Article citationsMore>>

Ingabire, R., Nyombayire, J., Hoagland, A., Da Costa, V., Mazzei, A., Haddad, L., Parker, R., Sinabamenye, R., Mukamuyango, J., Smith, J., Umutoni, V., Mork, E., Allen, S., Karita, E. and Wall, K.M. (2019) Evaluation of a Multi-Level Intervention to Improve Postpartum Intrauterine Device Services in Rwanda. Gates Open Research, 2, 38.
https://doi.org/10.12688/gatesopenres.12854.3

has been cited by the following article:

• TITLE: Postpartum Intrauterine Device: Use and Follow-Up of Users in the Maternity Ward of the Ratoma Communal Medical Center in Conakry, Guinea

  AUTHORS: Daniel W. A. Leno, T. M. Millimouno, I. Conté, A. Diallo, A. F. M. Soumah, I. Sylla, H. M. Keita, D. Lamah, A. Delamou, T. Sy

  KEYWORDS: Postpartum Intrauterine Device, Use, Follow-Up, Coronthie Communal Med-ical Center Conakry, Guinea

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.13 No.10, October 18, 2023

  ABSTRACT: Objective: The aim of this study was to describe the use of the postpartum intrauterine device in the maternity ward of the Ratoma communal medical center in Conakry. Methods: This was a descriptive cross-sectional study carried out between July 1st 2015 and June 30 2016, i.e. a duration of one year. Results: A total of 551 patients received advice on various contraceptive methods. Most of this advice was given in the post-partum period (40.2%) and during antenatal care (39.1%). Of the patients advised, 87 (15.8%) used the intrauterine device. The majority of users (93%) were married and uneducated (63.2%), and 39.1% were poor. The majority (56.3%) of intra-uterine devices were inserted in the immediate post-partum period. The majority of women had no adverse events either during the first six weeks (n = 57; 65.5%) or at 3rd months (n = 75; 86.2%) or 6th months (n = 76; 87.4%) after IUD insertion. Most users remained complication-free throughout the follow-up period (n = 76; 87.4% at 6th weeks and 3rd months, and n = 77; 88.5% at 6th months). The continuation rate was 89.7% at 6 weeks and 3rd months, and 87.4% at 6th months after insertion. The majority of users (87.0%) were satisfied with the care they received. Conclusion: This study showed very few complications among intrauterine device users, and high continuation and satisfaction rates. The intrauterine device is a long-acting, effective, reversible and safe contraceptive that can be used by most women for birth spacing in Guinea, where women do not regularly visit health facilities.