Postpartum IUDs: a boon to family planning.
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Dr. Ramon Aznar, head of the medical subdivision of the Mexican health insurance program (IMSS), reports that postpartum insertion of IUDs has met great success in Mexico. In 1983, the number of postpartum IUD acceptors in the family planning program of the IMSS reached 83,763, making it the most popular method of postpartum contraception there. The program emphasizes the need for adequate training of delivery room staff and for alerting women to possible contraceptives postpartum. FHI has conducted studies of postpartum IUD use worldwide, including Mexico before the programmatic use of the method. Mexico now has the largest experience of any country in postpartum insertion. The Mexican experience serves to validate the contention that postpartum IUD insertion, accomplished during 1 of the few times in many women's lives that they have contact with the health care system, can make a significant contribution to family planning in the developing world.
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"In this paper, the fertility-inhibiting effects of the intermediate fertility variables among the Ikale-Yoruba are contrasted against those of the Ekiti, another Yoruba group for which more conventional family building practices have been reported. The objectives of the comparative approach are as follows: (a) to show that abstinence is not a factor in the reduction of marital fertility among the Ikale-Yoruba, as it is in other sub-groups studied so far; (b) that alternative outlets of fertility reduction, such as reliance on the protection offered by post-partum amenorrhoea, and some practice of folk and modern methods of contraception, are employed." The data, which were collected in Nigeria in 1977, concern 460 currently married Ikale-Yoruba women and some of their husbands, and 535 eligible Ekiti-Yoruba women. The results show that although total fertility rates between the two groups were similar, there were significant differences concerning the relative reliance by each group on postpartum abstinence and contraception. (summary in FRE, ITA)
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