Kayiga Herbert, Looft-Trägårdh Emelie, Kakaire Othman, Tumwesigye Nazarius Mbona, Sekikubo Musa, Rujumba Joseph, Byamugisha Josaphat, Gemzell-Danielsson Kristina
Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda.
Department of Women's and Children's Health, Karolinska Institutet, and WHO Collaborating Centre, Karolinska University Hospital, Stockholm, Sweden.
PLoS One. 2025 Jun 25;20(6):e0316982. doi: 10.1371/journal.pone.0316982. eCollection 2025.
The uptake of intrauterine devices (IUDs) has stalled below two percent among married Ugandan women. We explored the perceptions of women and their partners on the utilization of postabortion IUDs after medical management of incomplete abortions in central Uganda.
Between August 2022 and May 2023, using a semi-structured interview guide, fifteen in-depth interviews were conducted among Ugandan women and their partners at five public facilities on their perceptions in regards to postabortion IUDs. Using inductive content analysis, themes and subthemes were generated.
Three themes emerged: 1) perceived women's and their partners' barriers in accessing postabortion IUDs such as myths and misconceptions on IUDs, spouse refusal, IUD related side effects. 2) women's and their partners' experiences while using postabortion IUDs such as increased lubrication, freedom from prior contraceptive side effects, assurance of early return to fertility after IUD removal, menstrual irregularities and abdominal pain following IUD insertion. 3) motivators and recommendations to the uptake of IUDs such as peer influence, client-healthcare provider relationship, spousal approval of IUDs and community sensitization on IUDs using social media platforms.
Understanding the socio-cultural context of women and their partners, is pivotal in the uptake of postabortion IUDs. Healthcare providers ought to provide evidence-based counselling to demystify individual and community misconceptions on IUD use. Male partner involvement, the assurance of early return to fertility after IUD removal, user champions, and social media platforms can enhance the uptake of postabortion IUDs.
在乌干达已婚女性中，宫内节育器（IUD）的使用率停滞在2%以下。我们探讨了乌干达中部女性及其伴侣对不全流产药物治疗后放置流产后IUD的看法。
在2022年8月至2023年5月期间，使用半结构化访谈指南，在五个公共机构对15名乌干达女性及其伴侣进行了深入访谈，了解他们对流产后IUD的看法。采用归纳性内容分析法生成主题和子主题。
出现了三个主题：1）女性及其伴侣在获取流产后IUD方面存在的障碍，如对IUD的误解和错误观念、配偶拒绝、IUD相关副作用。2）女性及其伴侣使用流产后IUD的经历，如润滑增加、摆脱先前避孕副作用、取出IUD后能确保早日恢复生育能力、放置IUD后月经不调和腹痛。3）IUD使用的动机和建议，如同伴影响、医患关系、配偶对IUD的认可以及利用社交媒体平台对社区进行IUD宣传。
了解女性及其伴侣的社会文化背景对于流产后IUD的使用至关重要。医疗保健提供者应提供基于证据的咨询，以消除个人和社区对IUD使用的误解。男性伴侣的参与、取出IUD后能确保早日恢复生育能力、用户倡导者以及社交媒体平台可以提高流产后IUD的使用率。
