FIGO position statement on postpartum intrauterine devices (PPIUD)

Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low‐ and middle‐income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraceptio...

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Published in:International journal of gynecology and obstetrics Vol. 169; no. 3; pp. 1127 - 1132
Main Authors: Makins, Anita, Ahsan, Azra, Waqas, Marium, Kasliwal, Asha, Sridhar, Aparna, González, Cuauhtemoc C., Lam, Wai‐cheung, Bonsergent, Silvia, Momat, Felix, Kallner, Helena K., Ooi, Sara, Fuchs‐Montgomery, Nomi, Kerrigan, Monica, Askew, Ian
Format: Journal Article
Language:English
Published: United States John Wiley and Sons Inc 01.06.2025
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ISSN:0020-7292, 1879-3479, 1879-3479
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Abstract Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low‐ and middle‐income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraception during a crucial health‐seeking encounter, particularly given the rise in institutional births worldwide. Short inter‐pregnancy intervals are associated with increased maternal and neonatal morbidity and mortality, making timely postpartum contraception essential. The postpartum intrauterine device (PPIUD), a long‐acting reversible contraceptive (LARC), is a highly cost‐effective, non‐hormonal method with a low failure rate. It can be safely inserted immediately after vaginal or cesarean delivery, offering women a reliable and accessible option. However, successful implementation of PPIUD services requires overcoming barriers such as fragmented health services, provider bias, sociocultural misconceptions, and supply chain challenges. FIGO advocates for integrating PPFP, including PPIUD, into routine maternity care and emphasizes task sharing, community engagement, and comprehensive counseling as critical strategies. By incorporating postpartum contraception into standard maternal care, particularly in LMICs, health systems can improve maternal and child health outcomes, advance Sustainable Development Goals (SDGs), and empower women to make informed reproductive choices.
AbstractList Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low- and middle-income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraception during a crucial health-seeking encounter, particularly given the rise in institutional births worldwide. Short inter-pregnancy intervals are associated with increased maternal and neonatal morbidity and mortality, making timely postpartum contraception essential. The postpartum intrauterine device (PPIUD), a long-acting reversible contraceptive (LARC), is a highly cost-effective, non-hormonal method with a low failure rate. It can be safely inserted immediately after vaginal or cesarean delivery, offering women a reliable and accessible option. However, successful implementation of PPIUD services requires overcoming barriers such as fragmented health services, provider bias, sociocultural misconceptions, and supply chain challenges. FIGO advocates for integrating PPFP, including PPIUD, into routine maternity care and emphasizes task sharing, community engagement, and comprehensive counseling as critical strategies. By incorporating postpartum contraception into standard maternal care, particularly in LMICs, health systems can improve maternal and child health outcomes, advance Sustainable Development Goals (SDGs), and empower women to make informed reproductive choices.Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low- and middle-income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraception during a crucial health-seeking encounter, particularly given the rise in institutional births worldwide. Short inter-pregnancy intervals are associated with increased maternal and neonatal morbidity and mortality, making timely postpartum contraception essential. The postpartum intrauterine device (PPIUD), a long-acting reversible contraceptive (LARC), is a highly cost-effective, non-hormonal method with a low failure rate. It can be safely inserted immediately after vaginal or cesarean delivery, offering women a reliable and accessible option. However, successful implementation of PPIUD services requires overcoming barriers such as fragmented health services, provider bias, sociocultural misconceptions, and supply chain challenges. FIGO advocates for integrating PPFP, including PPIUD, into routine maternity care and emphasizes task sharing, community engagement, and comprehensive counseling as critical strategies. By incorporating postpartum contraception into standard maternal care, particularly in LMICs, health systems can improve maternal and child health outcomes, advance Sustainable Development Goals (SDGs), and empower women to make informed reproductive choices.
Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly in low‐ and middle‐income countries (LMICs). Immediate postpartum family planning (PPFP) offers a unique opportunity to provide contraception during a crucial health‐seeking encounter, particularly given the rise in institutional births worldwide. Short inter‐pregnancy intervals are associated with increased maternal and neonatal morbidity and mortality, making timely postpartum contraception essential. The postpartum intrauterine device (PPIUD), a long‐acting reversible contraceptive (LARC), is a highly cost‐effective, non‐hormonal method with a low failure rate. It can be safely inserted immediately after vaginal or cesarean delivery, offering women a reliable and accessible option. However, successful implementation of PPIUD services requires overcoming barriers such as fragmented health services, provider bias, sociocultural misconceptions, and supply chain challenges. FIGO advocates for integrating PPFP, including PPIUD, into routine maternity care and emphasizes task sharing, community engagement, and comprehensive counseling as critical strategies. By incorporating postpartum contraception into standard maternal care, particularly in LMICs, health systems can improve maternal and child health outcomes, advance Sustainable Development Goals (SDGs), and empower women to make informed reproductive choices.
Author Momat, Felix
Kerrigan, Monica
Kasliwal, Asha
Fuchs‐Montgomery, Nomi
Ahsan, Azra
Makins, Anita
Lam, Wai‐cheung
Ooi, Sara
Askew, Ian
González, Cuauhtemoc C.
Kallner, Helena K.
Waqas, Marium
Bonsergent, Silvia
Sridhar, Aparna
AuthorAffiliation 5 Manchester University NHS Foundation Trust Manchester UK
2 FIGO Committee on Contraception London UK
3 Association for Mothers and Newborns (AMAN) Karachi Pakistan
1 Nuffield Department of Women's and Reproductive Health University of Oxford Oxford UK
4 National Committee for Maternal and Neonatal Health (NCMNH) Karachi Pakistan
AuthorAffiliation_xml – name: 3 Association for Mothers and Newborns (AMAN) Karachi Pakistan
– name: 4 National Committee for Maternal and Neonatal Health (NCMNH) Karachi Pakistan
– name: 1 Nuffield Department of Women's and Reproductive Health University of Oxford Oxford UK
– name: 2 FIGO Committee on Contraception London UK
– name: 5 Manchester University NHS Foundation Trust Manchester UK
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  organization: FIGO Committee on Contraception
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ContentType Journal Article
Contributor Momat, Felix
Kerrigan, Monica
Lam, Wai-Cheung
González, Cuauhtemoc C
Kasliwal, Asha
Kallner, Helena K
Ahsan, Azra
Makins, Anita
Ooi, Sara
Askew, Ian
Bonsergent, Silvia
Fuchs-Montgomery, Nomi
Sridhar, Aparna
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  surname: Askew
  fullname: Askew, Ian
Copyright 2025 The Author(s). published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
2025 The Author(s). International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
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Issue 3
Keywords unmet contraceptive need
task sharing
postpartum family planning (PPFP)
immediate postpartum contraception
postpartum intrauterine device (PPIUD)
contraceptive counseling
long‐acting reversible contraceptives (LARCs)
healthcare integration
Language English
License Attribution
2025 The Author(s). International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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Notes Members of the FIGO Committee on Contraception are listed at the end of the document.
Anita Makins and Azra Ahsan are joint first authors.
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Snippet Postpartum contraception is a critical intervention to address the unmet need for family planning, which affects over 218 million women globally, predominantly...
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SubjectTerms Contraception - methods
contraceptive counseling
Developing Countries
Family Planning Services - methods
Female
healthcare integration
Humans
immediate postpartum contraception
Intrauterine Devices
Long-Acting Reversible Contraception - methods
long‐acting reversible contraceptives (LARCs)
Postnatal Care - methods
Postnatal Care - standards
postpartum family planning (PPFP)
postpartum intrauterine device (PPIUD)
Postpartum Period
Pregnancy
Regular Issue
Special
task sharing
unmet contraceptive need
Title FIGO position statement on postpartum intrauterine devices (PPIUD)
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fijgo.70146
https://www.ncbi.nlm.nih.gov/pubmed/40285713
https://www.proquest.com/docview/3195784955
https://pubmed.ncbi.nlm.nih.gov/PMC12093926
Volume 169
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