Post-Partum Intrauterine Device Inserters

Population Services International
Organization Location: 
Washington DC, USA

Immediate postpartum intrauterine device (PPIUD) insertions (within 10 minutes to 48 hours post-delivery) offer a novel and convenient method to increase contraceptive uptake in developing countries. However, a dedicated PPIUD inserter is currently not available. As a workaround, forceps are used- the IUD is taken out of the traditional interval inserter (used for insertions after four weeks postpartum), and grasped with forceps before it is placed at the uterine fundus. However, sterile forceps may not always be available. Furthermore, the string used in traditional IUD inserters is too short to be visible after PPIUD insertion. PSI proposes to conduct a proof of concept study followed by a larger clinical trial in two public sector hospitals through FOGSI in India, to determine if a new IUD inserter, specifically designed for the postpartum setting, will improve service delivery. Pregna International will provide the inserters free of cost, and Stanford University will provide technical expertise in study design and implementation. The primary objective of the study is to determine the safety, acceptability (provider/consumer comfort and confidence), feasibility, and efficacy of PPIUD inserters. The expected impact of the project is validation to take this technology to scale and to increase uptake of long-acting reversible contraceptives globally. The innovation in this project is a significant improvement over the standard practice because the validation of a new prototype for a dedicated PPIUD inserter will dramatically improve service delivery and increase uptake of PPIUDs.

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