TITLE:
Postpartum Intrauterine Device: Use and Follow-Up of Users in the Maternity Ward of the Ratoma Communal Medical Center in Conakry, Guinea
AUTHORS:
Daniel W. A. Leno, T. M. Millimouno, I. Conté, A. Diallo, A. F. M. Soumah, I. Sylla, H. M. Keita, D. Lamah, A. Delamou, T. Sy
KEYWORDS:
Postpartum Intrauterine Device, Use, Follow-Up, Coronthie Communal Med-ical Center Conakry, Guinea
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.10,
October
18,
2023
ABSTRACT: Objective: The aim of this study was to describe the use of the
postpartum intrauterine device in the maternity ward of the Ratoma communal
medical center in Conakry. Methods: This was a descriptive cross-sectional
study carried out between July 1st 2015 and June 30 2016, i.e. a duration of one year. Results: A
total of 551 patients received advice on various contraceptive methods. Most of
this advice was given in the post-partum period (40.2%) and during antenatal
care (39.1%). Of the patients advised, 87 (15.8%) used the intrauterine device.
The majority of users (93%) were married and uneducated (63.2%), and 39.1% were
poor. The majority (56.3%) of intra-uterine devices were inserted in the
immediate post-partum period. The majority of women had no adverse events
either during the first six weeks (n = 57; 65.5%) or at 3rd months
(n = 75; 86.2%) or 6th months (n = 76; 87.4%) after IUD insertion. Most users remained
complication-free throughout the follow-up period (n = 76; 87.4% at 6th weeks and 3rd months, and n = 77; 88.5% at 6th months). The continuation rate was 89.7% at 6 weeks and 3rd months, and 87.4% at 6th months after insertion. The majority of users (87.0%) were satisfied
with the care they received. Conclusion: This study showed very few
complications among intrauterine device users, and high continuation and
satisfaction rates. The intrauterine device is a long-acting, effective,
reversible and safe contraceptive that can be used by most women for birth
spacing in Guinea, where women do not regularly visit health facilities.