{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:46:23Z","timestamp":1777419983988,"version":"3.51.4"},"reference-count":23,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2018,2,1]]},"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Increasing access to effective postpartum contraceptive methods can reduce the risk of unintended pregnancy and short inter-birth intervals. The need for an additional postpartum visit can be a barrier to women accessing intrauterine contraception after childbirth. Immediate postpartum intrauterine contraception (PPIUC) provision is known to be safe, but is not routinely available in the UK. Establishing this service requires multidisciplinary support, including from community and maternity stakeholders. The aim of this study was to determine the views of community sexual health providers towards PPIUC implementation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A questionnaire was distributed to attendees at two UK sexual health conferences. Research questions focused on (1) views on PPIUC (2) perceived role of the sexual health provider in PPIUC service and (3) potential challenges anticipated in providing PPIUC aftercare. Free-text boxes were provided for further comment. Analysis was by a mixed methods approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 240 questionnaires were distributed with 156 completed (response rate 65%). Some 128 respondents (82%) felt \u2018positive\u2019 towards the PPIUC implementation. Most respondents (67.9%) indicated they would be happy to promote PPIUC and provide thread checks. Perceived challenges in providing PPIUC aftercare included staff time, experience in managing clinical issues, and access to ultrasound.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Community sexual health providers were positive towards PPIUC implementation, and perceived their role predominantly in the aftercare of women. Several clinical and practical challenges were identified, some of which differ from those previously expressed by other groups. Stakeholder involvement is key to successful implementation of PPIUC, and wider recognition of potential barriers can assist in developing strategies to overcome these.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsrh-2017-101905","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T20:35:18Z","timestamp":1519936518000},"page":"97-102","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Community sexual health providers\u2019 views on immediate postpartum provision of intrauterine contraception"],"prefix":"10.1136","volume":"44","author":[{"given":"Michelle","family":"Cooper","sequence":"first","affiliation":[{"name":"Chalmers Sexual Health Centre, NHS Lothian, Edinburgh, UK"},{"name":"MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Boydell","sequence":"additional","affiliation":[{"name":"Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Heller","sequence":"additional","affiliation":[{"name":"Chalmers Sexual Health Centre, NHS Lothian, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Cameron","sequence":"additional","affiliation":[{"name":"Chalmers Sexual Health Centre, NHS Lothian, Edinburgh, UK"},{"name":"MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,3,1]]},"reference":[{"key":"2025090510142008000_44.2.97.1","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.contraception.2016.11.007","article-title":"Immediate postpartum long-acting reversible contraception: the time is now","volume":"95","author":"Moniz","year":"2017","journal-title":"Contraception"},{"key":"2025090510142008000_44.2.97.2","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/OGX.0000000000000195","article-title":"Short interpregnancy intervals: an evidence-based guide for clinicians","volume":"70","author":"Bigelow","year":"2015","journal-title":"Obstet Gynecol Surv"},{"key":"2025090510142008000_44.2.97.3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7410.313"},{"key":"2025090510142008000_44.2.97.4","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2014.971454"},{"key":"2025090510142008000_44.2.97.5","doi-asserted-by":"crossref","unstructured":"Grimes DA , Lopez LM , Schulz KF , et al . Immediate post-partum insertion of intrauterine devices. Cochrane Database Syst Rev 2010:CD003036.doi:10.1002\/14651858.CD003036.pub2","DOI":"10.1002\/14651858.CD003036.pub2"},{"key":"2025090510142008000_44.2.97.6","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.contraception.2005.05.016","article-title":"Barriers to intrauterine device insertion in postpartum women","volume":"72","author":"Ogburn","year":"2005","journal-title":"Contraception"},{"key":"2025090510142008000_44.2.97.7","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1111\/1471-0528.14674","article-title":"Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: the APPLES pilot evaluation","volume":"124","author":"Cameron","year":"2017","journal-title":"BJOG"},{"key":"2025090510142008000_44.2.97.8","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1111\/aogs.13178","article-title":"Routine provision of intrauterine contraception at elective cesarean section in a national public health service: a service evaluation","volume":"96","author":"Heller","year":"2017","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025090510142008000_44.2.97.9","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2015-101200"},{"key":"2025090510142008000_44.2.97.10","unstructured":"Faculty of Sexual & Reproductive Healthcare (FSRH). Contraception after pregnancy. 