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Int J Gynaecol Obstet ; 130 Suppl 2: S54-61, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26115859

RESUMO

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.


Assuntos
Serviços de Planejamento Familiar/estatística & dados numéricos , Dispositivos Intrauterinos/classificação , Dispositivos Intrauterinos/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Período Pós-Parto , Adulto , Etiópia , Feminino , Guiné , Instalações de Saúde/estatística & dados numéricos , Humanos , Paquistão , Paraguai , Parto , Filipinas , Ruanda , Adulto Jovem
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