Barriers of Immediate Postpartum Intrauterine Device Uptake

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-01

Study Completion Date

2025-02-01

Brief Summary

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increase immediate postpartum intrauterine device uptake and support family planning programs to overcome barriers and increase contraception prevalence rate in Egypt determine client related barriers of immediate postpartum intrauterine device uptake in Assiut Hospitals (Demand side) identify provider related barriers of immediate postpartum intrauterine device uptake in Assiut Hospitals (Supply side) describe method related barriers perceived by women

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Detailed Description

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Population increase in Egypt is a major problem with the fertility rate 3.5 children per woman the postpartum period starts after the birth of the placenta and lasts for 6-8weeks after delivery Women resume sexual activity 1 to 2 months after delivery, with 45-day average till return of ovulation. women returning for intrauterine device insertion 6-8 weeks are at risk of unintended pregnancy Insertion of postpartum intrauterine device is immediate or interval. immediate Postpartum intrauterine device inserted from the placental delivery time (within 10 minutes), or within first 48 hours, it can be done after vaginal or caesarean.

Postpartum intrauterine device can improve mothers' health by reducing difficulties from closely spaced pregnancies Immediate postpartum intrauterine device uptake is low in most developing countries and Egypt due to several barriers

* Health facility: provider knowledge, attitude, lack of training, counseling, privacy, shortage of supply of intrauterine device,poor quality of service, bad experience with the facility
* Community: as Sociodemographic (desire more children), cultural norms, husband opposition, and religious beliefs , fear of side effects., Cognitive (didn't hear about family planning in past 6 months), reproductive (long interval between intercourse), medical (requiring checkups) physical (distance of clinic) The rational is postpartum women are motivated to avoid pregnancy, 90% of women deliver in hospitals, they are in facilities with skilled physicians who can offer contraception. Immediate postpartum intrauterine device is cost-effective and efficient Assiut implemented a program training physicians on immediate Postpartum intrauterine device insertion in 2021.

This study will support the newly implemented program to overcome barriers from demand and supply sides and direct the program to future activity.

Conditions

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IUD

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Cases women who used IUD

Cases: women who had immediate Copper IUD inserted since October 2021 at the 4 public hospitals

Postpartum IUD

Intervention Type DEVICE

Postpartum IUD prevents pregnancy and short inter-pregnancy interval and allow spacing and family regulation

Control women who didn't use IUD

Controls: women who gave birth at the same hospitals and not using the immediate Copper IUD

No interventions assigned to this group

Interventions

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Postpartum IUD

Postpartum IUD prevents pregnancy and short inter-pregnancy interval and allow spacing and family regulation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Women who gave birth via elective Cesarian Section at 4 public hospitals in Assiut city from October 2021:

* woman who gave birth via elective c-section at Women Health hospital of Assiut University from October 2021
* women who gave birth via elective c-section at Assiut General Hospital from October 2021
* women who gave birth at via elective c-section El-Eman El-Arbaeen from October 2021
* women who gave birth at via elective c-section El-Mabarra from October 2021