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Background: Most of the countries with the lowest rates of contraceptive use; highest
maternal, infant, and child mortality rates; and highest fertility rates are in Africa (WHO,
2010). Approximately 30% of all women use birth control, although over half of all
African women would use birth control if it were available. There is evidence that
increased use of family planning methods decreases maternal and infant mortality rates,
improves quality of life for mothers, and stimulates economic development (WHO,
2010). The American Congress of Obstetricians and Gynecologists (ACOG) and WHO
recommends that intrauterine devices (IUDs) and implants “should be considered as
first-line choices for both nulliparous and parous adolescents,” due to their contraception
effectiveness, high continuity rate, unlimited initiation time and higher fertility recovery
(Hillard et al, 2012). However, these devices are not typically provided until a patient's
six-week follow-up appointment, and 40 percent of patients do not return for those visits,
despite often having resumed intercourse (Colwill, 2014). In low-income countries
including, IUD use has been declining (Bertrand et al. 2014). This study will assess the
postpartum contraception prevalence of IUD and associated factors among postpartum
women attended at KCMC and will give platform for reducing maternal and neonatal
morbidities mortalities hence contributing in achieving the MDGs number 4, 5 and 6.
Study objective: To determine the predictors of post partum intrauterine device uptake
among women delivering at Kilimanjaro Christian Medical Centre, Moshi.
Methodology: The study design will be a cross-sectional analytical study. The study area
will be KCMC hospital at admission labour ward and postnatal wards. Antenatal women
will be enrolled and given counselling on postpartum IUD contraception during
admission to antenatal general and postnatal wards. These women will include all
pregnant women delivering between 1st September 2016 and 28th February 2017.
Demographic, obstetrics, gynaecological and fertility characteristics will be extracted
using standardised questionnaire.
Those that will opt for IUD will be offered their contraceptive method of choice (IUD).
The CuT 380A IUDs will be used. All clients who will have IUD inserted will be
referred at their routine or nearby Reproductive and health clinic for follow-up. These
data will be analysed by using SPSS version 22. The ethical clearance will be obtained
from the Tumaini University College Research Ethical Committee. |
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