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THE EFFECT OF TWO LEVELS OF COUNSELLING ON ACCEPTANCE, UPTAKE AND EARLY OUTCOMES OF POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE.
East Afr Med J 2014; 91(12):449-56EA

Abstract

OBJECTIVE

To determine the effect of two levels of counselling on the provision of Intrauterine Contraceptive Device (IUCD) at six weeks post-partum of the post-placental intrauterine device.

SETTING

Embu Provincial General Hospital, Kenya.

SUBJECTS

One hundred and thirty seven pregnant women at the gestation of 36 weeks to term, who attended Antenatal clinic and were followed until delivery and at six weeks post-partum.

DESIGN

A randomised "open-label" clinical trial.

RESULTS

One hundred and twenty seven study participants were enrolled and randomised to intensive (64 women) or routine FP counselling (63 women). Seventy eight per cent of women in the intensive FP counselled group and 66% in the routine FP counselled group accepted to have the post-placental IUCD inserted. There was no significant difference in uptake in the two-randomisation arms (p-value 0.232). Complications included expulsion (3.7%), allergic reaction (1.8%), pelvic infection (1.8%) and abdominal pain (1.8%).The post-placental IUCD is a favourable method with continuation rates (91%), client (88%) and reported partner (77%) satisfaction were notably high at six weeks. The most critical barrier to uptake was lack of trained medical personnel to insert the post-placental IUCD, which occurred in (60%) clients who had consented.

CONCLUSION

The post-placental IUCD is an acceptable method among women irrespective of level of counselling. Intensive counselling did not significantly increase acceptance and uptake rates of post-placental IUCD insertion in comparison to routine counselling.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26859013

Citation

Ndegwa, S W., et al. "THE EFFECT of TWO LEVELS of COUNSELLING ON ACCEPTANCE, UPTAKE and EARLY OUTCOMES of POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE." East African Medical Journal, vol. 91, no. 12, 2014, pp. 449-56.
Ndegwa SW, Gichuhi JW, Qureshi Z, et al. THE EFFECT OF TWO LEVELS OF COUNSELLING ON ACCEPTANCE, UPTAKE AND EARLY OUTCOMES OF POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE. East Afr Med J. 2014;91(12):449-56.
Ndegwa, S. W., Gichuhi, J. W., Qureshi, Z., & Lubano, K. (2014). THE EFFECT OF TWO LEVELS OF COUNSELLING ON ACCEPTANCE, UPTAKE AND EARLY OUTCOMES OF POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE. East African Medical Journal, 91(12), pp. 449-56.
Ndegwa SW, et al. THE EFFECT of TWO LEVELS of COUNSELLING ON ACCEPTANCE, UPTAKE and EARLY OUTCOMES of POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE. East Afr Med J. 2014;91(12):449-56. PubMed PMID: 26859013.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - THE EFFECT OF TWO LEVELS OF COUNSELLING ON ACCEPTANCE, UPTAKE AND EARLY OUTCOMES OF POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE. AU - Ndegwa,S W, AU - Gichuhi,J W, AU - Qureshi,Z, AU - Lubano,K, PY - 2016/2/10/entrez PY - 2014/12/1/pubmed PY - 2016/3/2/medline SP - 449 EP - 56 JF - East African medical journal JO - East Afr Med J VL - 91 IS - 12 N2 - OBJECTIVE: To determine the effect of two levels of counselling on the provision of Intrauterine Contraceptive Device (IUCD) at six weeks post-partum of the post-placental intrauterine device. SETTING: Embu Provincial General Hospital, Kenya. SUBJECTS: One hundred and thirty seven pregnant women at the gestation of 36 weeks to term, who attended Antenatal clinic and were followed until delivery and at six weeks post-partum. DESIGN: A randomised "open-label" clinical trial. RESULTS: One hundred and twenty seven study participants were enrolled and randomised to intensive (64 women) or routine FP counselling (63 women). Seventy eight per cent of women in the intensive FP counselled group and 66% in the routine FP counselled group accepted to have the post-placental IUCD inserted. There was no significant difference in uptake in the two-randomisation arms (p-value 0.232). Complications included expulsion (3.7%), allergic reaction (1.8%), pelvic infection (1.8%) and abdominal pain (1.8%).The post-placental IUCD is a favourable method with continuation rates (91%), client (88%) and reported partner (77%) satisfaction were notably high at six weeks. The most critical barrier to uptake was lack of trained medical personnel to insert the post-placental IUCD, which occurred in (60%) clients who had consented. CONCLUSION: The post-placental IUCD is an acceptable method among women irrespective of level of counselling. Intensive counselling did not significantly increase acceptance and uptake rates of post-placental IUCD insertion in comparison to routine counselling. SN - 0012-835X UR - https://www.unboundmedicine.com/medline/citation/26859013/THE_EFFECT_OF_TWO_LEVELS_OF_COUNSELLING_ON_ACCEPTANCE_UPTAKE_AND_EARLY_OUTCOMES_OF_POST_PLACENTAL_INTRA_UTERINE_CONTRACEPTIVE_DEVICE_ DB - PRIME DP - Unbound Medicine ER -