{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:13:56Z","timestamp":1769148836563,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T00:00:00Z","timestamp":1537228800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"International Federation of Gynecology and Obstetrics"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,9]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To assess the rate of complications following immediate postpartum insertion of intrauterine devices (IUD<\/jats:styled-content>s) by trained midwives in Tanzania.<\/jats:p><\/jats:sec>Methods<\/jats:title>A prospective cohort study of women who underwent immediate postpartum IUD<\/jats:styled-content> (PPIUD<\/jats:styled-content>) insertions provided by midwives between December 31, 2016 and October 15, 2017. Midwives received standardized training via the FIGO<\/jats:styled-content> initiative. Women who returned 6\u00a0weeks after delivery were evaluated for complications. Outcomes of interest were uterine infection, IUD<\/jats:styled-content> expulsion, medical removal of IUD<\/jats:styled-content>, and method discontinuation.<\/jats:p><\/jats:sec>Results<\/jats:title>There were 40\u00a0470 deliveries, 2347 (5.8%) PPIUD<\/jats:styled-content> insertions, and 1013 (43.2%) women with a PPIUD<\/jats:styled-content> who returned for a follow\u2010up visit in the program\u2010affiliated clinics. Midwives were providers in 596 (58.8%) of these follow\u2010up cases and clinicians in 417 (41.2%) cases. All PPIUD<\/jats:styled-content> insertions by midwives were transvaginal and among them 43 (7.2%) had PPIUD<\/jats:styled-content>\u2010related complications by the end of sixth week. These complications included 16 (2.7%) cases of uterine infection, 14 (2.3%) IUD<\/jats:styled-content> expulsions, 26 (4.4%) IUD<\/jats:styled-content> removals, and 33 (5.5%) with overall method discontinuation. Only one case had uterine infection severe enough to warrant hospitalization.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>PPIUD<\/jats:styled-content> insertion by trained midwives in Tanzania compares favorably with results reported from other settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12603","type":"journal-article","created":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T07:29:51Z","timestamp":1537255791000},"page":"38-42","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Clinical outcomes of postpartum intrauterine devices inserted by midwives in Tanzania"],"prefix":"10.1002","volume":"143","author":[{"given":"Projestine S.","family":"Muganyizi","sequence":"first","affiliation":[{"name":"Association of Gynaecologists and Obstetricians of Tanzania Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grasiana","family":"Kimario","sequence":"additional","affiliation":[{"name":"Association of Gynaecologists and Obstetricians of Tanzania Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Ponsian","sequence":"additional","affiliation":[{"name":"Association of Gynaecologists and Obstetricians of Tanzania Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Howard","sequence":"additional","affiliation":[{"name":"International Federation of Gynecology and Obstetrics London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Sethi","sequence":"additional","affiliation":[{"name":"International Federation of Gynecology and Obstetrics London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Makins","sequence":"additional","affiliation":[{"name":"International Federation of Gynecology and Obstetrics London UK"},{"name":"Oxford University Hospitals NHS Foundation Trust Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2015.12.002"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.11.011"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.12.024"},{"key":"e_1_2_9_5_1","volume-title":"Demographic and Health Survey and Malaria Indicator Survey (TDHS\u2010MIS) 2015\u201316","author":"Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) [Tanzania, Mainland], Ministry of Health (MoH) [Zanzibar], National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and ICF","year":"2016"},{"key":"e_1_2_9_6_1","volume-title":"Tanzania Health and Demographic Survey, 2004\/5","author":"National Bureau of Statistics (NBS) [Tanzania] and Macro International Inc","year":"2004"},{"key":"e_1_2_9_7_1","volume-title":"Tanzania Demographic and Health Survey 2010","author":"National Bureau of Statistics (NBS) [Tanzania] and Macro International Inc","year":"2011"},{"key":"e_1_2_9_8_1","volume-title":"Best Practice in Postpartum Family Planning. Best Practice Paper No 1. June 2015","author":"Glasier A","year":"2015"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101165"},{"issue":"5","key":"e_1_2_9_10_1","first-page":"CD003036","article-title":"Immediate post\u2010partum insertion of intrauterine devices","author":"Grimes DA","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.07.003"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6920-14-142"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1160-0"},{"key":"e_1_2_9_14_1","volume-title":"Task Shifting to Tackle Health Worker Shortages","author":"World Health Organization","year":"2007"},{"key":"e_1_2_9_15_1","volume-title":"Human Resource for Health and Social Welfare Strategic Plan 2014 \u2013 2019","author":"Ministry of Health and Social welfare (MOHSW)","year":"2014"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0637-6"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.08.001"},{"key":"e_1_2_9_18_1","first-page":"56","article-title":"Family planning training in the undergraduate curriculum: A national survey and its implications","volume":"23","author":"Baraitser P","year":"1997","journal-title":"Br J Family Plan"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f73fac"},{"key":"e_1_2_9_20_1","unstructured":"McKaigC BlanchardH.The IUD: A contraceptive option for postpartum and postabortion women.https:\/\/www.k4health.org\/sites\/default\/files\/postpartumabortion_English.pdf. Accessed June 25 2018."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.03.024"},{"key":"e_1_2_9_22_1","first-page":"306","article-title":"Random comparative study between intrauterine device Multiload Cu375 and TCu 380a inserted in the postpartum period [in Spanish]","volume":"74","author":"Lara Ricalde R","year":"2006","journal-title":"Ginecol Obstet Mex"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/7695847"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.10.008"},{"key":"e_1_2_9_25_1","first-page":"5","article-title":"Factors for expulsion of intrauterine device Tcu380A applied immediately postpartum and after a delayed period [in Spanish]","volume":"43","author":"Bonilla Rosales F","year":"2005","journal-title":"Rev Med Inst Mex Seguro Soc"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2014.971454"},{"key":"e_1_2_9_27_1","first-page":"432","article-title":"Post\u2010placental intrauterine device insertion\u2013a five year experience at a tertiary care centre in north India","volume":"136","author":"Shukla M","year":"2012","journal-title":"Indian J Med Res"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12603","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12603","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.12603","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12603","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T14:38:20Z","timestamp":1694183900000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12603"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9]]},"references-count":26,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1002\/ijgo.12603"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12603","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9]]},"assertion":[{"value":"2018-09-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}