B AD - Jhpiego, Kigali, Rwanda. FAU - Ngabo, Fidele AU - Ngabo F AD - Ministry of Health, Kigali, Rwanda. FAU - Zaeem, Shabana AU - Zaeem S AD - Jhpiego, Islamabad, Pakistan. FAU - Zafar, Zonobia AU - Zafar Z AD - Jhpiego, Islamabad, Pakistan. FAU - Smith, Jeffrey Michael AU - Smith JM AD - Jhpiego, Baltimore, MD, USA. LA - eng PT - Journal Article PL - United States TA - Int J Gynaecol Obstet JT - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JID - 0210174 SB - IM MH - Adult MH - Ethiopia MH - Family Planning Services/*statistics & numerical data MH - Female MH - Guinea MH - Health Facilities/statistics & numerical data MH - Humans MH - Intrauterine Devices/*classification/*statistics & numerical data MH - Pakistan MH - Paraguay MH - Parturition MH - Patient Acceptance of Health Care/*ethnology MH - Philippines MH - *Postpartum Period MH - Rwanda MH - Young Adult OTO - NOTNLM OT - Intrauterine device OT - Postpartum care OT - Postpartum family planning OT - Prenatal care OT - Program implementation EDAT- 2015/06/28 06:00 MHDA- 2016/03/26 06:00 CRDT- 2015/06/28 06:00 PHST- 2015/06/28 06:00 [entrez] PHST- 2015/06/28 06:00 [pubmed] PHST- 2016/03/26 06:00 [medline] AID - S0020-7292(15)00137-X [pii] AID - 10.1016/j.ijgo.2015.03.008 [doi] PST - ppublish SO - Int J Gynaecol Obstet. 2015 Jun;130 Suppl 2:S54-61. doi: 10.1016/j.ijgo.2015.03.008.