Authors: Bah O.H, Soumah AFM, Diallo BA, Conte I, Sidibe M, Kaba F, Sy T, Hyjazi Y
Background: In Guinea, family planning (FP) use remains low and unmet need among postpartum women is high despite the sustainable development goal of increasing the contraceptive prevalence rate by 2030. An intrauterine device placed immediately after childbirth can be an effective and safe contraceptive strategy for women who want to space or limit their births in the postpartum period.
The objectives of this study were to describe the sociodemographic, epidemiologic, and supply characteristics among users of the postpartum intrauterine device (IUD) and to assess the continuity rate at one year of use.
Material and Methods: This study is descriptive, retrospective conducted at the gynecology-obstetrics department of the Medical Center of Matam - Conakry over a period from January 1, 2013 to November 30, 2015. All clients who chose the IUD as a postpartum contraceptive method and who did not present contraindications according to WHO medical eligibility criteria were included.
Results: The study included 536 clients who received the IUD out of a total of 1,297 women counseled, or 41.33%. The age range most represented was 24-28 years (27.32%) with extremes of 14-45 years. More than two-thirds of the women (82.58%) received immediate postpartum counseling. The majority (71.78%) of the insertions were in the immediate postpartum period. Follow-up was carried out in the majority of cases (88.8%) during post-insertion consultations. Satisfaction was recorded in almost all users (96.83%). The one-year continuity rate was 96.27%.
Conclusion: The IUDIP is a long-acting contraceptive method that is safe, acceptable, and feasible in an African context and could improve unmet need in Guinea.
View/Download pdf