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Uptake and determinants of post-partum intra-uterine contraceptive device use among women in Kwazulu-Natal, South Africa: A prospective cohort study

Upkar Budhram Gungapursad(1), Mala Panday(2),


(1) Senior Managing Editor, African Journal of Reproductive Health (AJRH)
(2) Discipline of Obstetrics and Gynaecology, School of Clinical Medicine, College of Health Science, University of KwaZulu Natal, South Africa
Corresponding Author

Abstract


This study aimed to determine the uptake of the post-partum intra-uterine contraceptive device (PPIUD) and characteristics of women choosing PPIUD. The authors evaluated safety, efficacy and satisfaction following PPIUD insertion via a prospective cohort study.  276 pregnant women (age: 16-50 years) gave informed consent and received a PPIUD. Follow up was between 6-8 weeks postpartum. The mean age was 25.8 years with 74.9% being gravida 2-4. The follow up rate was 60.5%. PPIUD was found to be safe and acceptable with 79.6% of participants experiencing no side effects and 74.3% expressing high satisfaction. No pregnancies were reported. Expulsions (n=15) were not associated with gravidity, parity, gestational age or medical and surgical risk factors. (p-value >0.05). PPIUD is a safe, effective and acceptable form of contraception. Participants experienced few side effects and high satisfaction. Low follow-up is a concern. (Afr J Reprod Health 2022; 26[2]: 126-136).

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