The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Interventions for increasing uptake of copper intrauterine devices: systematic review and meta-analysis
Abstract
Background Copper intrauterine devices (copper-IUDs) are relatively safer, more effective and inexpensive compared with hormonal methods and are the most widely used reversible contraception in the world, but are underused in developed countries. We systematically reviewed randomized controlled trials and controlled before-and-after studies to determine the effectiveness of interventions for improving uptake of copper-IUDs.Study design We searched electronic databases for eligible trials. RevMan 5.1 was used to calculate Peto odd ratios with 95% confidence interval for dichotomous outcomes.Results Nine studies representing 7960 women met our inclusion criteria, including seven randomized controlled trials and two controlled before-and-after studies. Meta-analysis from three studies showed contraceptive provision by community workers doubled uptake of IUD, and studies on antenatal contraceptive counselling showed similar increases. One study reported major increases in IUD uptake with postnatal couple contraceptive counselling; a study on postnatal home visits and two studies on postabortion contraceptive counselling did not reach statistical significance.Conclusions Community-based interventions and antenatal contraceptive counselling improved uptake of copper-IUD in studies mainly conducted in developing counties. Further research is needed on postabortion contraceptive counselling as well as longer-term effectiveness of interventions to improve use of copper-IUD.
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The FGDs suggest that discussing basic anatomy is a beneficial tool in FP counseling in this setting, providing possibly unknown information and allaying fears about contraceptive methods.
“The FGDs also suggest that discussing basic anatomy is a beneficial tool in FP counseling in this setting, providing possibly unknown information and allaying fears about contraceptive methods [33].”
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Metadata
- Authors
- Arrowsmith, M. E., Aicken, C. R. H., Majeed, A., & Saxena, S.
- Affiliations
- Charing Cross Hospital (GB)
- Venue
- Contraception
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 86
- Issue
- 6
- Pages
- 600-605
- ISSN
- 0010-7824 (ISSN-L)
- OpenAlex
- W2170627954
- Cited by
- 11
- References
- 29
- Citations by year
- 2023: 1 · 2021: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Contraception (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- University of Brighton Repository (University of Brighton) (submittedVersion)
- Funders
- Collaboration for Leadership in Applied Health Research and Care - Greater Manchester
- National Institute for Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Urology › Male Reproductive Health Studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- copper intrauterine device, contraceptive uptake, community-based intervention, postnatal home visits, reversible contraception, family planning services
- MeSH terms
- Contraception Behavior, Developing Countries, Family Characteristics, Family Planning Services, Female, Humans, Intrauterine Devices, Copper, Male, Patient Education as Topic, Postnatal Care, Perinatal Care, Evidence-Based Medicine
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