Presentation Outline Safety and efficacy of PPIUD Overview of PPIUD service and opportunities for integration Instructional aid: Computer animation of PPIUD insertion 2
1
3/15/2011
Risk of unplanned pregnancy 100%
Sexually active
Return to menses
Exclusively breastfdg
90% 80% 70% 60% 50% 40%
Higher Risk Lower Risk Increasing Risk and and but 20% Low Perception Continued Low Perception Slightly Higher Perception of Risk of Risk 10% of Risk
30% %
0%
0-3
4-6
7-9
10-12
Source: ACCESS-FP Analysis of NFHS 2006
PPIUD: Quick facts Insertion times: Post placental: • 10 minutes after delivery of placenta
Immediate post partum • within 48 hours after delivery
Intracesarean • During cesarean section
Interval / Delayed post partum • 4 or more weeks after delivery
Insertion Techniques: Manual or instrumental
4
2
3/15/2011
Resurgence of interest in the PPIUD Focus on Postpartum Family Planning and HTSP Global changes in thinking about IUD Recent research has lead to important changes in WHO
Medical Eligibility Criteria (MEC) Previously: 39 MEC Category 4 conditions; now: 10 IUD (CuIUD) now Category 1 for postplacental and
