Post-placental IUD insertion: what helps and hinders implementation?

Abstract

Post-placental intrauterine device insertion (PPIUD) is safe, effective, and convenient for women. However, despite the support of influential national organisations, PPIUD is not yet widely offered in the United Kingdom (UK).

A systematic literature review was carried out to identify barriers and facilitators to PPIUD implementation. Data were thematically analysed. Twenty-one papers were included in the review. The overarching theme found was the complexity of implementing PPIUD services. We identified the sub-themes: planning; support from external organisations; staffing and workload challenges; the importance of implementation champions; and reflecting and monitoring.

Facilities wishing to implement PPIUD services should anticipate that this will be a complex and time-consuming process and prepare accordingly, seeking opportunities to collaborate with other organisations.