SYSTEMATIC REVIEW OF EDUCATIONAL INTERVENTIONS TO IMPROVE THE UPTAKE OF POST-PARTUM INTRAUTERINE CONTRACEPTIVE DEVICE (PPIUCD)

Abstract

Background: Short inter-pregnancy intervals result in poor peri-natal outcomes and an increased uptake of Post Partum Intra-Uterine Contraceptive Device (PPIUCD) can help preventing adverse peri-natal outcomes. Search Strategy: Throughout June 2014, AMED , CINAHL Plus, Cochrane Library, EMBASE, MEDLINE (EBSCO), and PsycINFO, were searched using Medical Subject Heading (MeSH) and truncation. Peer reviewed and published articles in past 10 years (2004 to 2014) measuring the improvement in the uptake of PPIUCD through educational interventions have been included in the review. The results of the relevant studies are retrieved by the author and reviewed by the project supervisor to check the relevance of selected evidence. The analysis is carried out by appraising data for similar interventions. Results: Eight studies, accumulatively representing 88071 participants, met the inclusion criteria, including three RCTs, two systematic reviews, one qualitative study, one cross-sectional study and a cohort study. Five studies on educational interventions of postpartum females have showed an increase in uptake of IUCD. Two studies on providers' training have also showed improvement in PPIUCD uptake. However, one study educating postpartum females did not show improved uptake.