{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:39:58Z","timestamp":1762004398740},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,3,24]],"date-time":"2012-03-24T00:00:00Z","timestamp":1332547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the feasibility of competency\u2010based training of Zambian nurse\u2013midwives in postplacental and postpartum intrauterine device (PPIUD) insertion and to estimate learning curves for this procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pilot service\u2010delivery project was conducted, involving 9 nurse\u2013midwives who participated in a 10\u2010day PPIUD insertion training course at the University Teaching Hospital, Lusaka, Zambia. US and Zambian clinicians taught the didactic and practical curriculum. Checklists were used for standardization and a pelvic model was developed to achieve PPIUD insertion competency in the classroom before moving to clinical practice. Patients were recruited during prenatal visits, in early labor, and postpartum. Informed, voluntary consent was obtained. All clinical PPIUD insertions were supervised or performed by experienced trainers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 9 nurse\u2013midwives achieved competency on the pelvic model after 3 attempts. During the training period, 38 PPIUDs were inserted in postpartum women; no complications occurred. By the end of training, 4 of the nurse\u2013midwives were deemed competent to independently insert PPIUDs. On average, 4 PPIUD insertions were needed to achieve clinical competency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Concentrated, competency\u2010based training in PPIUD insertion is feasible in an African setting. Replication of such training could increase the popularity and prevalence of PPIUD use among African women.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.01.013","type":"journal-article","created":{"date-parts":[[2012,3,24]],"date-time":"2012-03-24T00:46:19Z","timestamp":1332549979000},"page":"243-247","source":"Crossref","is-referenced-by-count":8,"title":["Feasibility of training Zambian nurse\u2013midwives to perform postplacental and postpartum insertions of intrauterine devices"],"prefix":"10.1002","volume":"117","author":[{"given":"Sarah","family":"Prager","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratima","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jully","family":"Chilambwe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bellington","family":"Vwalika","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josselyn","family":"Neukom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nomsa","family":"Siamwanza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxine","family":"Eber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul D.","family":"Blumenthal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,3,24]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"Facts on Induced Abortion Worldwide","author":"Guttmacher Institute","year":"2007"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmq026"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01986532"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0010-7824(95)00254-5"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.03.024"},{"key":"e_1_2_6_7_2","unstructured":"GrimesD. SchulzK. Van VlietH. StanwoodN..Immediate post\u2010partum insertion of intrauterine devices. Cochrane Database Syst Rev.2003;CD003036"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000363778.58203.b6"},{"key":"e_1_2_6_9_2","volume-title":"Assembly and use of postpartum IUD model","author":"Blumenthal P.D.","year":"2011"},{"key":"e_1_2_6_10_2","volume-title":"The Postpartum Intrauterine Device: a Training Course for Service Providers. Trainer's Manual","author":"The ACQUIRE Project","year":"2008"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.05.069"},{"key":"e_1_2_6_12_2","unstructured":"NeukomJ. ChilambweJ. 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