This research evaluates a new contraceptive service for woman after childbirth; namely provision of intrauterine contraception (to those who choose this method) within 10 minutes of delivery of the placenta (afterbirth). This is called ‘post placental intrauterine contraception’ (IUC) or PPIUC for short. IUC methods are among the most effective methods of contraception known as long acting reversible contraceptives (LARC), but require a health care provider to insert them. The need for an appointment to have IUC inserted is a barrier to obtaining this method at any time, but particularly for mothers occupied with the requirements of looking after a young baby and recovering from childbirth. Insertion of the IUC after the placenta is delivered is not a difficult procedure and takes a few minutes at time when it may be convenient for women, and avoids a vaginal examination (something that most women would like to avoid) a few weeks later. Immediately after birth, the cervix is fully open, and so insertion of the IUC is easier. This mixed methods study will 1) audit uptake, complications, and continuation with IUC; 2) conduct interviews with women about their experiences of PPIUC and with staff about their experiences of providing the service.
The project is funded by Wellbeing of Women and CSO.
Sharon Cameron, Jeni Harden, Shona Coutts, Frances McGuire.