2017. https:\/\/www.fsrh.org\/standards-and-guidance\/documents\/contraception-after-pregnancy-guideline-january-2017\/ (accessed 19 Jul 2017)."},{"key":"2025090510142008000_44.2.97.11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1097\/AOG.0000000000001798","article-title":"Implementing immediate postpartum long-acting reversible contraception programs","volume":"129","author":"Hofler","year":"2017","journal-title":"Obstet Gynecol"},{"key":"2025090510142008000_44.2.97.12","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1186\/s12884-016-1160-0","article-title":"Institutionalizing postpartum intrauterine device (IUD) services in Sri Lanka, Tanzania, and Nepal: study protocol for a cluster-randomized stepped-wedge trial","volume":"16","author":"Canning","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"2025090510142008000_44.2.97.13","first-page":"S54","article-title":"A facility birth can be the time to start family planning: postpartum intrauterine device experiences from six countries","volume":"130 (Suppl 2)","author":"Pfitzer","year":"2015","journal-title":"Int J Gynaecol Obstet"},{"key":"2025090510142008000_44.2.97.14","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.whi.2015.03.013","article-title":"Barriers to immediate post-placental intrauterine devices among attending level educators","volume":"25","author":"Holland","year":"2015","journal-title":"Womens Health Issues"},{"key":"2025090510142008000_44.2.97.15","doi-asserted-by":"crossref","unstructured":"Rauh-Benoit LA , Tepper NK , Zapata LB , et al . Healthcare provider attitudes of safety of intrauterine devices in the postpartum period. J Womens Health 2017;26.doi:10.1089\/jwh.2016.5985","DOI":"10.1089\/jwh.2016.5985"},{"key":"2025090510142008000_44.2.97.16","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2025090510142008000_44.2.97.17","unstructured":"NHS Health Research Authority Decision Tool. Do I need NHS REC approval? http:\/\/www.hra-decisiontools.org.uk\/ethics (accessed 17 Dec 2017)."},{"key":"2025090510142008000_44.2.97.18","unstructured":"Faculty of Sexual & Reproductive Healthcare (FSRH). Letter of Competence in Intrauterine Techniques (Loc IUT). https:\/\/www.fsrh.org\/education-and-training\/letter-of-competence-intrauterine-techniques-loc-iut\/ (accessed 19 Jul 2017)."},{"key":"2025090510142008000_44.2.97.19","unstructured":"Royal College of Obstetricians and Gynaecologists. Leading safe choices initiative. 2015 https:\/\/www.rcog.org.uk\/leadingsafechoices (accessed 18 May 2017)."},{"key":"2025090510142008000_44.2.97.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.09.032"},{"key":"2025090510142008000_44.2.97.21","unstructured":"Department of Health. A framework for sexual health improvement in England. 2013. https:\/\/www.gov.uk\/government\/publications\/a-framework-for-sexual-health-improvement-in-england (accessed 15 May 2017)."},{"key":"2025090510142008000_44.2.97.22","unstructured":"The Scottish Government. Sexual health and blood borne virus framework 2015\u20132020 update. 2015. http:\/\/www.gov.scot\/Resource\/0048\/00484414.pdf (accessed 15 May 2017)."},{"key":"2025090510142008000_44.2.97.23","unstructured":"Welsh Assembly Government. Sexual health and wellbeing action plan for Wales, 2010\u20132015. 2010. http:\/\/gov.wales\/docs\/phhs\/publications\/101110sexualhealthen.pdf (accessed 15 May 2017)."}],"container-title":["BMJ Sexual &amp; Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsrh-2017-101905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:20:42Z","timestamp":1757092842000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/bmjsrh-2017-101905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,1]]},"references-count":23,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,4,12]]},"published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1136\/bmjsrh-2017-101905"],"URL":"https:\/\/doi.org\/10.1136\/bmjsrh-2017-101905","relation":{},"ISSN":["2515-1991","2515-2009"],"issn-type":[{"value":"2515-1991","type":"print"},{"value":"2515-2009","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,1]]}}}