Barriers of Immediate Postpartum Intrauterine Device Uptake

NCT05471362 | Unknown

• 1 other identifier: Barriers of postpartum IUD
• Study Type: observational
• Target: 400
• Locations: 0 countries
• Sites: N/A

Brief Summary

increase immediate postpartum intrauterine device uptake and support family planning programs to overcome barriers and increase contraception prevalence rate in Egypt determine client related barriers of immediate postpartum intrauterine device uptake in Assiut Hospitals (Demand side) identify provider related barriers of immediate postpartum intrauterine device uptake in Assiut Hospitals (Supply side) describe method related barriers perceived by women

Conditions

IUD

Outcome Measures

Primary Outcomes (3)

• Identifying the different barriers of uptake of immediate Postpartum copper Intrauterine device on the demand side; barriers to immediate postpartum uptake of the intrauterine device as perceived by the clients

  Determining client related barriers of uptake of immediate postpartum copper intrauterine device in Assiut public Hospitals (Demand side) and identifying the most common barriers wether it is Cognitive; if she ever heard about Immediate postpartum intrauterine device, source of information and when was she informed about the method (during antenatal care or Delivery) and her knowledge about Immediate postpartum intrauterine device or wether it is Cultural \& family factors; fertility preferences of couple, husband's or family disapproval of using contraception, fear of use due to myths and misconception, cultural preference of pregnancy in young age and the belief that untraditional contraception harm the health

  Baseline

• Identifying the different barriers of uptake of immediate Postpartum copper Intrauterine device on the supply side; barriers as perceived by the physicians and nurses and other barriers related to the facility

  Identifying the barriers of uptake of immediate Postpartum copper Intrauterine device on the supply side; barriers to immediate postpartum uptake of the intrauterine device as perceived by the physicians and nurses and in the facility in Assiut public hospitals such as provider personal preference, negative attitude of the hospital staff towards immediate postpartum intrauterine device, Perceived poor quality of care in the facility, previous personal or a relatives' bad experience with the facility, shortage of stock on the supply of intrauterine device in delivery settings, bad providers attitude towards pregnant women, lack of access to Postpartum intrauterine device during delivery and cost of the IUD

  Baseline

• Identifying the method related barriers to immediate postpartum uptake of the intrauterine device as perceived by women in Assiut public hospitals

  Describing method related barriers perceived by women such as fear of side effects, tried it before and failed, used it before and caused bleeding or pain, want the best available method, wants to try other methods, already uses a certain method and doesn't wish to change and attitude towards postpartum intrauterine device

  Baseline

Study Arms (2)

Cases women who used IUD

Cases: women who had immediate Copper IUD inserted since October 2021 at the 4 public hospitals

Device: Postpartum IUD

Control women who didn't use IUD

Controls: women who gave birth at the same hospitals and not using the immediate Copper IUD

Interventions

Postpartum IUD DEVICE

Postpartum IUD prevents pregnancy and short inter-pregnancy interval and allow spacing and family regulation

Cases women who used IUD

Eligibility Criteria

• Age: 16 Years - 50 Years
• Gender Eligibility Details: Pregnant women delivering via C-Section
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Women aged from 16 to 50 who are pregnant and delivering in Assiut public hospitals via c-section

You may qualify if:

• Women who gave birth via elective Cesarian Section at 4 public hospitals in Assiut city from October 2021:
• woman who gave birth via elective c-section at Women Health hospital of Assiut University from October 2021
• women who gave birth via elective c-section at Assiut General Hospital from October 2021
• women who gave birth at via elective c-section El-Eman El-Arbaeen from October 2021
• women who gave birth at via elective c-section El-Mabarra from October 2021

You may not qualify if:

• Women who delivered by vaginal delivery
• Women who delivered by emergency c-section
• women who has anomalies in the uterus

Sponsors & Collaborators

• Assiut University: lead

Related Publications (5)

• Ganatra B, Faundes A. Role of birth spacing, family planning services, safe abortion services and post-abortion care in reducing maternal mortality. Best Pract Res Clin Obstet Gynaecol. 2016 Oct;36:145-155. doi: 10.1016/j.bpobgyn.2016.07.008. Epub 2016 Aug 3.

  PMID: 27640082 BACKGROUND

• Holden EC, Lai E, Morelli SS, Alderson D, Schulkin J, Castleberry NM, McGovern PG. Ongoing barriers to immediate postpartum long-acting reversible contraception: a physician survey. Contracept Reprod Med. 2018 Nov 8;3:23. doi: 10.1186/s40834-018-0078-5. eCollection 2018.

  PMID: 30455978 BACKGROUND

• Eltomy EM, Saboula NE, Hussein AA. Barriers affecting utilization of family planning services among rural Egyptian women. East Mediterr Health J. 2013 May;19(5):400-8.

  PMID: 24617117 BACKGROUND

• Divakar H, Bhardwaj A, Purandare CN, Sequeira T, Sanghvi P. Critical Factors Influencing the Acceptability of Post-placental Insertion of Intrauterine Contraceptive Device: A Study in Six Public/Private Institutes in India. J Obstet Gynaecol India. 2019 Aug;69(4):344-349. doi: 10.1007/s13224-019-01221-7. Epub 2019 May 10.

  PMID: 31391742 BACKGROUND

• Hanna MM, El Gibaly O, Fathalla MMF, Mohammed HM. Exploring barriers and facilitators to immediate postpartum intrauterine device uptake within the strengthening Egypt family planning program: a case-control study. BMC Health Serv Res. 2025 Aug 14;25(1):1081. doi: 10.1186/s12913-025-13306-3.

  PMID: 40813660 DERIVED

Study Officials

• Omaima El Gibaly, PhD

  Assiut University

  STUDY DIRECTOR

Central Study Contacts

Mireille Hanna, Bachelor's

CONTACT

+201110777565; miray.maged222@med.aun.edu.eg

Omaima El Gibaly, PhD

CONTACT

+201223971259; oelgibaly@aun.edu.eg

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Demonstrator at the Public Health Department

Study Record Dates

• First Submitted: July 17, 2022
• First Posted: July 22, 2022
• Study Start: December 1, 2022
• Primary Completion: December 1, 2024
• Study Completion: February 1, 2025
• Last Updated: July 22, 2022

Record last verified: 2022-07