Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol

Introduction The intrauterine device (IUD) inserted immediately after delivery is a safe and effective measure for preventing unplanned pregnancies. Despite exhibiting a higher expulsion rate compared with later insertions, it proves cost-effective due to the high rate of continuity of the method. T...

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Main Authors: Fernanda G Surita, Thuany Bento Herculano, Carolina de Freitas Alves Amaral-Moreira, João Renato Bennini Júnior
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/12/e092783.full
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author Fernanda G Surita
Thuany Bento Herculano
Carolina de Freitas Alves Amaral-Moreira
João Renato Bennini Júnior
author_facet Fernanda G Surita
Thuany Bento Herculano
Carolina de Freitas Alves Amaral-Moreira
João Renato Bennini Júnior
author_sort Fernanda G Surita
collection DOAJ
description Introduction The intrauterine device (IUD) inserted immediately after delivery is a safe and effective measure for preventing unplanned pregnancies. Despite exhibiting a higher expulsion rate compared with later insertions, it proves cost-effective due to the high rate of continuity of the method. There is still a gap in the literature regarding the optimal strategy for monitoring these patients, whether it should be through clinical examination, ultrasound or both. The aim of this review is to map the available evidence regarding the proper clinical and ultrasound follow-up procedures of IUDs inserted immediately post partum.Methods and analysis Using the well-established scoping review methodology outlined by the Joanna Briggs Institute, a five-stage review is outlined: (1) determining the research question, (2) search strategy, (3) inclusion criteria, (4) data extraction and (5) analysis and presentation of the results. The search strategy will be applied to nine databases reflecting empirical and grey literature. A two-step screening process will be used to determine eligibility of articles. To be included in the review, articles must describe how postpartum women (adolescents or adults) who had an IUD inserted immediately after birth (vaginal or caesarean) were followed up. All articles will be independently assessed for eligibility, and data from eligible articles will be extracted and charted using a standardised form. Extracted data will be analysed using narrative and descriptive analyses.Ethics and dissemination Ethics approval is not required. The results will be disseminated to the health science community through professional networks, conference presentations and publication in a scientific journal.
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spelling doaj-art-d3cd88654c574c6eb8c8ce7d347c76df2025-01-14T11:10:12ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-092783Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocolFernanda G Surita0Thuany Bento Herculano1Carolina de Freitas Alves Amaral-Moreira2João Renato Bennini Júnior3Obstetrics & Gynecology, University of Campinas, Campinas, São Paulo, BrazilObstetrics & Gynecology, University of Campinas, Campinas, São Paulo, BrazilObstetrics & Gynecology, University of Campinas, Campinas, São Paulo, BrazilObstetrics & Gynecology, University of Campinas, Campinas, São Paulo, BrazilIntroduction The intrauterine device (IUD) inserted immediately after delivery is a safe and effective measure for preventing unplanned pregnancies. Despite exhibiting a higher expulsion rate compared with later insertions, it proves cost-effective due to the high rate of continuity of the method. There is still a gap in the literature regarding the optimal strategy for monitoring these patients, whether it should be through clinical examination, ultrasound or both. The aim of this review is to map the available evidence regarding the proper clinical and ultrasound follow-up procedures of IUDs inserted immediately post partum.Methods and analysis Using the well-established scoping review methodology outlined by the Joanna Briggs Institute, a five-stage review is outlined: (1) determining the research question, (2) search strategy, (3) inclusion criteria, (4) data extraction and (5) analysis and presentation of the results. The search strategy will be applied to nine databases reflecting empirical and grey literature. A two-step screening process will be used to determine eligibility of articles. To be included in the review, articles must describe how postpartum women (adolescents or adults) who had an IUD inserted immediately after birth (vaginal or caesarean) were followed up. All articles will be independently assessed for eligibility, and data from eligible articles will be extracted and charted using a standardised form. Extracted data will be analysed using narrative and descriptive analyses.Ethics and dissemination Ethics approval is not required. The results will be disseminated to the health science community through professional networks, conference presentations and publication in a scientific journal.https://bmjopen.bmj.com/content/14/12/e092783.full
spellingShingle Fernanda G Surita
Thuany Bento Herculano
Carolina de Freitas Alves Amaral-Moreira
João Renato Bennini Júnior
Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol
BMJ Open
title Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol
title_full Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol
title_fullStr Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol
title_full_unstemmed Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol
title_short Follow-up of immediate postpartum intrauterine device insertion: a scoping review protocol
title_sort follow up of immediate postpartum intrauterine device insertion a scoping review protocol
url https://bmjopen.bmj.com/content/14/12/e092783.full
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