Perspectives of obstetricians and midwives on the provision of immediate postpartum intrauterine devices: a qualitative service evaluation.
BMJ Sex Reprod Health
; 48(2): 85-92, 2022 04.
Article
in English
| MEDLINE | ID: covidwho-1784851
ABSTRACT
BACKGROUND:
Immediate postpartum intrauterine device (PPIUD) insertion is safe and effective but largely unavailable in Europe. Data on maternity staff views on the provision and implementation of PPIUD services are limited. The objective of this qualitative evaluation was to explore the views and experiences of obstetricians and midwives providing PPIUD within a UK maternity setting, in order to identify areas for improvement and inform service provision in other areas.METHODS:
Qualitative health services research within two public maternity hospitals in Lothian (Edinburgh and surrounding region), UK. Interviews with 30 maternity staff (obstetricians n=8; midwives n=22) involved in PPIUD provision. Data were analysed thematically.RESULTS:
Maternity staff were positive about the benefits of PPIUD for women. Midwives reported initial concerns about PPIUD safety, and the impact on workload; these views shifted following training, and as PPIUD was embedded into practice. Having a large pool of PPIUD-trained staff was identified as an important factor in successful service implementation. Having PPIUD 'champions' was important to address staff concerns, encourage training uptake, and advocate for the service to ensure continued resourcing.CONCLUSIONS:
PPIUD in maternity services can help address unmet need for effective contraception in the immediate postpartum period. We emphasise the importance of widespread engagement around PPIUD among all healthcare professionals involved in the care of women, to ensure staff are informed and supported. Clinical champions and leaders play a key role in amplifying the benefits of PPIUD, and advancing organisational learning.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Intrauterine Devices
/
Midwifery
Type of study:
Experimental Studies
/
Prognostic study
/
Qualitative research
Limits:
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
BMJ Sex Reprod Health
Year:
2022
Document Type:
Article
Affiliation country:
Bmjsrh-2021-201170
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