Effect of instructional guidelines on pregnant women's knowledge regarding immediate insertion of an intrauterine contraceptive device during cesarean section versus late insertion after the puerperium
Keywords:
Cesarean Section, Instructional guidelines, Immediate Insertion, Late Insertion, Pregnant women's knowledge, PuerperiumAbstract
Postpartum intrauterine contraception (PPIUC) should be made more widely available because it can decrease unplanned pregnancies and short inter-pregnancy intervals. The aim was to evaluate the effect of instructional guidelines on Pregnant Women's Knowledge regarding immediate insertion of an intrauterine contraceptive device during cesarean section versus late insertion after the puerperium. Subjects and method: Design: To accomplish the goal of this study, a quasi-experimental research design was used. Setting: the study was carried out antenatal clinic at Beni-Suef University Hospital. Subjects: A purposive sample of 100 pregnant women was included in this study. Tools for data collection: A structured interview questionnaire which consisted of three parts; part (I) pregnant women's personal data; part (II) pregnant women's current obstetric history, part (III) pregnant women's knowledge regarding immediate versus late insertion of the intrauterine contraceptive device (pre/post). Results: The study's findings showed that pregnant women's knowledge regarding early vs late placement of an intrauterine contraceptive device after cesarean section showed highly significant improvements post-instructional guidelines (P<0.001). Conclusion: The results of the current study showed that the application of instructional guidelines improved pregnant women's knowledge of early vs late placement of an intrauterine contraceptive device during cesarean section.
Downloads
References
American College of Obstetricians and Gynecologists (ACOG). Immediate postpartum long-acting reversible contraception. Committee Opinion No. 670. Obstet Gynecol. 2016;128:e32-e37.
Bayoumi YA, Dakhly DM, Bassiouny YA, Gouda HM, Hassan MA, Hassan AA. Post‑placental intrauterine device insertion vs puerperal insertion in women undergoing cesarean delivery in Egypt: a 1 year randomized controlled trial. Eur J Contracept Reprod Health Care. 2020;25:439–44.
Blumenthal PD, Lerma K, Bhamrah R, Singh S. Comparative safety and efficacy of a dedicated postpartum IUD inserter versus forceps for immediate postpartum IUD insertion: a randomized trial. Contraception. 2018;98:215-219.
Cameron ST, Craig A, Sim J, et al. Feasibility and acceptability of introducing routine antenatal contraceptive counseling and provision of contraception after delivery: the APPLES pilot evaluation. BJOG. 2017;124:2009-2015.
Çelen Ş, Sucak A, Yıldız Y, Danışman N. Immediate post placental insertion of an intrauterine contraceptive device during cesarean section. Contraception. 2011; 84(3): 240-3.
Cooper M, Cameron S. Successful implementation of immediate postpartum intrauterine contraception services in Edinburgh and framework for wider dissemination. Int J Gynecol Obstet. 2018;143:56-61.
Faculty of Sexual & Reproductive Healthcare. Contraception After Pregnancy Guideline. London: Royal College of Obstetricians & Gynaecologists; 2017.
Faculty of Sexual & Reproductive Healthcare. UK Medical Eligibility for Contraceptive Use (UKMEC). London: Royal College of Obstetricians & Gynaecologists; 2016.
Heller R, Cameron S, Briggs R, Forson N, Glasier A. Postpartum contraception: a missed opportunity to prevent unintended pregnancy and short inter-pregnancy intervals. J Fam Plann Reprod Heal Care. 2016;42:93-98.
Heller R, Johnstone A, Cameron ST. Routine provision of intrauterine contraception at the elective cesarean section in a national public health service: a service evaluation. Acta Obstet Gynecol Scand.2017;96:1144-1151
Khajehei M, Ziyadlou S, Safari RM, Tabatabaee H, Kashefi F. A comparison of sexual outcomes in primiparous women experiencing vaginal and cesarean births. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2019;34:126.
Levi E, Cantillo E, Ades V, Banks E, Murthy A. Immediate post placental IUD insertion at cesarean delivery: a prospective cohort study. Contraception. 2012;86:102–5.
Levi EE, Stuart GS, Zerden ML, Garrett JM, Bryant AG. Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum: A Randomized Controlled Trial. Obstet Gynecol. 2015;126:5–11.
Mohamed SA, Kamel MA, Shaaban OM, Salem HT. Acceptability for the use of postpartum intrauterine contraceptive devices: Assiut experience. Med Princ Pract. 2013;12:170–5.
Okusanya BO, Oduwole O, Effa EE. Immediate postabortal insertion of intrauterine devices. Cochrane Database Syst Rev. 2014. https://doi.org/ 10.1002/14651858.CD001777.pub4.
Reproductive Health and Research, World Health Organization, Medical Eligibility Criteria for Contraceptive Use. Geneva: World Health Organization; 2015:268 pp.
Rodriguez MI, Caughey AB, Edelman A, Darney PD, Foster DG. Cost–benefit analysis of state‑and hospital‑funded postpartum intrauterine contraception at a university hospital for recent immigrants to the United States. Contraception. 2018;81:304–8.
Singal S, Bharti R, Dewan R, Dabral A, Batra A, et al. Clinical Outcome of Postplacental Copper T 380A Insertion in Women Delivering by Caesarean Section. J Clin Diagn Res. 2014; 8(9): 01-04.
Thapa K, Dhital R, Karki YB, et al. Institutionalizing postpartum family planning and postpartum intrauterine device services in Nepal: role of training and mentorship. Int J Gynecol Obstet. 2018;143:43-48.
Washington CI, Jamshidi R, Thung SF, Nayeri UA, Caughey AB, Werner EF. Timing of postpartum intrauterine device placement: a cost-effectiveness analysis. Fertil Steril. 2015;103:131-137.
World Health Organization. Medical eligibility criteria for contraceptive use. 5th ed. Geneva: World Health Organization; 2015. p. 276. Available from: https://apps.who.int/iris/handle/10665/181468.
Published
How to Cite
Issue
Section
Copyright (c) 2021 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
