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Location and content of counselling and acceptance of postpartum IUD in Sri Lanka

BACKGROUND: The immediate postpartum IUD (PPIUD) is a long-acting, reversible method of contraception that can be used safely and effectively following a birth. To appropriately facilitate the immediate postpartum insertion of IUDs, women must be informed of the method’s availability and must be cou...

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Autores principales: Karra, Mahesh, Canning, David, Foster, Sorcha, Shah, Iqbal H., Senanayake, Hemantha, Ratnasiri, U. D. P., Pathiraja, Ramya Priyanwada
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5351270/
https://www.ncbi.nlm.nih.gov/pubmed/28292333
http://dx.doi.org/10.1186/s12978-017-0304-7
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author Karra, Mahesh
Canning, David
Foster, Sorcha
Shah, Iqbal H.
Senanayake, Hemantha
Ratnasiri, U. D. P.
Pathiraja, Ramya Priyanwada
author_facet Karra, Mahesh
Canning, David
Foster, Sorcha
Shah, Iqbal H.
Senanayake, Hemantha
Ratnasiri, U. D. P.
Pathiraja, Ramya Priyanwada
author_sort Karra, Mahesh
collection PubMed
description BACKGROUND: The immediate postpartum IUD (PPIUD) is a long-acting, reversible method of contraception that can be used safely and effectively following a birth. To appropriately facilitate the immediate postpartum insertion of IUDs, women must be informed of the method’s availability and must be counselled on its benefits and risks prior to entering the delivery room. We examine the relationship between the location and quality of antenatal counselling and women’s acceptance of immediate postpartum IUD (PPIUD) in four hospitals in Sri Lanka. METHODS: Data were collected between January 2015 and May 2015. Modified Poisson regressions with robust standard errors are used to assess the relationships between place of counselling, indicators of counselling quality, and PPIUD uptake following delivery. RESULTS: We find that women who were counselled in hospital antenatal clinics and admission wards were much more likely to have a PPIUD inserted than women who were counselled in field clinics or during home visits. Hospital-based counselling had higher quality indicators for providing information on PPIUD, and women were more likely to receive PPIUD information leaflets in hospital locations than in lower-tiered clinics or during home visits. Women who were counselled at hospital locations also reported a higher level of satisfaction with the counselling that they received. Receipt of hospital-based counselling was also linked to higher PPIUD uptake, in spite of the fact that women were more likely to be given information about the risks and alternatives to PPIUD in hospitals. The information about the risks of and alternatives to PPIUD, whether provided in hospital or in non-hospital settings, tended to lower the likelihood of acceptance to have a PPIUD insertion. Counselling in hospital admission wards was focused on women who had not been counselled at field clinics. CONCLUSIONS: The study findings call for efforts that improve the training of midwives who provide PPIUD counselling at field clinics and during the home visits. We also recommend that routine PPIUD counselling be conducted in hospitals, even if women have already been counselled elsewhere.
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spelling pubmed-53512702017-03-17 Location and content of counselling and acceptance of postpartum IUD in Sri Lanka Karra, Mahesh Canning, David Foster, Sorcha Shah, Iqbal H. Senanayake, Hemantha Ratnasiri, U. D. P. Pathiraja, Ramya Priyanwada Reprod Health Research BACKGROUND: The immediate postpartum IUD (PPIUD) is a long-acting, reversible method of contraception that can be used safely and effectively following a birth. To appropriately facilitate the immediate postpartum insertion of IUDs, women must be informed of the method’s availability and must be counselled on its benefits and risks prior to entering the delivery room. We examine the relationship between the location and quality of antenatal counselling and women’s acceptance of immediate postpartum IUD (PPIUD) in four hospitals in Sri Lanka. METHODS: Data were collected between January 2015 and May 2015. Modified Poisson regressions with robust standard errors are used to assess the relationships between place of counselling, indicators of counselling quality, and PPIUD uptake following delivery. RESULTS: We find that women who were counselled in hospital antenatal clinics and admission wards were much more likely to have a PPIUD inserted than women who were counselled in field clinics or during home visits. Hospital-based counselling had higher quality indicators for providing information on PPIUD, and women were more likely to receive PPIUD information leaflets in hospital locations than in lower-tiered clinics or during home visits. Women who were counselled at hospital locations also reported a higher level of satisfaction with the counselling that they received. Receipt of hospital-based counselling was also linked to higher PPIUD uptake, in spite of the fact that women were more likely to be given information about the risks and alternatives to PPIUD in hospitals. The information about the risks of and alternatives to PPIUD, whether provided in hospital or in non-hospital settings, tended to lower the likelihood of acceptance to have a PPIUD insertion. Counselling in hospital admission wards was focused on women who had not been counselled at field clinics. CONCLUSIONS: The study findings call for efforts that improve the training of midwives who provide PPIUD counselling at field clinics and during the home visits. We also recommend that routine PPIUD counselling be conducted in hospitals, even if women have already been counselled elsewhere. BioMed Central 2017-03-14 /pmc/articles/PMC5351270/ /pubmed/28292333 http://dx.doi.org/10.1186/s12978-017-0304-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Karra, Mahesh
Canning, David
Foster, Sorcha
Shah, Iqbal H.
Senanayake, Hemantha
Ratnasiri, U. D. P.
Pathiraja, Ramya Priyanwada
Location and content of counselling and acceptance of postpartum IUD in Sri Lanka
title Location and content of counselling and acceptance of postpartum IUD in Sri Lanka
title_full Location and content of counselling and acceptance of postpartum IUD in Sri Lanka
title_fullStr Location and content of counselling and acceptance of postpartum IUD in Sri Lanka
title_full_unstemmed Location and content of counselling and acceptance of postpartum IUD in Sri Lanka
title_short Location and content of counselling and acceptance of postpartum IUD in Sri Lanka
title_sort location and content of counselling and acceptance of postpartum iud in sri lanka
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5351270/
https://www.ncbi.nlm.nih.gov/pubmed/28292333
http://dx.doi.org/10.1186/s12978-017-0304-7
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