Post-placental IUD insertion: what helps and hinders implementation?

Post-placental intrauterine device insertion (PPIUD) is safe, effective, and convenient for women. However, despite the support of influential national organisations, PPIUD is not yet widely offered in the United Kingdom (UK). A systematic literature review was carried out to identify barriers and f...

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Detalles Bibliográficos
Publicado en:MIDIRS Midwifery Digest Vol. 33; no. 2; pp. 170 - 177
Autores principales: Cull, Joanne, Easter, Abigail
Formato: research systematic review tables/charts Journal Article
Publicado: MIDIRS Jun2023
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Post-placental intrauterine device insertion (PPIUD) is safe, effective, and convenient for women. However, despite the support of influential national organisations, PPIUD is not yet widely offered in the United Kingdom (UK). A systematic literature review was carried out to identify barriers and facilitators to PPIUD implementation. Data were thematically analysed. Twenty-one papers were included in the review. The overarching theme found was the complexity of implementing PPIUD services. We identified the sub-themes: planning; support from external organisations; staffing and workload challenges; the importance of implementation champions; and reflecting and monitoring. Facilities wishing to implement PPIUD services should anticipate that this will be a complex and time-consuming process and prepare accordingly, seeking opportunities to collaborate with other organisations.